14-00000 ors Pact 21§.~ GUTERMIRATION OF COMPETITIVE STATUS. (Complete for noncompetitive hires based on competitive atalus a9 re- Thie determination ie based upon the (allowing quired by ineteuvtrons in FEAL Chapter $2.) Employee hae competitive status. evidence: SIGNATURE AND OFFICIAL TUTE PART 1V.— DETERMINATION OF CREDITABLE SERVICE AND SERVICE COMPUTATION DATE FOR LEAVE PURPOSES SERVICE COM. PUTATION DATE tLaare Pur pesced CREDITABLE SERVICE ENTRANCE ON DUTY OATE RONCRTDITARLE SR VICE Cfrom 89) TOTAL SERVICE feom §2} DART V.- DETERMINATION OF CREDITABLE SERVICE ARO STAVICE COMPUTATION DATE FOR AEDUCTION IM FORCE PURPOSES, {Complete only in those cases when the amount of eseditabie saevice for reduction in force purposes differs from the amount creditable fur leave purposes.) : a ROM REDITABLE chIDITAMg CHIRANCE ON <i TOTAL SERVICE SERVICE BEAVICR buTy DATE STRVICE COU PUTATION GATZ* BESS CREDITABLE SeRvecg a - {feom 93) a Cleon $69 RIP Poe gmreeed (Peopont &gonce} CRIP Poe gavace® {RIP Pos, * Years oR AER se foe snes onsen ’ Menthe meena anf we errmorraeremsanendtiemnepee REEL ERATEe free ee ERAN Daye nen # rete: aerenrer emasm s cotecianencheienanet craaankcamteeet me creme vonemnanaartee ot ba ye prem date seca rierieneete me arerenen ORSON °F SEP amet EIY tee é * Bates os ithe “ne eho C ampwinine Ueee” om the pengieres'9 "Boe wie Bored Tact.” OP F renrernn tliat BP Renee op GH Pee Gare & © saree?
CONFIDENTIAL (Uhen Fiiled fay Pate 4 February 1957 Dear Mre Piecoles 1, This {s to notify you that the United States Government, as represented by the Central Intelligence Agency, has accepted your eme- ployment effective k February 1957. Posttion: File Clerk Base Salary: $3415.00 per annua 2. You will te entitled to receive annual and aick leave, retires _ Ment coverage and euch other employee benefits ag may be provided by Agency regulations or applicable Federal lawa and regulations. 3. Ao a condition of your employment by the Central Intelligence Agency, you are But ject to asaignment to tours of duty at poeta outside the continental United States. Each time you are so sasuigned, the dura- tion of the tour of duty will be preseribed in advance and will normally consist of a pericd cf 24k months, You will be required to serve the preceribed period of “ne overseas tour of duty from the date of arrival at your overseas post of duty wnless this tour is sooner terminated by the Government for its convenience or it is terminated for circumstances that are considered by the Agency to be beyond your control, kh, If you ternfrate your asaignment at an oversens post of duty for reasons withir, your control in less than 12 months from the date of arrival at the overseas post of duty, it is understood and agreed that you will be Liable for reimbursing CIA for all travel expenses, includ- ing storage and per diea, incurred by the Government {n the transporta- tion of yourself, your dependents, household effects and automobile to your overseas post c? duty, and you will pay all return travel and transportation experges to the United States, 5. Yt ta further understood and agreed that if you terminate your overseas assignment for reasons within your control subsequent to the twelfth month but prictcr to the