============= Page 1 of 2 ============= Enron Building 1400 Smith ENRONN CQ%RP An Equal Opportunity and Affirmative Action Employer P. O. Box 1188 Houston, (Texas 77225]=1788.-__ (713) 853-6161 Employment] Application Thank you for your interest in employment wi ~1hi rrot4 Your skill ^ P ~taerience and education will be considered in a non-discriltlifiq friani er.-Seled_ions will 6e made on the basis of job-related qualifications. ~~ Complete this form fully to show your qualifications for the work you seek. General Information - Please print or type. Date Name: First Last ddle Home Phene Numb.. Work 7-io- a . e "e `J ~i Itt n K61 (113 ) 5Z , -31B31 V113 ) 3 -b Address: Number and Stra zZ32 Ai6"s City State 14TAs T ZIP -1'looS Referred By: RA, h .'Air Job or Type of Work Desired city Work Location Desired State S cial Seer ty Number Driver's License Number, State T Annual Salary Desired Check eithedboth, if you watt': If required, check if you can work: ease eop t any war tmirotsom $ wC 0 Port-time, or Full-time work 0 Overtime, or 0 Rotating Shift /V Are Relati s Employed By Enron? If Yes, give name(s) and work location(s): If you have worked for Enron before. plain where, when: 0 Yes ' No Previous Employment and Work Experience - Most Recent First - Additional data may be attached. Employer - 4 N c. Street Address (City) (State) (Zip) Z I sfw ~QA. 43500 } .5 .. T - -7-1010 Job Tide Fro - To [may,) Lost Sal ry Supervisor w, cM%,J& r Phone Number (113 ) Gfo - 12,11 Major Duties and Accountabilities: A .CMsa.1\,r. Reason for Leaving: F~ of4 r Employer A .T. t1. N: rat. A&. Street Address (City) (State) (Zip) I I -T1„tr.Ji k S Job Ti a 0 13 lt~Soc:_a. Fro - To (Mo/yr) 18 -- toll Lost Salary N 4 Supervisor M;,,W P. 'A:4.14 Phone Number l ) - U . Major Duties and Accountabilities: ~ Ttnres~ tac,,>L Reason for Leaving: N of Employer - t Cn - k' - Street Address (City) (State) .-tZip) look Math S s - TX -lloto Job Title .. A' [TNM.Ir From To (Mo/yrf 1S ' Last Sal Supervisor •~ &o...) Phone Number ( ) Majo Duties and Accountobilit : Reason for Leaving: &ct~ss S Employer Street Address (City) (State) (Zip) Job Title From - To (Mo/Yr) Last Salary Supervisor Phone Number ( ) - Major Duties and Accountabilities: Reason far Leaving: Form 011-673 Enron subscribes to a drug-free workplace. EC36936A0010108 ECM 1000656334 EXH024-00298 ============= Page 2 of 2 ============= Education and Training Circle highest year of education completed: 9 10 11 GED-12 13 14 15 16 17 1 More Check each graduation certifica O Associate Degree te r ived: Bachelor's Degree Master's Degree 0 Doctorate High School Attended fs\. A„Nrc City ( nrc, State Area of Study 1(I:no S Mis<. Honor, or Award, 1 .or Soti`e Technical School Attended City Slate Area of Study Technical or other Certification Received Year tart College or University Attended ardoidt 6/J- ,1, c.L City S. laN'sn: State hti Major BA Minor 1 i~Kn.~ct Degree Received . AW GPA a Year Earlier College/Univerrity Attended City 47-aku lh.Otl,. VA.V v~. ] State Major !'d J 'scU Minor t Degree Received „~ GPA 3-1 Year 7 T- Earlier College/University Attended city state Mojo Minor Degree Received CPA Year Special Educational-Training Awards, Honors, Accomplishments, Articles Published, etc Special Tools, Equipment, or Materials with which you are technically skilled Complete this section in regard to job or type of work sought. If not applicable, write: NIA. O Typing: - wpm. 0 Word Processor (identify hardware 0 Personal Computer: 0 Data Entry/K punch - Hardware O Shorthand:- wpm. or software types): 0 IBM 0 Programming languages, including: O Transcription 0 IBM-compatible O h O Calculator er: t 0 O Drafting 0 Vehicles - Heavy Equipment: 0 Maintenance, Construction, Warehouse, or other technical equipment - O CADS O Other Engineering equi p Types: Types: (type): . . Other: References - Identify three persons familiar with your job qualifications. Nome i G''J&AWd-J Relationship p-~ r.111/tq. Mailing Address ~ L ttt= tp,.,tl Phone Number (1I' ) - (tick IIJI V 144 -4v _r_ Phone Number (_1 13 ) W-5 - 6 61 __- S_.:d.l ~s Phone Number (Mas) 40 Job Applicant Certification My signature below certifies that the information I have provided on this Employment Application is complete and. true. I understand that if I am hired and anything in this application is found to be untrue, I may be subject to discharge. I hereby authorize my former employers and the references named above to give any and all information to Enron about my prior employment and release each from any liability or any damage whatsoever for providing same. If offered employment with Enron Corp.: (1) I consent to a pre- employment physical and dru creep g as Enron may request; and (2) I agree to present original documents to Enron, within 24 hours of a request or emplo fent by E ran, to verify my (A) identi d (B) authorization to work in the United States as a citizen or alien. If I am employe by Enron, I rider and clearly that m ment is not contractual and may be terminated by myself or Enron at any time. Applicant Signature: Date: I 0 Post Employment Info i9/11 - Tt'be completed after employment only Emergency Contact: Name )Feet dress City state hone Number If handicapped, explain type: Birth Dote Ethnicity - Check One: 0 American Indian; 0 Asian; 0 Black; 0 Hispanic; 0 White 0 Female 0 Male Vietnam Era Veteran 0 Yes O No If Disabled Veteran: _ % disabled? Form 011-673 (back) EC36936AO010109 ECMLOO0656335 EXH024-00299