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14-00000# REFERENCES - List three persons living in the United States or Territories of the United States who are NOT related to you and who have definite knowledge of your character, qualifications and experience that qualify you to judge your character, qualifications and experience that qualify you to judge your character, qualifications, etc. Do not repeat names of supervisors listed under Item 16. COMPLETE ALL BLANKS| FULL NAME             | BUSINESS OR HOME ADDRESS (Give complete address, including street and unit number) | BUSINESS OF OCCUPATION || --------------------- | ---------------------------------------------------------------------------------- | ---------------------- || 1. Gen. Rufus H. Lane | Falls Church, Virginia                                                             | retired Marine off.    || 2. Jack D. Neal       | State Department, Washington, (FAC)                                                | State officer          || 3. Eric C. Wendelin   | State Department, Washington                                                       | State officer          |24. May inquiry be made of your present employer regarding your character, qualifications, etc.?Indicate "Yes" or "No" answer by placing X in proper column.|                 | YES | NO  || --------------- | --- | --- || ![X in yes box] | X   |     |25. Are you a citizen of the United States? Indicate "Yes" or "No" answer by placing X in proper column.|     | YES | NO  || --- | --- | --- ||     | X   |     |26. Do you advocate or have you ever advocated, or are you now or have you ever been a member of any organization that advocates the overthrow of the Government of the United States by force of violence?If your answer is "Yes," give complete details in Item 39.|     | YES | NO  || --- | --- | --- ||     |     | X   |27. Within the past 12 months, have you habitually used intoxicating liquors to excess?|     | YES | NO  || --- | --- | --- ||     |     | X   |28. Since your 16th birthday, have you ever been convicted, or fined, or imprisoned, or placed on probation, or have you ever been ordered to deposit bail for violation of any law, police regulation or ordinance (excluding minor traffic violations for which a fine of $25 or less was imposed)?|     | YES | NO  || --- | --- | --- ||     |     | X   |If your answer is "Yes," list all such actions under Item 39 below. 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 applicable your fingerprints will be taken.29. Have you ever been discharged or forced to resign for misconduct or unsatisfactory service from any position?|     | YES | NO  || --- | --- | --- ||     |     | X   |If your answer is "Yes," give in Item 39 the name and address of employer, date, and reason in such case.30. Do you receive an annuity from the U. S. or D. C. Government under any retirement act or any pension or other compensation for military or naval service?|     | YES | NO  || --- | --- | --- ||     | X   |     |If your answer is "Yes," give in Item 39 name of retirement that is, age, optional, disability or by reason of voluntary or involuntary separation after 3 years’ service; amount of retirement pay; and indicate what retirement Act and ruling it follows from military or naval service.31. Are you an official or employee of any State, Territory, county, or municipality?|     | YES | NO  || --- | --- | --- ||     | X   |     |If your answer is "Yes," give details in Item 39.32. Does the U. S. Government employ in a civilian capacity any relative of yours (by blood or marriage) with whom you live or have lived within the past 6 months?|     | YES | NO  || --- | --- | --- ||     |     | X   |If your answer is "Yes," show in Item 39 for each such relative: (1) full name (2) present address, (3) relationship, (4) department or agency by whom employed, and (5) annual rate of compensation.33. Have you ever had a nervous breakdown?|     | YES | NO  || --- | --- | --- ||     | X   |     |If your answer is "Yes," give complete details in Item 39.34. Have you ever had tuberculosis?|     | YES | NO  || --- | --- | --- ||     | X   |     |If your answer is "Yes," give complete details in Item 39.35. (a) Were you ever in the United States Military or Naval Service during time of War?|     | YES | NO  || --- | --- | --- ||     | X   |     |(b) Is the word "honorable" or the word "satisfactory" used in your discharge or separation papers to show the type of your discharge or separation?|     | YES | NO  || --- | --- | --- ||     | X   |     |(c) Was service terminated on an active full time basis with full military pay and allowances?|     | YES | NO  || --- | --- | --- ||     | X   |     |Date of entry of entries into serv.: Aug. 14, 1944 Date of separation or separations: Oct. 1945Branch of service (Army, Navy, M. C., Serial No. (If none, give grade or rating, at time of separation.)OSS Chief of StationIF YOUR ANSWER TO THIS QUESTION (No. 35) INDICATE THAT YOU ARE ENTITLED TO VETERAN PREFERENCE, ATTACH CERTIFIED COPIES IN DUPLICATE. IF APPOINTED, YOU WILL BE REQUIRED TO FURNISH TO THE APPOINTING OFFICER, PRIOR TO ENTRY ON DUTY, OFFICIAL EVIDENCE OF SEPARATION FROM YOUR LATEST ACTIVE SERVICE IN THE ARMED FORCES OF THE UNITED STATES DURING TIME OF WAR. DO NOT SUBMIT PROOF OF DISCHARGE OR SEPARATION WITH THIS APPLICATIONIndicate "Yes" or "No" answer by placing X in proper column.|                                                                                                                                                                                      | YES | NO  || ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | --- | --- || 37. (a) If you served in the U. S. Military or Naval Service during time of war ONLY, did you participate in a campaign or expedition and receive a campaign badge or service medal? |     | X   || (b) Are you a disabled veteran?                                                                                                                                                      |     | X   || (c) Are you the unmarried widow of a veteran?                                                                                                                                        |     | X   || (d) Are you the wife of a veteran who has service connected disability?                                                                                                              |     | X   |IF YOUR ANSWER TO QUESTION 37 (a), (b), (c) OR (d) AND YOU WISH TO CLAIM VETERAN PREFERENCE, ATTACH TO THIS APPLICATION VETERAN'S SERVICE FORM FORM 14 TOGETHER WITH THE NECESSARY PROOF SPECIFIED THEREON.THIS SPACE FOR USE OF APPOINTING OFFICE ONLYThe information contained in the answers to Question 36 above has been verified by comparison with the discharge certificate on ....36. I do not know if service with OSS in a civilian capacity abroad is considered "military service." However, since an "honorably served" certificate was issued to me and since the organization was under the Joint Chiefs of Staff.| ITEM No. | Agency | Title                                                                    || -------- | ------ | ------------------------------------------------------------------------ ||          |        | reference to the service is being included for whatever it may be worth. |If more space is required use 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.FALSE STATEMENT ON THIS APPLICATION IS PUNISHABLE BY LAW (U. S. CODE TITLE 18, SECTION 1001)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.Date 3-Oct-1946Signature of applicant (Sign your name in INK (no stamp/phone, initials only, or carbon copies allowed)Mrs. (and maiden name if present) Mrs. Mary L. Neal