completion cf your prescribed tour of duty, you will pay all return expenacs for the travel and transportation of yourself, your degerntenta, household effecta and autemotile to the United States, &. If you wish to return to the Untted dtates for personal reasons during your overseaa tour of duty, all travel and transportation coata eapenss to the incident (6 such return vill Ve horne by you, with mo ez} Gaverneent. Bebed eo 498 Be Be -8e cote a ott 988 Bat 3@B SHED HOE UHOwe se rs CONFIDENTIAL ay bata agin
Ae wee & i i i i ey * , > aed. ied af fF... 4 8 fe“ ler ert L95°3 : Employee : Date . r CONFIDENTIAL € Phen Fabled tn) 7. Your employment is conditioned upon satisfactory completion of the training cournes preecribed by CIA and natisfactory performance, of duty for a total period cf 12 months from the date of employment. In the event etther tratning or performance of duty 40 deemed unsatisa- factory by CIA, you will te considered for other types of available employment for which you are suited, or your employment will be termie nated. 8. Your appointuent is for such time as your services may be re- quired and available funds permit. . 7 Crnerer revgganer I accept the above agreezent ac a condition of ny employmert by CIA. CONHOENTIAL
14-00000 i ‘ [] secre? [| CONG IDEM TIAL | | INTLRNAL USE ONLY L i UNCLASSIFIED Azar tte PoWeama gr akete esa ge tk Ey PAPER ART eas ap, fj« Che, | . | REQUEST FOR MEDICAL EVALUATION | ny ge Po betes tbs Oe * . : } 23 ud oy LopeeN ENT | Trem orre BMAMS fg Foot Wil fe . @ mw at ty RESTRRE See a cere Piccolo, Josephss. Mee BELG & tec 35 4 R GHAGE wR APPRLIAP HCI EL 1D DUE CRATE GSR LE Fp yen dy es 1s eae pas ~hF SEI En TTT are Res 6$-13 All COO/C!l Staf? 6603 | Operations Officer COMPLETE 13-19 FOR EACH DEPENOENT 10 momen eet ne tte eres PME EE ONY Be P18 CHECKED “OE aware ar TePERGERT enn naniidnnan nine : om ae a nen eet PAE USL SEER a DEPE MOE NT WAISE fg + Bd BEATA i BY OSS fove- a0! i 1 s* | 70 REQUESTED ACTION (awe PPRanE athe age ThE HN enypiahle) APPLICANT ~ ETOGTA AMO IR:, PNG OP BeraNCeNIS TO | AtwuRsany cre te Tuts =F reve Pon ae eee POST ASSIGNMENTS. - ww outy GEO way se tuan to pery . SPLCIAL TRAINING 2 bE PARATION _ MOR CARDS ROUTINE _ [Requianannual : ; 7) comments as 7 ee — ° , Please renew TOY standby. Mr. Péccolo's present TOY clearance expires in October 1979. 23 REQUEST As COME CTOMAT AIOE PICETENS FT tigi gs fae "Se Tat eneON aoa €, oS ara FOH UMS USt ONLY as %: heen ete 103 O PENDING RECEIPT OF ADOINORAR MEDICAL | APPROVE PROC: ss NG FOR FOO \ O87 ORAS A TiO 199m Wy ftee OF ten end? \ ee a ER Tee ee LE tan tere nate eeereegt + rasuanminet ree - a tenn tA CE At RN nretcnne Se enemas cao we we ce. perenne PLnvEsT Pac 5 OICAL CW ALUATION : OTM A tare ewemwari. pate ompuceatuag “fs POR OTHER ACTON beameagn eve cnn ence ny ce AOR OUR ACTON AS Lah BERD AC THOR quar eno | tacee | oecasac | i ~ a aoe | | Fiel- STBY mm pole foe ep eee ot Quad TOY STBY until Sepe. 21 { j 3 es ee es ees 1 a Oe renee len ieee ine ee JOus/ PRO tira broth & Py ee eS Toman te teonees tee Ng totes mae vat CRG Sen cep meee eoronteats : ( Pea rg art eer prprcnttenien etna®h ee seerer cerns rot A FEST CEE ten Sai F088 REA, cy H { Wace abarbet Oo tibet AL LEE CREP { 1 oon oe 4 { j be ef ar: ey ae He dma, > Gund ama BEE vane et, On 48 fata anh chit © . 2008 “ a8 i 4 UMS
