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# DATES OF EMPLOYMENT (month, year)FROM TOPLACE OF EMPLOYMENT (city and State)NAME AND TITLE OF YOUR POSITIONCLASS (if in final)SALARY & EARNINGSSTARTING FINALNAME AND TITLE OF IMMEDIATE SUPERVISORNAME AND ADDRESS OF EMPLOYER (firm, organization, or person; if Federal, name department, bureau or establishment, and division)KIND OF BUSINESS OR ORGANIZATION (to. g., wholesale milk, Insurance agency, manufacture of hats, etc.)NUMBER AND KIND OF EMPLOYEES SUPERVISED BY YOUREASON FOR LEAVINGDESCRIPTION OF YOUR WORKIf more space is required, use a continuation sheet (Standard Form No. 58) or a sheet of paper the same size as this page. Write on each sheet your name,address, date of birth, and examination title. Attach to inside of this application.*NOTE: It is especially important that the following items be completely and accurately filled out. Furnish complete and accurate information regarding any previous Investigation by the Federal Bureau of Investigation or other Federal or State agencies. If the space above, Is inadequate, use a continuation sheet and attach to this form. Detailed Information regard-ing any special service schools you attended is especially important. (Illustrate answer to give full description.)*17. MILITARY TRAINING In the space below, describe any training received in any branch of training received such as ROTC or work. Detailed information regarding any special service schools you attended is especially important. (Illustrate the Armed Services (not already listed under Item 16) that would assist any special service schools you attended is especially important. (Illustrate    you in granting officers in placing you most effectively. Indicate actual amount. answer to give full description.)DATESFROM TO LOCATION DESCRIPTION OF TRAINING2/41 5/41 U.S. Naval Academy USNR Midshipman's Course1/44 6/44 Miami Beach AAF/OCS6/44 8/44 Orlando, Fla AAF Combat Intelligence School1/45 3/45 Catalina Island Office of Strategic Services Clandestine School18 EDUCATION (Circle highest grade completed)1 2 3 4 5 6 7 8 9 10 11(A) GIVE NAME AND LOCATION OF LAST HIGH SCHOOL ATTENDEDHamburg High School, N.Y.MARK (X) THE APPROPRIATE BOX TO INDICATE SATISFACTORY COMPLETION OF(B) SUBJECTS STUDIED IN HIGH SCHOOL WHICH APPLY TO POSITION DESIRED[ ] ELEMENTARY SCHOOL [ ] JUNIOR HIGH SCHOOL [X] SENIOR HIGH SCHOOL(C) NAME AND LOCATION OF COLLEGE OR UNIVERSITYMAJOR OR FIELD OF SPECIALTYYEARS ATTENDEDDEGREES CONFERREDSEMESTER HOURSFROM TO DAY NIGHTBrown University English 1936 1940 A.B. June 1940Providence, R.I.(D) LIST YOUR CHIEF UNDERGRADUATE COLLEGE SUBJECTS (E) LIST YOUR CHIEF GRADUATE COLLEGE SUBJECTSEnglish LiteratureEconomicsSociology(F) OTHER TRAINING SUCH AS VOCATIONAL BUSINESS STUDY COURSES GIVEN (G) SUBJECTS STUDIED DATES ATTENDEDTHROUGH THE ARMED FORCES INSTITUTE (show name and location FROM TOof school) OR IN-SERVICE TRAINING IN PUBLIC OR PRIVATE EMPLOYMENT19 INDICATE YOUR KNOWLEDGE OF READING SPEAKING UNDERSTAND. INGFOREIGN LANGUAGES EXC. GOOD FAIR EXC. GOOD FAIR EXC. GOOD FAIR22 ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED OR CERTIFIED MEMBER OF ANY TRADE OR PRO-FESSION (such as pilot, electrician, radio operator, teacher, lawyer, CPA, etc.)?Spanish X X X[ ] YES [X] NO GIVE KIND OF LICENSE AND STATEFIRST LICENSE OR CERTIFICATE (YEAR)20 IF YOU HAVE TRAVELED OR RESIDED IN ANY FOREIGN COUNTRIES, INDICATE:(1) NAMES OF COUNTRIES (2) DATES AND LENGTH OF TIME SENT THERE, AND LATEST LICENSE OR CERTIFICATE (YEAR)(3) REASON OR PURPOSE (e. g., military service, business, educa-tion, recreation)23 GIVE ANY SPECIAL QUALIFICATIONS NOT COVERED ELSEWHERE IN YOUR APPLICATION SUCH AS(1) WHAT IS MOST IMPORTANT PUBLICATION (if any) (Submit copies unless requested)(2) YOUR PATENTS OR INVENTIONSSee list attached (3) PUBLIC SPEAKING AND PUBLIC RELATIONS EXPERIENCE(4) MEMBERSHIP IN PROFESSIONAL OR SCIENTIFIC SOCIETIES, ETC21 LIST ANY SPECIAL SKILLS YOU POSSESS AND MACHINE, SAND EQUIPMENT YOU (5) HONORS AND FELLOWSHIPS RECEIVEDCAN USE SUCH AS CALCULATING OR SHORT WAVE RADIO MULTILITH COMPTOM-ETER, KEY-PUNCH, TURRET LATHE, SCIENTIFIC OR PROFESSIONAL DEVICES Covered in detail: "Who's Who in theAPPROXIMATE NUMBER OF WORDS PER MINUTE IN TYPING... SHORTHANDEast" Vol.II16-41600-1