Difference between revisions of "Data For Sensitive or Critical-sensitive Position"

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2. Social Name<br>
 
2. Social Name<br>
Frank Zappa
+
'''Frank Zappa'''
 
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3. Name at birth ''(First, middle, last)''<br>
 
3. Name at birth ''(First, middle, last)''<br>
Francis Vincent Zappa
+
'''Francis Vincent Zappa'''
 
----
 
----
 
4. Address of correspondence ''(Number, Street, State, and Zip code)''<br>
 
4. Address of correspondence ''(Number, Street, State, and Zip code)''<br>
5455 Wilshire Blvd, Suite 1713, Losa Angeles 90046
+
'''5455 Wilshire Blvd, Suite 1713, Losa Angeles 90046'''
 
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5. Home phone      '''No. 000001'''<br>
 
5. Home phone      '''No. 000001'''<br>
Line 24: Line 24:
 
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6. Height<br>
 
6. Height<br>
6
+
'''6'''
 
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7. Weight<br>
 
7. Weight<br>
150
+
'''150'''
 
----
 
----
 
8. Sex<br>
 
8. Sex<br>
M
+
'''M'''
 
----
 
----
 
9. Marital status<br>
 
9. Marital status<br>
Married
+
'''Married'''
 
----
 
----
 
10. Birthplace<br>
 
10. Birthplace<br>
Baltimore, Maryland
+
'''Baltimore, Maryland'''
 
----
 
----
 
11. Birth date<br>
 
11. Birth date<br>
12/21/40
+
'''12/21/40'''
 
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12
 
12
 
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13. Profession ''If student so state''<br>
 
13. Profession ''If student so state''<br>
Composer
+
'''Composer'''
 
----
 
----
 
14. Place of Employment if presently emplyed ''University or school if student''<br>
 
14. Place of Employment if presently emplyed ''University or school if student''<br>
Mothers
+
'''Mothers'''
 
----
 
----
 
15. Position<br>
 
15. Position<br>
Supervisor
+
'''Supervisor'''
 
----
 
----
 
16. Description of work<br>
 
16. Description of work<br>
Compose + arrange material for group, play lead guitar + sing + do office work + so on + so forth
+
'''Compose + arrange material for group, play lead guitar + sing + do office work + so on + so forth'''
 
----
 
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'''17. FOREIGN TRAVEL'''<br>
 
'''17. FOREIGN TRAVEL'''<br>
 
Have you ever lived or traveled through any foreign city/states throughout the Continental United States? ''explain in detail)''<br>
 
Have you ever lived or traveled through any foreign city/states throughout the Continental United States? ''explain in detail)''<br>
yes and no
+
'''yes and no'''
 
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'''17. SPECIAL QUALIFICATIONS AND SKILLS'''<br>
 
'''17. SPECIAL QUALIFICATIONS AND SKILLS'''<br>
 
A. Licenses or certificates
 
A. Licenses or certificates
local 47 AFM<br>
+
'''local 47 AFM<br>
S.A.G.<br>
+
'''S.A.G.<br>
AFTRA<br>
+
'''AFTRA<br>
High school diploma
+
'''High school diploma
 
----
 
----
 
E. Special skills you possess and machines and equipment you can use<br>
 
E. Special skills you possess and machines and equipment you can use<br>
None special
+
'''None special'''
 
----
 
----
 
F. Special qualifications not covered in application ''(For example, your most important publications; your patents or inventions; membership in professional or scientific societies, etc.; honors and fellowships received.)''<br>
 
F. Special qualifications not covered in application ''(For example, your most important publications; your patents or inventions; membership in professional or scientific societies, etc.; honors and fellowships received.)''<br>
Are you kidding?
+
'''Are you kidding?'''
 
----
 
----
 
'''21. EDUCATION'''
 
'''21. EDUCATION'''
 
----
 
----
 
A. State major field of study at highest level of education<br>
 
A. State major field of study at highest level of education<br>
12th Grade + 1 Semester Junior College (music)
+
'''12th Grade + 1 Semester Junior College (music)'''
 
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B. Most enlightening revelation brought about ''through'' highest level of education ''(in less than five words please)''<br>
 
B. Most enlightening revelation brought about ''through'' highest level of education ''(in less than five words please)''<br>
Bored out 90/over
+
'''Bored out 90/over'''
 
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C. Most enlightening regulation maintained by educational facility ''(use as many words as you please)''<br>
 
C. Most enlightening regulation maintained by educational facility ''(use as many words as you please)''<br>
With three Stromberg 97's
+
'''With three Stromberg 97's'''
 
