[104-10224-10001.pdf — page 141]
# SECRET## QUALIFICATIONS UPDATEREAD INSTRUCTIONS CAREFULLY BEFORE COMPLETING, TYPE OR PRINT, AVOID USING LIGHT COLORED INKSNow that your qualifications are a matter of computer record, they must be periodically updated. This is done automatically for much information; however, some must be obtained directly from you. This form is for that purpose. Section I must be completed in all cases. You need provide other information only if there have been changes since you submitted your Form 4441, "Qualifications Supplement to the Personal History Statement," or a previous update form.If you are in doubt whether information has been previously submitted, enter it in the appropriate section. The signed and dated form should be returned through administrative channels to the File Room, Office of Personnel, Room 58-13 Headquarters, whether information is added or not. Additionally, a qualifications update may take place at any time there is information to be added or changed simply by completing and returning an update form on your initiative.## SECTION I BIOGRAPHIC POSITION DATA| INP SER. NO. |  Last-First-Middle   | DATE OF BIRTH || :----------: | :------------------: | :-----------: ||    035655    | MAKSYMIEC, Myroslaw, |   04/30/17    |## SECTION II EDUCATION| LAST HIGH SCHOOL ATTENDED | ADDRESS (City, State, Country) | YEARS ATTENDED (From-To) | GRADUATE || :-----------------------: | :----------------------------: | :----------------------: | :------: ||    CENTRAL HIGH SCHOOL    |        MANCHESTER N.H.         |        1932-1936         |  YES NO  |2. COLLEGE OR UNIVERSITY STUDY| NAME AND LOCATION OF COLLEGE OR UNIVERSITY | YEARS ATTENDED FROM-TO | DEGREE RECEIVED | YEAR RECEIVED | NO. SEM/QTR. HRS.(Specify) || :----------------------------------------: | :--------------------: | :-------------: | :-----------: | :------------------------: ||          AMERICAN UNIV. WASH D.C           |                        |                 |               |           16 HRS           |3. IF A GRADUATE DEGREE HAS BEEN NOTED ABOVE WHICH REQUIRED SUBMISSION OF A WRITTEN THESIS. INDICATE THE TITLE OF THE THESIS AND BRIEFLY DESCRIBE ITS CONTENT.|         NAME AND ADDRESS OF SCHOOL          |         TRADE, COMMERCIAL AND SPECIALIZED SCHOOLS STUDY OF SPECIALIZATION          | FROM |  TO  | NO. OF MONTHS || :-----------------------------------------: | :--------------------------------------------------------------------------------: | :--: | :--: | :-----------: || MILITARY LANGHAI SCHOOL MONTERAY CALIFORNIA |                                      RUSSIAN                                       | 1946 | 1947 |     12 MO     ||         NAME AND ADDRESS OF SCHOOL          | OTHER NON-AGENCY EDUCATION OR TRAINING NOT INDICATED ABOVE STUDY OF SPECIALIZATION | FROM |  TO  | NO. OF MONTHS ||        MILITARY INTELLIGENCE SCHOOL         |                                 INTELLIGENCE PM TO                                 | 1950 | 1950 |     3 MO      |2. ## SECTION III MARITAL STATUS1. PRESENT STATUS (Single, Married, Widowed, Separated, Divorced, Annulled, Remarried) SPECIFY:|  (Last)   | (First) | (Middle) | (Maiden) || :-------: | :-----: | :------: | :------: || MAKSYMIEC | EILFEN  |    E     |  BURKE   |3. DATE OF BIRTH 4. PLACE OF BIRTH (City, State, Country)   1928 5. OCCUPATION 6. PRESENT EMPLOYER   HOUSE WIFE NA7. CITIZENSHIP 8. FORMER CITIZENSHIP(S) COUNTRIES) 9. DATE U.S. CITIZENSHIP ACQUIRED   YES## SECTION IV DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE|               | NAME | RELATIONSHIP | DATE AND PLACE OF BIRTH | CITIZENSHIP | PERMANENT ADDRESS || :-----------: | :--: | :----------: | :---------------------: | :---------: | :---------------: || 1. ADD DELETE |      |              |                         |             |                   || 2. ADD DELETE |      |              |                         |             |                   |FORM 444n2-68SECRET