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## REFERENCES List three persons living in the United States or Territories of the United States who are *NOT* related to you and who have definitely knowledge of your qualifications and fitness for the position for which you are applying. Do not repeat names of supervisors who were listed under "Item 16 EXPERIENCES."| Full name         | Give complete current address, including street and number | Business or profession   | Title || ----------------- | ---------------------------------------------------------- | ------------------------ | ----- || Horbort, Fing Jr. | History Dept. Dickinson College Carlisle Pennsylvania      | Dept. Chairman (History) |       || Conyors Road      | History Dept. University of Penna., Philadelphia L, Penna. | Historian                |       || Loonidas Dodson   | Same as above #2                                           | Historian                |       |INDICATE "YES" OR "NO" ANSWER BY PLACING "X" IN PROPER COLUMN.INDICATE "YES" OR "NO" ANSWER BY PLACING "X" IN PROPER COLUMN.|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | YES | NO  |                                                                                                                                                                                                                                                                                                                                                               | YES | NO  || ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | --- | --- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | --- | --- || 25. MAY INQUIRY BE MADE OF YOUR PRESENT EMPLOYER REGARDING YOUR CHARACTER QUALIFICATIONS?                                                                                                                                                                                                                                                                                                                                                                                                              |     | X   | 35. ARE YOU AN OFFICIAL OR EMPLOYEE OF ANY STATE, TERRITORY, COUNTY, OR MUNICIPALITY? If your answer is "Yes", give details in Item 39.                                                                                                                                                                                                                       |     | X   || 26. ARE YOU A CITIZEN OF OR DO YOU OWE ALLEGIANCE TO THE UNITED STATES?                                                                                                                                                                                                                                                                                                                                                                                                                                | X   |     | 36. HAVE YOU EVER SERVED IN A CIVILIAN CAPACITY IN ANY DEPARTMENT OR AGENCY OF THE FEDERAL GOVERNMENT WITH WHOM YOU LIVED OR HAVE LIVED WITHIN A MARRIAGE RELATION? If your answer is "Yes", give in Item 39 for EACH relative (1) full name; (2) present address; (3) relationship; (4) Department or Agency by which employed; and (5) kind of appointment. |     | X   || 27. ARE YOU NOW OR HAVE YOU EVER BEEN A MEMBER OF THE COMMUNIST PARTY U.S.A. OR ANY COMMUNIST ORGANIZATION?                                                                                                                                                                                                                                                                                                                                                                                            |     | X   |                                                                                                                                                                                                                                                                                                                                                               |     |     || 28. ARE YOU NOW, OR HAVE YOU EVER BEEN A MEMBER OF A FASCIST ORGANIZATION?                                                                                                                                                                                                                                                                                                                                                                                                                             |     | X   |                                                                                                                                                                                                                                                                                                                                                               |     |     || 29. ARE YOU NOW OR HAVE YOU EVER BEEN A MEMBER OF ANY ORGANIZATION, ASSOCIATION, MOVEMENT, GROUP, OR COMBINATION OF PERSONS WHICH ADVOCATES OR ATTEMPTS TO OVERTHROW THE GOVERNMENT OF THE UNITED STATES BY FORCE OR VIOLENCE, OR WHICH SEEKS TO ALTER THE FORM OF GOVERNMENT OF THE UNITED STATES BY UNCONSTITUTIONAL MEANS?                                                                                                                                                                          |     | X   |                                                                                                                                                                                                                                                                                                                                                               |     |     || If your answer to question 27, 28, or 29 above is "yes," state in Item 39 the names of all organizations, associations, movements, groups, or combination of persons and dates of membership. Give complete details of your activities therein and make any explanation you desire regarding your membership or activities therein.                                                                                                                                                                    |     |     |                                                                                                                                                                                                                                                                                                                                                               |     |     || 30. SINCE YOUR 16TH BIRTHDAY, HAVE YOU EVER BEEN ARRESTED OR HELD ON CHARGES INVOLVING THE COMMISSION OF A CRIME? (Note: Include traffic violations, drunk or reckless driving, held for investigation, or as a material witness. Exclude convictions by court-martial.) List EVERY arrest or charge REGARDLESS OF WHETHER THE RECORD THEREOF WAS CLEARED OR ERASED SUBSEQUENTLY, OR EXPUNGED PURSUANT TO LAW. INCLUDE TRAFFIC VIOLATIONS FOR WHICH A SENTENCE OF IMPRISONMENT WAS GIVEN OR SUSPENDED. | X   |     |                                                                                                                                                                                                                                                                                                                                                               |     |     || If your answer is "Yes", list all such cases under Item 39. Give in each case (1) the date; (2) the nature of the offense or violation; (3) the name and location of the court; (4) the penalty imposed, if any, or other disposition of the case. If appointed, your fingerprints will be taken.                                                                                                                                                                                                      |     |     |                                                                                                                                                                                                                                                                                                                                                               |     |     || 31. HAVE YOU EVER BEEN DISCHARGED OR FORCED TO RESIGN FOR MISCONDUCT OR UNSATISFACTORY SERVICE FROM ANY EMPLOYMENT? If your answer is "Yes", give in Item 39 the name and address of employer, date, and reasons in each case.                                                                                                                                                                                                                                                                         | X   |     |                                                                                                                                                                                                                                                                                                                                                               |     |     || 32. HAVE YOU EVER BEEN BARRED FROM OR FAILED A CIVIL SERVICE EXAMINATION? If your answer is "Yes", give dates of and reasons for such disbarment in Item 39.                                                                                                                                                                                                                                                                                                                                           | X   |     |                                                                                                                                                                                                                                                                                                                                                               |     |     || 33. HAVE YOU ANY PHYSICAL, MENTAL, OR OTHER IMPAIRMENT WHICH WOULD INTERFERE WITH PROPER PERFORMANCE OF DUTIES? If your answer is "Yes", give complete details in Item 39 and state what consideration can be given to your physical fitness for the job.                                                                                                                                                                                                                                              |     | X   |                                                                                                                                                                                                                                                                                                                                                               |     |     || 34. ARE YOU NOW RECEIVING OR HAVE YOU EVER RECEIVED AN ANNUITY OR OTHER BENEFITS BASED ON YOUR PREVIOUS EMPLOYMENT? If your answer is "Yes", give the details in Item 39.                                                                                                                                                                                                                                                                                                                              |     | X   |                                                                                                                                                                                                                                                                                                                                                               |     |     |SPECIAL INSTRUCTIONS FOR CLAIMING VETERAN PREFERENCE.A. If you are claiming preference as a PRACTICETIME VETERAN who has been awarded a campaign badge or service ribbon; or as a DISABLED VETERAN; or as the WIDOW OF A DISABLED VETERAN; or as the WIDOW OF A WAR OR CAMPAIGN VETERAN, attach Veteran Preference Claim, CSC Form 14, together with your proof and medical therein.B. If you are a WAR-TIME VETERAN not claiming disability preference, you should NOT submit your discharge with this application. You will be tentatively credited and, if appointed, you will be required to report to the appointing officer to furnish, officially, evidence of separation from active service in the armed forces of the United States in time of war.37. (A) WERE YOU IN THE UNITED STATES MILITARY OR NAVAL SERVICE DURING TIME OF WAR?(B) IS THE WORK PERFORMED ON THE WORLD SATISFACTORY USED IN YOUR EXCHANGE OF SEPARATION PAPERS TO SHOW THE TYPE OF YOUR DISCHARGE OR SEPARATION?(C) WAS SERVICE PERFORMED ON ACTIVE, FULL-TIME BASIS, WITH FULL MILITARY PAY AND ALLOWANCES?(D) DATE OF ENTRY OR ENTRIES INTO SERVICE. DATE OF SEPARATION OR SEPARATIONS.| March 1943                                                                                                                                                                                                         | February 1946                                    || ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | ------------------------------------------------ || BRANCH OF SERVICE (Army, Navy, Coast Guard, etc.)  USN                                                                                                                                                             | SERIAL NO. (if none, give place of birth) 697157 ||                                                                                                                                                                                                                    |                                                  || (A) IF YOU ENTERED UNITED STATES MILITARY OR NAVAL SERVICE DURING PEACE TIME (July 27, 1950 to present) COMPLETE SECTION BELOW AND COMPLETE SECTION BELOW AND COMPLETE SECTIONS BELOW AND COMPLETE SECTIONS BELOW. |                                                  || (B) ARE YOU A DISABLED VETERAN? If so, and you have not listed your disability in answer to Item 33, explain in Item 39 below.                                                                                     |                                                  || (C) ARE YOU A VETERAN WHO HAS NOT BEEN CHARGED?                                                                                                                                                                    |                                                  || (D) ARE YOU THE WIFE OF A VETERAN WHO HAS A SERVICE CONNECTED DISABILITY?                                                                                                                                          |                                                  |THIS SPACE FOR USE OF APPOINTING OFFICER ONLYThe information contained on the reverse to Question 37 above has been verified by comparison with the Certificate orSee attached summary38. Full files exist at:    University of Penna.,    Placement Service    Attention: Miss Quick    Philadelphia, PaBefore signing this application check back over it to make sure that you have answered ALL questions correctly.I CERTIFY that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith.False statement on this application is punishable by Law (U.S. Code, Title 18, Section 801).SIGNATURE OF APPLICANTCourtl. B. Smidt