ae re os wae ams (Neer as (eet Om Bth one abr Rmhon RD on tet St Sypamemneenete erin me ate « _ CONFIDENTIAL {Bhen Failed im) aS MEMORANDUM OF UNDERSTANDING REGARDING MILITARY SERVICE OBLIGATION _t understand that in accepting a position with the Central Intelligence Agency while subject to Induction Into the Armed Forces under the Selective Service Act, | cannot andwill not expect deferment fromsuch military service by virtue of my employment with the Central in- telligence Agency. DATE ail Aly 30 * ron No. 278 2 oct ge CONFIDENTIAL tee peer rt tee
tegeet eo are ue samn. b. os 4, + ca { SECRET | CONFIDENTIAL [" | INTERNAL USE ONLY | UNCLASSHFIED beats APO LILANT PROVAN Sh BREN rerers ee HEAT ate PARP ICANT REQUEST FOR MEDICAL EVALUATION __erness Ces Ce Ipereape st w EMPL ON EE MPI OAR EA BRIEE RE CUUPEE TID AD Oatse DARE rhage Spee MRF! Piccolo, Joseph S. aa Katona Tata Tee a GS-13 asf" All "pRO/CI/0G/S0 i 6348 _ fi Operations Officer von sealer purian RED “DEFEADES! The SEPeNcE aT lore RoaANIB Lea Mee ta, Ql? 49 y 8 Dec 35 5 ULM COMELE TE 19-99 FOR EACH DEPENDENT TO ACCOMPANY OF EETL ANTM EMPLOYEE Chee i 215 CHECKED “OEPEADE NTIS t a say ten —— aang aaaeneed PREM SUY SEER iB] CEPT RDENT MAME CE 7 a) te SOC SEC RS & CHART RO - J18 COB fos, [17 SEALID MELATIONSDIHP 0) ED CMS tres nol t | 20 RECAA TIED ACTION (move than une ecto 1 an ovptaghle} NO OF NEPTNCEN'S PO BCCOMP ANY ihed th TUCdRE Pine ETA, aan ane 7% STATO is), cra arate RS Giese peg) GLINESS FOR DUTY RETUAN TO DUTY SPECIAL TAAINING MOR CIARDS Os PLANNING RETIREMENT REGULAR ANNUAL SEPARA T FB OOLARE ie APEC TORR TLIOND ETONY 23 ROG BBG [oo einai | _Dp0/PcS/CSS/P C4 | 40 ' BOR OMS USE ONLY POR APPLICANTS Tamia NTS . . ; oAf GAG? - Fd te { SPP E PROCESSING FOR EOD | SOLD PEROING RECLIPT OF ADDITIGHAL MEDICAL . We ol fae Ppr Fete OS 1 pf QP REA TICAE (f-00m bviter atten hed} , O88 HoAA TAT cee ae totem At ren nama TTR R wre crore FOR OTA ACT HES BEM GETED ACT IGM CHAS msauas | TOY ;STDBY_{-XX_{__j |__| Expires 1 October 1979, } i poppet g November 1977 | — | OMS/PEO MAHA Hoey SHEE Clad be TAG [ } ger aet -@ 2 pet de By Foe Bet ae OPO mEEE InR See Be as O50 Gyeew ao eetkch 9 Gc By md “ Fes me ee oe pwr
14-00000 a eeenetremae ot 8 He et “8098 tet wa water ERLE alee mentei ne ape nee tn fyfemeoremerEMLN ¢ cormataren crommrenrtr aaa PME cr eet rE tlt tRemen mpceotaeEninape este [x] INTERNAL USE ONLY UNCLASSIFIED ara TP ORGUEST DATE GT MATA, Ao APPLICATY PEA APPL ICART PBL VICUSLY BEEN REQUEST FOR MEDICAL EVALUATION : Re SEER AY OMS | C] ves C] NO of ) i25 Feb 77 “ae He - FMPLOYEE ~ FANE hast Burt Hd tler "eerie feeueds ng Mae? Wy ite I< bane Wa re 1 arn ___,Piceolo, Joseph S. Bee 8 Dee 35 | mM @ tRaLe oO abi terem ee 1 GUE CTORATE GERICEMEVIQ RR wt ey beh aadtity PRTLE GS-13 | Al, | DDO/LA/HIgs _7350__| operations officor t oF PAT VIOUSS ¥ SEER BY GMS tyer ae} - COMPLETE 13-12 FOR EACH OF PENDENT F. 3 DEPERDERT BABE (fF ) [w SOC BEC RD Yea Y¥os Yes 20 REQUESTED ACTION (are heat ane action ts acceptable) APPLICANT Toue EMPLOYMENT | "[e00 oe eet —e—— Sy tiie — Vater taia wel tas ee OP 1 PERDENTA TO i O% PCE Bratton” _. AL COMPANY GH HG Tutity 25 Jul 77 hree ORTON ASSIGNMENTS. 