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Application for Employment, University of Texas, M.D. Anderson Hospital and Tumor Institute at Houston
Page 1, front
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Lopez, Mary F.. Application for Employment, University of Texas, M.D. Anderson Hospital and Tumor Institute at Houston - Page 1, front. April 3, 1972. Special Collections, University of Houston Libraries. University of Houston Digital Library. Web. June 23, 2017. http://digital.lib.uh.edu/collection/2014_006/item/465/show/461.

Disclaimer: This is a general citation for reference purposes. Please consult the most recent edition of your style manual for the proper formatting of the type of source you are citing. If the date given in the citation does not match the date on the digital item, use the more accurate date below the digital item.

Lopez, Mary F.. (April 3, 1972). Application for Employment, University of Texas, M.D. Anderson Hospital and Tumor Institute at Houston - Page 1, front. Mary F. Lopez Papers. Special Collections, University of Houston Libraries. Retrieved from http://digital.lib.uh.edu/collection/2014_006/item/465/show/461

Disclaimer: This is a general citation for reference purposes. Please consult the most recent edition of your style manual for the proper formatting of the type of source you are citing. If the date given in the citation does not match the date on the digital item, use the more accurate date below the digital item.

Lopez, Mary F., Application for Employment, University of Texas, M.D. Anderson Hospital and Tumor Institute at Houston - Page 1, front, April 3, 1972, Mary F. Lopez Papers, Special Collections, University of Houston Libraries, accessed June 23, 2017, http://digital.lib.uh.edu/collection/2014_006/item/465/show/461.

Disclaimer: This is a general citation for reference purposes. Please consult the most recent edition of your style manual for the proper formatting of the type of source you are citing. If the date given in the citation does not match the date on the digital item, use the more accurate date below the digital item.

