[180-10060-10453.pdf — page 35]
# AMENDMENT TOPERSONAL QUALIFICATIONS STATEMENTIMPORTANT: Read these instructions carefully before completing this form.OMBAPPROVED 50-R0048This form may be used to update your Personal Qualifications Statement provided you have had no more than three additional positions since the statement being updated was completed. Agencies are required to accept a previously completed Personal Qualifications Statement as current when this form is attached. Before completing this form, review carefully your answers to all items on the statement being updated. Use typewriter if available. Otherwise write or print legibly in dark ink.1. NAME (Last) (First) (Middle) (Maiden, if any)☐ MR. ☐ MISS MRS.   AND ADDRESS (Number, Street, City, State, and ZIP Code)JOHNSON, Lillian Barbara Killens.7516.Forest. Road.Hyattsville, Maryland 208752. DATE OF THIS STATEMENT 3. BIRTH DATE (month, day, year)May 17, 1977December 6, 19434. KIND OF POSITION YOU ARE FILING FOR (Or title and number of announcement) 5. REASON FOR SUBMISSION (Check One)Security Assistant 15-21 (77)ATo update Personal Qualifications Statement in my Official Personal FolderTo update Personal Qualifications Statement on file with youTo update attached Personal Qualifications StatementAs requested6. LOWEST PAY OR GRADE YOU WILL ACCEPTPAY GRADE$or 77. EXPERIENCE (Start with your PRESENT position and work back. Account for periods of unemployment in separate blocks in order)   May inquiry be made of your present employer regarding your character, qualifications, and record of employment? ☐ Yes ☐ No (A "No" will not affect your consideration for employment opportunities.)DATES OF EMPLOYMENT (month, year)EXACT TITLE OF POSITIONIF FEDERAL SERVICE, CIVILIAN OR MILITARY GRADEFROM May 9, 1977 TO PRESENT TIMEClerk-typist 5SALARY OR EARNINGS AVG. HRS. PLACE OF EMPLOYMENT NUMBER AND KIND OF KIND OF BUSINESS OR ORGANIZATION(manufacturing, accounting, insurance, etc.)STARTING $ 179. PER Week PER WEEK CITY: Washington, EMPLOYEES SUPERVISED Housing & Urban Developm40 STATE: D.C. 0FINAL $NAME OF IMMEDIATE SUPERVISOR NAME OF EMPLOYER (firm, organization, etc.) AND ADDRESS (including ZIP Code, if known)Charles FieldDepartment of Housing & Urban Development (HUD)Washington, D.C. 20410AREA CODE AND PHONE NO. IF KNOWNREASON FOR WANTING TO LEAVE Seeking position involving more responsibility and opportunityDESCRIPTION OF DUTIES, RESPONSIBILITIES, AND ACCOMPLISHMENTS Prepare in final form a variety of materials including correspondence, staff studies, technical papers, memoranda and issue papers which include the use of terminology that is highly specialized. Responsible for maintenance of subject matter files for the staff. (Even though this job description does not indicate), I have taken dictation and transcribed it for the Special Assistant to the Assistant Secretary for Housing and Urban Development. Perform all secretarial duties.FOR AGENCY USE (skill codes, etc.)DATES OF EMPLOYMENT (month, year)EXACT TITLE OF POSITION IF FEDERAL SERVICE, CIVILIAN OR MILITARY GRADEFROM TOSALARY OR EARNINGS AVG. HRS. PLACE OF EMPLOYMENT NUMBER AND KIND OF KIND OF BUSINESS OR ORGANIZATION(manufacturing, accounting, insurance, etc.)STARTING $FINAL $PER WEEK CITY: EMPLOYEES SUPERVISEDSTATE:NAME OF IMMEDIATE SUPERVISOR NAME OF EMPLOYER (firm, organization, etc.) AND ADDRESS (including ZIP Code, if known)AREA CODE AND PHONE NO. IF KNOWNREASON FOR LEAVINGDESCRIPTION OF DUTIES, RESPONSIBILITIES, AND ACCOMPLISHMENTSTHE FEDERAL GOVERNMENT IS AN EQUAL OPPORTUNITY EMPLOYERFOR AGENCY USE (skill codes, etc.)Standard Form 172, January 1972U.S. Civil Service Commission172-102NW 88326DocId:32239461 Page 36