----
 
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TRUE OR FALSE -- PLACE X IN PROPER COLUMN -- YES – NO
 
TRUE OR FALSE -- PLACE X IN PROPER COLUMN -- YES – NO
Line 108: Line 108:
 
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34. My favorite kind of ravioli is<br>
 
34. My favorite kind of ravioli is<br>
Spinach
+
'''Spinach'''
 
----
 
----
 
35. My favorite hobby is<br>
 
35. My favorite hobby is<br>
Sleeping
+
'''Sleeping'''
 
----
 
----
 
36. My favorite music is<br>
 
36. My favorite music is<br>
Mothers
+
'''Mothers'''
 
----
 
----
 
37. Favorite color<br>
 
37. Favorite color<br>
Naples yellow
+
'''Naples yellow'''
 
----
 
----
 
38. Favorite smell<br>
 
38. Favorite smell<br>
Naples yellow
+
'''Naples yellow'''
 
----
 
----
 
39. My favorite confrontation with authority<br>
 
39. My favorite confrontation with authority<br>
Mr. Luckstead + Ernie Tosi
+
'''Mr. Luckstead + Ernie Tosi'''
 
----
 
----
 
40. My favoritest place<br>
 
40. My favoritest place<br>
Laurel Canyon
+
'''Laurel Canyon'''
 
----
 
----
 
41. Favorite contemporary artist(s) ''Visual, environmental or cinema<br>
 
41. Favorite contemporary artist(s) ''Visual, environmental or cinema<br>
C. Schenkel
+
'''C. Schenkel'''
 
----
 
----
 
42. Favorite predecessor<br>
 
42. Favorite predecessor<br>
Louie Louie
+
'''Louie Louie'''
 
----
 
----
 
43. Favorite Dadist and/or surrealist<br>
 
43. Favorite Dadist and/or surrealist<br>
Buffalo Bob
+
'''Buffalo Bob'''
 
----
 
----
 
44. Favorite contemporary musician(s) ''group(s)<br>
 
44. Favorite contemporary musician(s) ''group(s)<br>
Edgard Varese<br>
+
'''Edgard Varese<br>
Anton Webern<br>
+
'''Anton Webern<br>
John Cage<br>
+
'''John Cage<br>
Buckminster Fuller
+
'''Buckminster Fuller
 
----
 
----
 
45. Favorite well known personage<br>
 
45. Favorite well known personage<br>
Dick Barber
+
'''Dick Barber'''
 
----
 
----
 
46. Favorite movie<br>
 
46. Favorite movie<br>
Freaks
+
'''Freaks'''
 
----
 
----
 
47. Favorite form of recreation<br>
 
47. Favorite form of recreation<br>
Freaks
+
'''Freaks'''
 
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----
 
48. Favorite flavor ice cream ''if you don't like ice cream your favorite piece of apparel<br>
 
48. Favorite flavor ice cream ''if you don't like ice cream your favorite piece of apparel<br>
Socks
+
'''Socks'''
 
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49. Fave rave<br>
 
49. Fave rave<br>
Gail Pumpkin
+
'''Gail Pumpkin'''
 
----
 
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50. Favorite other stuff<br>
 
50. Favorite other stuff<br>
Moon, GTO's, W. M. F., C. B., Motorishi, Delving + Bro., Pachuco E., El Monte, Houston + Dallas, Vancouver, Salt Lake City, London, AMsterdam, Peanut butter, Herby, Mutt, Jimi Hendrix, Thelma Ritter
+
'''Moon, GTO's, W. M. F., C. B., Motorishi, Delving + Bro., Pachuco E., El Monte, Houston + Dallas, Vancouver, Salt Lake City, London, AMsterdam, Peanut butter, Herby, Mutt, Jimi Hendrix, Thelma Ritter'''
 
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SPACE FOR DETAILED ANSWERS TO OTHER QUESTIONS. Indicate item numbers to which answers apply.
 
SPACE FOR DETAILED ANSWERS TO OTHER QUESTIONS. Indicate item numbers to which answers apply.
 
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Signature ''(sign in ink)'', FZ,  Date Sept. 1/68
+
Signature ''(sign in ink)'', '''FZ,''' Date '''Sept. 1/68'''
 
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[[Category:Articles by Zappa]]
 
[[Category:Articles by Zappa]]

Revision as of 10:03, 25 February 2007

4 sheets from the "United Mutations Folio"


IMPORTANT: INSTRUCTIONS
This form must be completed in duplicate. Use dark legible pen or typewrite if possible. Make sure all questions have been answered to the fullest extent of your memory's capacity and/or imagination where applicable. Complete all items except No. 28. If an answer to any item is "no" or "none" so state. Any items that for personal reasons you wish to remain confidental leave blank.

Item 17A. pertains to type of licenses or certificates in possession.

