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# Administrative Asst.,LA. Kind of position (job) you are filing for (or title of announcement)B. Announcement No.C. Options for which you wish to be considered (if listed in announcement)Legislative AideD. Primary place(s) you wish to be employedWashington, D.C., Metropolitan area2. Home phone (including Area Code) 3. Office phone (including Area Code)772-3341 (301) 775-58604. Name (Last) (First) (Middle) (Maiden, if any) Mr. X Miss Mrs.   and Address (Number, Street, City, State and ZIP Code)JOHNSON, Lillian Barbara Killens7516 Forest RoadHyattsville, Maryland 208755. Legal or voting residence (State)District of Columbia6. Height without shoes 7. Weight5 Feet 7 1/4 inches 135 lbs8. Birthplace (City and State, or foreign country)District of Columbia9. Birth date (Month, day, year) 10. Social Security Account Number12/6/43 577 56 746511. If you have ever been employed by the Federal Government as a civilian, give your last classification series, grade, and job title.GS-318-5 Clerk-typistDates of service in that gradeFrom ToMay 9, 1977 Present time12. If you are currently on a list of eligibles for appointment to a Federal position, give the name of the announcement, the name of the office maintaining the list, the date on your notice of rating, and your rating.Stenographer and TypistUnited States Civil Service CommissionFederal RegisterApril 25, 1977 - Typist 4 - Steno 513. Lowest pay or grade you will accept$PAY per yr. OR GRADE 515. Will you accept temporary employment for:YES NO(Acceptance or refusal of 1 month or less?Xtemporary employment will 1 to 4 months?Xnot affect your considerationfor other appointments.) 4 to 12 months?x*14. When will you be available?upon notificationYES NO 16. Where will you accept a job?Washington, D.C.XAny place in the United States.Outside of the United States.Only in (specify): metro areaXYES NO 17. Will you accept less than full time (Less than 40 hours per week) Ye18. Are you willing to travel? (Check one)NO SOMEX19. VETERAN PREFERENCE. Answer all parts. If a part does not apply to you, answer "No."A. Have you ever served on active duty in the United States military service? (Exclude tours of active duty for training as a reservist or Guardsmon.)B. Have you ever been discharged from the armed services under other than honorable conditions? (You may omit any such discharge changed to honorable by a Discharge Review Board or similar authority.)...If "Yes," give details in Item 37.C. Do you claim 5-point preference based on active duty in the armed forces?..If "Yes," you will be required to furnish records to support your claim at the time you are appointed.D. Do you claim 10-point preference?..If "Yes," check type of preference claimed and complete and attach Standard Form 15. "Claim for 10-point Veteran Preference," together with the proof in that formTYPE: Compensable disability Disability Wife WidowE. List Dates, Branch, and Serial or Service Number of All Active Service (Enter "N/A" if not applicable)From To Branch of Service Serial or Service NumberN/ATHE FEDERAL GOVERNMENT IS AN EQUAL OPPORTUNITY EMPLOYERPage 1Standard Form 171May. 1975 U.S. Civil Service Com.171-105NW 88326Docld:32239461 Page 38