[104-10225-10007.pdf — page 214]
14-00000## ⑤**DATES OF EMPLOYMENT** (month, year)FROM TO**EXACT TITLE OF YOUR POSITION****CLASSIFICATION** (if in service)**RATE OF SERVICE****SALARY OR EARNINGS STARTING** $FINAL $PER PER**PLACE OF EMPLOYMENT** (City and State)**NAME AND TITLE OF IMMEDIATE SUPERVISOR****NAME AND ADDRESS OF EMPLOYER** (firm, organization, or person, if Federal, name department, bureau or establishment, and division)**KIND OF BUSINESS OR ORGANIZATION** (e. g., wholesale milk, insurance agency, manufacture of locks, etc.)**NUMBER AND KIND OF EMPLOYEES SUPERVISED BY YOU****REASON FOR LEAVING****DESCRIPTION OF YOUR WORK**If more space is required, use a continuation sheet (Standard Form No. 38) 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.17. MILITARY TRAINING In the space below, describe any training received in the Armed Services (not already listed under Item 16) that would assist appointing officers in placing you most effectively. Indicate actual amount of training received, such as hours per week. Detailed information regarding any special service schools you attended is especially important. (Extra pages may be used to give full descriptions.)| DATES    |          || -------- | -------- || FROM     | TO       || :---:    | :---:    || Sep. '42 | Nov. '42 || Nov. '42 | Jan. '43 || Sep. '43 | Oct. '43 || May '44  | Jan. '44 || LOCATION          || ----------------- || Camp Hickott, Va. || Baltimore, Md.    || Chicago, Ill.     || Ogden, Utan       || DESCRIPTION OF TRAINING || ----------------------- || Basic training          || Hq. det. tr.            || Adv. tr.                || Spec. AAF training      |18. EDUCATION (Circle highest grade completed):1 2 3 4 5 6 7 8 9 10 11 12MARK (X) THE APPROPRIATE BOX TO INDICATE SATISFACTORY COMPLETION OFELEMENTARY SCHOOL JUNIOR HIGH SCHOOL [X] SENIOR HIGH SCHOOL**(A) GIVE NAME AND LOCATION OF LAST HIGH SCHOOL ATTENDED**Auburn Senior High School, Auburn, N.Y.**(B) SUBJECTS STUDIED IN HIGH SCHOOL WHICH APPLY TO POSITION DESIRED****(C) NAME AND LOCATION OF COLLEGE OR UNIVERSITY****MAJOR AND SPECIALTY****DATES ATTENDED****YEARS COMPLETED****DEGREES CONFERRED****SEMESTER HOUR CREDIT**FROM TO DAY NIGHT TITLE DATELoyola College, BaltimoreGov-politica9/47 6/48 1**(D) LIST YOUR CHIEF UNDERGRADUATE COLLEGE SUBJECTS****LIST YOUR CHIEF GRADUATE COLLEGE SUBJECTS****(E) OTHER TRAINING SUCH AS VOCATIONAL, BUSINESS STUDY COURSES GIVEN THROUGH THE ARMED FORCES INSTITUTE (show name and location of school) OR IN SERVICE TRAINING IN PUBLIC OR PRIVATE EMPLOYMENT****SUBJECTS STUDIED****DATES ATTENDED****YEARS COMPLETED**FROM TO DAY NIGHT19. INDICATE YOUR KNOWLEDGE OF FOREIGN LANGUAGESREADINGSPEAKINGUNDERST'NG22. ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED OR CERTIFIED MEMBER OF ANY TRADE OR PROFESSION (such as pilot, electrician, radio operator, teacher, lawyer, CPA, etc.)?See Item 15[X] NO YES GIVE KIND OF LICENSE AND STATE:FIRST LICENSE OR CERTIFICATE (YEAR):LATEST 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 SPENT THERE, AND (3) REASON FOR PURPOSE (e. g., military service, business, education, recreation).23. GIVE ANY SPECIAL QUALIFICATIONS NOT COVERED ELSEWHERE IN THIS APPLICATION (do not submit copies unless requested).(1) AWARDS OR IMPORTANT PUBLICATIONS(2) YOUR PATENTS OR INVENTIONSSee Item 16 (2)(3) PUBLIC SPEAKING AND PUBLIC RELATIONS EXPERIENCE(4) MEMBERSHIP IN PROFESSIONAL OR SCIENTIFIC SOCIETIES ETC.(5) HONORS AND FELLOWSHIPS RECEIVED21. LIST ANY SPECIAL SKILLS, ABILITIES, AND MACHINES AND EQUIPMENT YOU CAN USE. ALSO NAME PLANT LAYOUT LATHE SIMATIC OR PROFESSIONAL DEVICESNoneAPPROXIMATE NUMBER OF WORDS IN THIS FORMEXACT WORDS16-00000-1