After you have filled out this form in duplicate place one copy with your records in a safe place and send the other copy to United Mutations, Box 23315, Hollywood, California 90028 along with a suitable photograph or photographs and any other material which you feel may be necessary.


Fzquestionnaire.jpg

1. Photo


2. Social Name
Frank Zappa


3. Name at birth (First, middle, last)
Francis Vincent Zappa


4. Address of correspondence (Number, Street, State, and Zip code)
5455 Wilshire Blvd, Suite 1713, Losa Angeles 90046


5. Home phone No. 000001
secret


6. Height
6


7. Weight
150


8. Sex
M


9. Marital status
Married


10. Birthplace
Baltimore, Maryland


11. Birth date
12/21/40


12


13. Profession If student so state
Composer


14. Place of Employment if presently emplyed University or school if student
Mothers


15. Position
Supervisor


16. Description of work
Compose + arrange material for group, play lead guitar + sing + do office work + so on + so forth


17. FOREIGN TRAVEL
Have you ever lived or traveled through any foreign city/states throughout the Continental United States? explain in detail)
yes and no


17. SPECIAL QUALIFICATIONS AND SKILLS
A. Licenses or certificates local 47 AFM
S.A.G.
AFTRA
High school diploma


E. Special skills you possess and machines and equipment you can use
None special


F. Special qualifications not covered in application (For example, your most important publications; your patents or inventions; membership in professional or scientific societies, etc.; honors and fellowships received.)
Are you kidding?


21. EDUCATION


A. State major field of study at highest level of education
12th Grade + 1 Semester Junior College (music)


B. Most enlightening revelation brought about through highest level of education (in less than five words please)
Bored out 90/over


C. Most enlightening regulation maintained by educational facility (use as many words as you please)
With three Stromberg 97's


TRUE OR FALSE -- PLACE X IN PROPER COLUMN -- YES – NO


23. Have you ever had a nervous breakdown? –– X


25. Have you ever had an allergic reaction to pemiculin? –– X


26. Have you ever been arrested, taken into custody, held for investigation or questioning, or charged by any law enforcement authority? (Do not omit: (1) Traffic violations for which you paid a fine of $30.000 or less, (2) Minor petty larcenies, (3) Major petty larcenies, (4) Anything that happened before your 6th birthday. All incidents must be included, even though they were dismissed or you merely forfeited collateral.)X ––
27. While in the military service were you ever arrested for an offence which resulted in a trial by deck court or by summary, special, or general court-martial? –– X
If your answer to 26, or 27, is "yes" give details in item 39, showing form each incident (1) date, (2) charge, (3) place, (4) law enforcing authority or type of court or court-martial, and (5) action taken.


28. Furs are articles made of fur on the hide or pelt and articles of which such fur is worth more than three times as much as the next most valuable component. X ––


29. The first digit of my area code is 6. XX


30. A citizen of Pennsylvania may sue the state of New Jersey in a federal court. XX


31. Considering the average for my sex I wear my hair. X ––


32. The most unusual film on our program , now or ever, is Ted Browning's FREAKS. Browning, a master of the macabre, created the imperishable Dracula with Bela Lugosi and The Unholy Three with Lon Chaney.X ––


33. Mothers is good.X ––


PERSONALITY TRAITS


34. My favorite kind of ravioli is
Spinach


35. My favorite hobby is
Sleeping


36. My favorite music is
Mothers


37. Favorite color
Naples yellow


38. Favorite smell
Naples yellow


39. My favorite confrontation with authority
Mr. Luckstead + Ernie Tosi


40. My favoritest place
Laurel Canyon


41. Favorite contemporary artist(s) Visual, environmental or cinema
C. Schenkel


42. Favorite predecessor
Louie Louie


43. Favorite Dadist and/or surrealist
Buffalo Bob


44. Favorite contemporary musician(s) group(s)
Edgard Varese
Anton Webern
John Cage
Buckminster Fuller


45. Favorite well known personage
Dick Barber


46. Favorite movie
Freaks


47. Favorite form of recreation
Freaks


48. Favorite flavor ice cream if you don't like ice cream your favorite piece of apparel
Socks


49. Fave rave
Gail Pumpkin


50. Favorite other stuff
Moon, GTO's, W. M. F., C. B., Motorishi, Delving + Bro., Pachuco E., El Monte, Houston + Dallas, Vancouver, Salt Lake City, London, AMsterdam, Peanut butter, Herby, Mutt, Jimi Hendrix, Thelma Ritter


SPACE FOR DETAILED ANSWERS TO OTHER QUESTIONS. Indicate item numbers to which answers apply.


Signature (sign in ink), FZ, Date Sept. 1/68