[104-10193-10076.pdf — page 92]
Standard Form 57 Rev. June 1, 1946U. S. CIVIL SERVICE COMMISSIONAPPLICATION FOR FEDERAL EMPLOYMENTForm approved.Budget Bureau No. 50-R046NOTICE—Answer every question in item 15 to 21 inclusive.IMPORTANT. Be sure to mail to the office with which you file the application or notify the office with any change inyour address.1. Name of examination, or kind of position applied for:2. General subject (if mentioned in examination announcement):3. Place of employment applied for:O.I.O.4. (a) First name:   William(b) Middle name:King(c) Last name:Harvey5. Street and number or R. D. number:   2627 39th Street N.W.6. City (or post office, including postal zone; and State:   Washington, D. C.7. State of legal or voting residence.   Kentucky8. Place of birth (city and State; if born outside U. S., name city and country):   Danville, Indiana9. Date of birth (month, day, year):   9/13/1510. Age last birthday:    3111. Male12. Female13. Height without shoes:    5 feet 11 inchesWeight:185 pounds14. Have you ever been employed by the Federal Government?    Yes    NoIf now employed by the Federal Government, give present grade and date of last change in grade:DO NOT WRITE IN THIS BLOCKFor Use of Civil Service Commission OnlyAppliedSubmittedEntered registerReturnedApp. review:ApprovedOFFICEGRADERAISED RATINGDIFFERENCEADD'L RATING5 points (Pref.)10 pointsWhite or WidowDisableBeing InvestigatedINITIALS AND DATEIndicate "Yes" or "No" answer by placing X in proper column15. (a) Would you accept short term appointment if offered for—YESNO(c) If you will accept appointment in certain locations ONLY, give acceptable locations:1 to 3 months?3 to 6 months?6 to 12 months?16. (a) Would you accept appointment, if offered—In Washington, D. C.?anywhere in the United States?outside the United States?(d) What is the lowest entrance salary you will accept per year.CAP 13P 6You will not be considered for positions paying less.(e) If you are willing to travel, check:FrequentlyConstantly18. EXPERIENCE—You are requested to furnish all information asked for below in sufficient detail to enable the Civil Service Commission and the appointing officers of agencies to determine your qualifications for the position which you are applying.Use a separate block for EACH position. You may also include any pertinent religious, civic, welfare, or organizational activities which you have performed either with or without compensation, showing the number of hours per week and weeks per year in which you were engaged in such activity. Start with your PRESENT position and work back, accounting for all periods of employment. Explain clearly the principal tasks which you performed in each position. Describe your experience in the Armed Services in question 17 (Military Experience).If you were ever employed in any position under a name different from that shown in item 4 of this application, give under "Description of your work" for each such position, the name used.If you have never been employed or are now unemployed, indicate that fact in the space provided below for "Present Position."PRESENT POSITIONDates of employment: (Month, year)From:Exact title of your present position:Salary or earnings:Starting, $To present time:Present, $Place of employment (city and State):Name and address of employer (firm, organization, or person):If Federal, name department, bureau or establishment and division:Description of your work:Kind of business or organization (e. g., wholesale oil company; mfr. of locks, etc.).Number and kind of employees supervised by you:Name and title of immediate supervisor:Reason for desiring to change employment:(CONTINUED ON NEXT PAGE)