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Title Application for Employment, University of Texas, M.D. Anderson Hospital and Tumor Institute at Houston
Creator (Local)
  • Lopez, Mary F.
Date April 3, 1972
Description Mary F. Lopez's application for employment at the University of Texas, M.D. Anderson Hospital and Tumor Institute at Houston.
Donor Mary F. Lopez
Subject.Topical (LCSH)
  • Civil rights movements
  • Mexican Americans
Subject.Name (LCNAF)
  • M.D. Anderson Hospital and Tumor Institute
Subject.Name (Local)
  • Lopez, Mary F.
Subject.Geographic (TGN)
  • Houston, Texas
Genre (AAT)
  • job applications
Language English
Type (DCMI)
  • Text
Original Item Location ID 2014-006, Box 1, Folder 13
Original Collection Mary F. Lopez Papers
Original Collection URL http://archon.lib.uh.edu/index.php?p=collections/controlcard&id=548
Digital Collection Mary F. Lopez Papers
Digital Collection URL http://digital.lib.uh.edu/collection/2014_006
Repository Special Collections, University of Houston Libraries
Repository URL http://info.lib.uh.edu/about/campus-libraries-collections/special-collections
Use and Reproduction Educational use only, no other permissions given. Copyright to this resource is held by the content creator, author, artist or other entity, and is provided here for educational purposes only. It may not be reproduced or distributed in any format without written permission of the copyright owner. For more information please see UH Digital Library Fair Use policy on the UH Digital Library About page.
File Name index.cpd
Item Description
Title Page 1, front
Format (IMT)
  • image/jpeg
File Name uhlib_2014_006_b001_f013_004_001.jpg
Transcript THE UNIVERSITY OF TEXAS M. D. ANDERSON HOSPITAL AND TUMOR INSTITUTE AT HOUSTON PERSONNEL DEPARTMENT Houston, Texas 77025 APPLICATION FOR EMPLOYMENT Lc PA STREET A NUMBER Al^r-f /~ ZIP CODE DAT! Of BIRTH '7*^ x. &eL b«*y AGE LAST BlRTHOAY hidusTp-n Tex lio^i 9^0 ihh POSI TlON 'APPLYINfi FOl AiL * yi c " ^ * MINIMUM S A L*K R Y H£U * too ■3gf.r-f J I REMF NT WHEN WILL YOU IIL AVAILABLE FOfl EMPLOYMENT? / ^ /»-<■ ^ VV C <■-*- | SOCIAL SECU HI FY NUMBER TELEPHONE NO. [OWN CAR fj, . >'(' i'»TtJ YES Q- NO □ PLACE OF BIRTH &faty v>jcr< LLt.lfy IF NATURALIZED, GIVE DATE, PLACE AND NUMBER ?3?-JTf7? FEMALE LO j WEIGHT IIS SINGLE I-1 MARRIED S3 WIOOR I—| SIOOBIR LJ DIVORCED I 1 SEPARATED LJ NUMBER OF CHILDREN & AGES 2 e - / S- / Jl. COLO* OF: HAM i)K d***" eyes /cSvoivn HAVE TOU CVIt BEER EMPLOYEO BY ANDERSON HOSPITAL? YES □ "00- LIST PREVIOUS RESIDENCES: HAVE YOU ANY PHYSICAL HANDICAP. CHRONIC DISEASE. OR OTHER DlSABILITlESf Ml HOW MUCH TIME HAVE YOU LOST THROUGH ILLNESS IN THE PAST TWO YEARS? frppe HAVE YOU EVER BEEN UNDER A PHYSICIANS CARE FOR AN EXTENDED PERIOD? IF YES, OIVE DETAILS WO 00 YOU NAVE ANY RELATIVES EMPLOYEO BY^_- THE UNIVERSITY OF TEXAS' YESJ~ No£5«J If YES, GIVE NAMES,*RELATIONSHIP ft PLACE NAME OF HUSBANO OR WIFE Jbt R. Id />*•*■ WHERE EMPLOYED * ^ h e&>n MFy. Co A [Hi R E S S IN CASE OF EMERGENCY RELATIONSHIP TEt■ NUMBC R Mrs. Mtr y c have HOW LONG HAVE YOU LIVED IN HOUSTON? All. /m -f Life DATES OF MILITARY SERVICE PRESENT DRAFT STATUSI I HAVE YOU EVER BEEN DISCHARGED OR FORCED TO RESIGN FROM ANY POSITION' YES [""j NOfpf If YES. GIVE OETAILS.. ARE YOU PRESENTLY EMPLOYED? YESfpS NO f"~l MAY «£ CONTACT YOUR PRESENT EMPLOYER? YES Q3 NO LJ ARE YOU NOW A LICENSED OR CERTIFICO MEMBER OF ANY PROFESSION OR TRADE? YES I 1 NO { J "7 f- x . ft t» e Y ».T"o v* GIVE KINO OF LICENSE AND STATE: 1 *" A ' LICENSE OR CERTIFICATE NUMBER AND YEAR: U-Q *7 O n /■% WHAT HOREIGN LANGUAGE(S) 00 YOU SPEAK? o ^ fdT) iS h EDUCATION • CIRCLE HIGHEST GRADE COMPLETED ■*34S67Ai)|OII tfty NAME AND ADORESS OF COLLEGE OR SCHOOL ELLioTT flus. CaLte *? LIST CHIEF UNDERORADUATE SUBJECT! WHO REFERRED YOU TO THIS INSTITUTION' S T> 0.1L) vt 55 n t LL i r \ a HAVE YOU EVER BEEN ARRESTED. CHARGED. OR HELD BY FEDERAL. STATE, OR OTHER LAW ENFORCEMENT AUTHORITIES FOR ANY VIOLATION OF ANY FEDERAL LAW. STATE LAW, COUNTY OR MUNICIPAL LAW, REGULATION OR ORDINANCE? 00 NOT INCLUDE TRAFFIC VIOLATIONS FOR WHICH A FINE OF J25 OR LESS WAS IMPOSED. ALL OTHER CHARGES MUST BE INCLUDED EVEN IF THEY WERE DISMISSED. IF YES. GIVE PARTI CULABJS. YESL3 H0 sz HAVE YOU EVER DRAWN COMPENSATION FOR Ail ON-THE-JOB ACCIDENT OR ILLNESS? A/c APPROXIMATE WORDS PER MINUTE IN T Y P I N G VJ SHORTHAND f>(j GIVE NAME ANO ADDRESS OF LAST HIGH SCHOOL ATTENDED V lUU M <\ v i a - forcwr\s v <LLa , Tex ■3. ft1. Ty p"*<i SLMLSTLR HOURS OATES ATTENDED nsx ll£i YE ARS COMPLE TED LIST CHIEF GRADUATE SUBJECTS /9-rj SEMESTER HOUR'