[104-10291-10014.pdf — page 202]
# APPLICATION FOR FEDERAL ELOYMENTStandard Form 57-lane 1945U S CIVIL SERVICE COMMISSIONINSTRUCTIONS-Awara every year: Pyend completely Tyrewrite orto INK. It reetes Cilv Service on rited States CivilMathurahea٧٠٠٣/٠remuut the arme office any other forma requised:7the antenutkant 10 altire with which you file thief. 12yewat dar1. Namsrission, or kind of poston applied for.2 Octotul mentioned in examination announcement)3. Vasco A masryssord oppled for:4. One (first namel Middle (Marden, it any) (Last:   Kay Silworth6. Street and reader of R. D. number:   199 Line streetCity Action including postal sone), and State.6. La rodence (State) 7. Olive phone No has   Georgia8. Place of bort. (city and State; if born outside U. S., name city and country)   Bloomington, Georgia9. Date A barth, with day, year)   June 1, 191810. Last 11. Maie    birthday:13. Height without shoes:12. Vamos    6.. feet. 1. inches14. Have you been uployed by the Federal Government?    twoord by the Federal Government, givo presunt grade and dase    battre in gradeForm approvedBudget Burmau No. 30-6048DO NOT WRITE IN THIS BLOCKFor Use of Civil Service Commission OulyANNOUNCEMENTApporEntered registor.NaternalSulmitto-1NonmyymelΑμμ. Κονίσω:Approved| OPTION | GRADE | EARNEDENCK         | PREFERRATING | AUGMLATING || ------ | ----- | ------------------ | ------------ | ---------- ||        |       | 5 points(tant.)    |              |            ||        |       | 10 pointe          |              |            ||        |       | Wile orWidone      |              |            ||        |       | Dial               |              |            ||        |       | BeingIriveslugated |              |            |INITIALS ANDDATEIndicate "Yes' or 'Ni" ng X in proper column16. (a) Would you accept short-terra appointment, U offered,    1 to 3 months?......    for| YES | NO  || --- | --- || X   |     |18. ki a you will accept appointment in certain kovations ONLY, give acceptablekookka3 to 6 monthe?.6 to 12 months?X |(b) Would you accept appointment, if offered-to Washington, D. C.7.anywhere in the United States?.outside the United States?.(d) Wirat te the lowest entrance salary you will cocept: $600yer yerar.You will not be considered for positions paying less.ladys are willing to travol, specifyCrocasionallyFrequentlyConstantly16. EXPERIENCE-You are reseed to furnish all information asked for below in officent dated to enable the Civil Service Commission and the appointing officers dat٢٠٠١٠٢ qualifications for the poolten for which you are in the races provided below doarbe EVERY prition you have held Unator CACH امد You may also include any perعدد : wollure or organizational ativity witch you have performed, either with or win showing the number of hours per work and wants per parents which you ware engaged in such activity. Start with your PRESENT position and Worg for all penots of unemployment. Expiain clearly to good vicks which you performaal in each position Descube your ex-perience in de Arant Caresquestion 17 (Military Experience).    (a) if you were in any position under a nume ditterent from that cows in itero 4 of this application, give under "Lescription of your work" toe each paitre    (b) li you have tarist AG employed or are now unemployed, indicate that lact in the space provided below far Proment Pontion"PRESENT POSITIONExact titue of ySalary of burnings.From: Jan to present timeStarting, $petPlace of employment (ety and State):Present $peeBloomington, GeorgiaGeneral law practiceDescription of your workName and actress it was yer (hren, organization, or person).If Foderal came desarcent, bureau or establishment, and diviston:SelfKind of bustness or organizason je g., wholesale alt, insurance agency, taky, of تاة فيPract-at-lawNumber and kind of expicysos supervised by you:1 secretaryName and title of immediate supernsor.Pat a lincleReason for destring to change σερίογment:To reter are fr...(CONTINUED ON NEXT PAGE).-10-47390-3