[104-10194-10019.pdf — page 194]
# OPLICATION FOR FEDERAL EMPLOY NTCopySTANDARD FORM 57--NOV. 1947US CIVIL SERVICE COMMISSIONINSTRUCTIONS: In order to prevent dei. in consideration of your appli instructions on the admin cand regarding disposition of this applicatoin.catton, antwt every question on this forin clearly and completely. Tope If you are applying or an UNWRITTEN Pamination, mail this applicationwrite or p in INK. In applying for a sperohe United States Civil Service to the chce named in the announcement. Be sure to mail to the same officeremination, rreat the examination announ- ent carefully and follow all any other tems required by the announcement; Notify the office with whichdirections. If you are applying for a WRITTEN examination, follow the you file this application clany change in youir addre99.I NAME OF EXAMINATION OR RITHIN APPLO FORCIG(OPTIONS) (if mentioned in examination announcement)CopyDO NOT WRITE IN THIS BLOCKFor Use of Civil Service Commission Only2 PLACE OF EMPLOYMENT APPLIED FOR (City and State) 4. DATE OF THIS APPLIKATION*is required*5. NAMEJACQUES GAS IEL RICH RUSON(First name) (Midale) (Maiden, if any)ANNOUNCEMENT(A) STREET AND NUMBER OR R. D NUMBER1620 Rickenbacker toad, Mars Est.(B) CITY OR POST OFFICE (including postal zone) AND STATEEssex 21. Maryland7. LEGAL OR VOTING RESIDENCL (State)Maryland9 DATE OF BIRTH (month, day, year)January 20, 192410. MARRIEDSINGLE11. PLACE OF BIRTH (city and State; if born outside U. S., name city and country)Baltimore, Maryland12: MALE13. (A) HEIGHT WITHOUT SHOES:FEMALE5. FEET 10. INCHES14. (A) HAVE YOU EVER BEEN EMPLOYED BY THE FEDERAL GOVERNMENTIIF SO GIVE LAST GRADE AND DATE OF LAST CHANGE IN GRADESecond Lt., 16 July 1946(B) WEIGHT:145 POUNDSYES NO15 (A) WHAT IS THE LOWEST ENTRANCE SALARY YOU WILL ACCEPTI $ 3,750.You will not be considered for any position with a lower entrance salary.(CHECK IF YOU WILL ACCEPT SHORT-TERM APPANIMENT IF OFFERED, FOR:1 TO 3 MONTHS3 TO 6 MONTHS6 TO 12 MONTHSNOTE. Acceptance or refusal of a temporary short-term appointment will not affect your opportunity to obtain a probational appointment.(C) IF YOU ARE WILLING TO TRAVEL SPECIFY:OCCASIONALLYFREQUENTLYCONSTANTLY16 EXPERIENCE It is important for you to furnish all information requested below in sufficient detail to enable the Civil Service Commission and the appointing officers of agencies to give you you full credit in determining your qualifications. Use a separate block for each position. Start with your present position and work back, explaining clearly the principal tasks which you performed in each position, accounting for all periods of unemployment.Experience gained more than 15 years ago which is not pertinent to the work for which you are applying may be summarized in one or more of the blanks.If your duties changed materially while working for the same employer, use a separate block to describe each position. You may include any pertinent①DATES OF EMPLOIMENT (month, year) TO PRESENT TIMEPLACE OF EMPLOIMENT (city and State)EXACT TITLE OF YOUR PRESENT POSITIONNAME AND ADDRESS OF EMPLOYER (firm, organization, or person; if Federal, name department, bureau or establishment, and division)CLASSIFICATION GRADE (if in Federal Service)NAME AND TITLE OF IMMEDIATE SUPERVISORSALARY OR EARNINGS: STARTING, $PRESENT. $NUMBER AND KIND OF EMPLOYEES SUPERVISED BY YOUKIND OF BUSINESS OR ORGANIZATION (e. g., wholesale silk, insurance agency, manufacture of locks, etc.)DESCRIPTION OF YOUR WORKBAR DEPARTMENTREASON FOR DESIRING TO CHANGE EMPLOYMENT(CONTINUED ON NEXT PAGE)