Ye EMPLOYMENT PSYCHOLOGY 
£2. Give your salary and reasons for leaving your last three positions. 
JOS, rem Monthly Salary Reasons for Leavin, 
‘Last position ik 
—— et imate] ta ———————————————— 
Preceding position 2D 
—————t sets I  ——————————————— 
Preceding position 
13. How much time (years and months) have you spent in inside of retail selling? . o.oneerioerinnnenceniananens 
++ How much time in Life Insurance selihgZ. .. ov. couunrinuiiasitiinionananeiiiineonessaosssretmuasiansiss 
. . How much time in other outside SellinZ?. . ...vupeperearunsnrseereesurmnsseceiiionasssosssasssnesasdanios 
14. | How long have you been thinking of making the selling of Life Insurance your life work?......ooormecnarnnnnns 
re What 16 YOR 70 CORSIHET ILE. so vu avs dss sinss us vusiahagnsimesnsssnresinrivnsusiainnsnssosnssrovsennsiunresy 
, How many times have you talked with a representative of ¢his campany about it?........cooieeiiiierninnrs 
£5. What is the attitude of your immediate famaby?. . o.oo .uqeenonnrar conyaunecriionniiebiaiisiigeiiipgrniny 
16. Occupations of relatives (if not living, state what ceeupation was) 1 
P Fathereceneeninninnaninns naive inne BOO cts 
. In what city or town do you wish to represent this COMPanYY. .....uoviarniiinens ines corenrenneininees 
18. Check the forms of investment you now have: Real Bstate. (3, Mortgages (0, Savings Bank 03, Bonds (J, Preferred 
Stock (J, Common Stock (J, Life Insurance, amount carried $.  ... , Accident ot {Health Insurance $........ 
19. Are you indebted to any one?. ............. . AMOURE. LL. Lieiiiiee eeeiees ~ 
20. Name the social clubs, fraternities, and business organizations to which you belong (Church may be included, if 
How many times have you been elected to office in those 0rgamizations?........ooueeueirirnren innrnienssees 
21. Estimate how many times during the past year you have taken part in each of the following: 
TE. saan shins Bolo ans aslai sss Handball. viens +o vwsd SWIMMINB cons av st nivsaaied 
Hunting or Rifle Practice. ...........; Driving an Automobile .. ... ...: Riding a Motoreycle..........8 
Boating. ...............; Horseback Riding...... .... . 3 Other Athletic Sports. ......c.ovurernosnsn 
22. Estimate how many times during the past year you have ateended the theatre?.......... Attended social affairs 
. Of JOUT OWR SEX... ess uisstennsnananesinsnssnsnrsnrynanavsasssanorsasnseensna-usniassscsrsasyree 
23. Have you any physical inrMIEY2. . «ue uermeuenrniauurioanninnninnsuasaantanaaanaicaa ona deng anges tee 
. How much time have you lost through illness within past two years?..... .... ...Natureofillness.............. 
24. Give the names and addresses of three business men who know vou well and to whom this Company may refer. 
a err coergsei as en scons et doit 
Name Address 
1. oe ———— AA + et ee ee ee i 
er err me— 
Te TEE ee OY 
Signature of Applicant. 
Jee. + Please look over your blank and-make sure that you have given some answer to cvery question: 
Figure 16b: A model application blank, page 2. 
for very unusual answers. To list all these unusual types is 
a waste of space. When preferences are investigated, sym- 
bols may stand for different attitudes. These symbols may 
be listed, ready for checking, after each item toward which 
the subject is requested to express his attitude. The voca- 
18