[104-10291-10001.pdf — page 288]
# Dates of employment (month, year)To# Place of employment (city and State)# Name and address of employer (firm, organization, or person if Federal, name Department, Bureau or establishment, and division)# Number and kind of employees supervised by you# Exact title of your position# Name and title of immediate supervisor# Business or organization (e.g., wholesale silk, insurance agency, manufacture of locks, etc.)# Reason for leaving# Description 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.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 description.)# Dates# Location# Description of trainingFromTo18. 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 of: Elementary School, Junior High School, Senior High School(a) Name and location of college or university(a) Name and location of last high school attendedWilliam Penn, Harrisburg, Pennsylvania(b) Subjects studied in high school which apply to position desiredHistory, Problems of Democracy, German| Dates attended |      |     | Years completed | Subjects considered chief college subjects |   Semesters    |      |             || -------------- | :--: | :-: | --------------- | ------------------------------------------ | :------------: | ---- | ----------- || From           |  To  | Day | Night           | Title                                      | Credits earned | Date |             || 1910           | 1913 |  3  | -               | -                                          |       AB       | 1949 | 150         || 1943           | 1943 |  -  | -               | 1                                          |       -        | -    | 36          || 1944           | 1945 |  -  | -               | 1                                          |       -        | -    | 12 (German) |Harvard, Cambridge Mass.Yale, New Haven Conn.Michigan, Ann Arbor, Mich.(c) List your chief undergraduate college subjects* History30* Government13* Economics13HistoryPolitical ScienceGerman# (d) Other training, such as vocational, business, State or Government courses, correspondence courses, inservice training (in public or private employment.) Indicate exact title of course and where and when completedSee attached summary19. Indicate your knowledge of: Reading, Speaking, Understanding| Language |     |     |     || -------- | :-: | :-: | --- || French   |  X  |     |     || German   |  X  |     |     || Spanish  |     |     |     |22. 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.)?YesNo. Give kind of license and state:First license or certificate (year):23. List any publications (books, articles, reports, etc.) you have written or edited. (Give titles and publishers.) Do not submit copies unless requested.See attached summary24. List any inventions, patents, etc.See attached summary