Custody Evaluation Questionnaire Template Page 19
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2719
G.
PERSONAL DATA:
Education (give highest degrees, and area of study):
_________________________________________________________________
_________________________________________________________________
Work History (briefly describe the kinds of occupations you have
had and how long you have worked at your last three positions):
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Military History (describe the type of duty and whether you were in
combat):
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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