0” Tov [ors AETUANEE FTES FOR OUTY [OSTOV STANDBY |_| kevuny ro uty : fons pLatininG || SPECIAL TRAINING [SEPARATION [ PE TIREENT MUR/CIARDS ROUTINE REGULAR ARRUAL _. EXECUTIVE ANNUAL __ 1 Coaneeute Please schedule physicals PS SIGHATUHE OF REE Titers C8 6 ACE FR ROG EET IG OIPECTOMATE CSTR E ING 23 ROeAeL DG C*dC SE TE DDO/LA/Pers _$D-3113 Mqs. | 7350 SY ° FOR OMS USE ONLY Ca ae a | | apenove procestate, #08 FOU i HOLD PENDING RECEIPT OF ADQITIONSL MEDICAL { 0868 GR ABA FIGS | fone drrses efterterd + | RECAST ORE CLEP WE OOTAL EVALUATION OTHER cacy peromra cas FOR OTMER ACTORS OMS SIGNATURE MER ESTED AC Tote BORE oom Oa eg ER ey ct LT eet CARE fo Anak TAs tiwestcr oF OORIE? ome roy vo arg : " ony A | | anes, astahs 908 © if { mremnas vag C8 y i | Capper sted ean | | accner ote sare tt tment feane oe oe PROB Or wc o tes names | 3. GANS tes wa were Sete tetaty Se ty eee niet emermesenrtr rrr ereusgtpar ea ee yee ea + phen + a Soa Seniires a
14-00000 REQUEST FOR MEDICAL EVALUATION ea EP TT PT taiey Piccolo, Joseph.S. sss | ps OF Licer _ | SOFFICR GHVISIONe BIA re DDO /LA/COG [ | pasempLovment | } ENIHANCE ON DUTY | aa! tov erANoDY PECIAL TRASIN [ fd sere o im ] AMMNUAL [__] reruns ro oury | FPIUNE SS FOR DUTY MEDICAL RETIREMENT ® OVERSEAS PLA r 1 i i ves Re MA TP OF Re a bate 19 “are MING EVALUATION [ft Returnee Exam Comrleted, until 1 Octeher 1977, isvé 7. PURPOBE OF EVALUATION SECRET CR Aew Pa ok Pat To Pate UP ARGU ST 30 Bept 75 6 GRACE --G8-13 1G EMPLOYEE GENT, BPO SITEROM THTLa . | ‘| OVERSEAS ASSIGNMENT LSi%) “STATION ‘NO GF GEPUNDINTS REPORTS OF MEDICAL MIBTORY ATTACHED { ax! RETURN FROM OVERSEAS ETA .... ._ #9. Sept _75__- . STATION oe a eee i Elev ath te Aualified for TOY Standby red er rc) so yore Al lara Sbcarer $ a ee et ee
, , ' SECRET z. Gave GF Stet $. mame (Loot, Pavel, Middle, O10, Josep &. OFFICES, GiviIsiGu, Brame (oF overseca Bietion and existing cover #f fateral aseignaent j ppogwid ? + PROFORED GTAP IGS of ts ‘ Ooesem? Pozi teow 8 ips Officer. 9. Fyre OF COVER AT MEW STATION CEP ARP Lae 18. COMMERTS Physicals to be taken in the field. BO. PROPOSES Fyneti os (File, MNuabee, [| dt ops officer 9296 Gg-13 $0. ESTimatey yatte oF fe. @. EMPLOYEE EATERDION ACC SMP ARY rade} 13. BATE OF ALGursT 8 May DS. 1%, OFFICE OF MEDICAL SEAVICES DISPOSITION 16. GPFICE OF SECUBITY OIsPognle se +e. Oveageas CamoioatE auview Fame oisrositien ~— 4 24 aug 1973 | GUALIFIED FOR PROPOSED ASSIGSYEFT CYERGEAS SA be, Chairzan, Overaoaa Cardidace fevlee ranel REQUEST FOR PCS OVERSEAS EVALUATION : Werer i.) Deervertinas _ SECRET eee " : beeen Rd MO. OF OCEPEMOENTS FO art - }3¢, 9OGM HUMBER ABO BUSLOINGIIO. CeTEMB ioe.
SECRET BB dom Pissed Pad bt BALK OF REUUE SE | 18 May 1973 P Naa lant Pied, Mine TMi wie” !™”!”!™~”~”~«~«d RA GS-13 Piccolo, Joseph S. (dependentd of) __| Ops Officer __ GS. few ne i nae wa ween eee [" EMPLOYER © BRT, REQUEST FOR MEDICAL EVALUATION SUOFFICE Cinimion nRANCH DDO/WH i 7 PURPOSE OF FVALUATION . i ee ee ee ee ee co | HORE TRY ‘ co) PAE.AMPLOYMENT ‘ [XX] OVERQEAG AGSIGNMENT , 99/10/73 srATiOH Sw o—nNx2"—"—>) CS ENTRANCE ON BUTT TOY STANDSeY SPECIAL TRAINING No. OF & ACCOMPANY —-—. t ae NO GF GEE else MIS’ REPORTS OF MEDICAL OCIRT EY ALTACHORTD -~HOne.._.. ANAVAL ALCTURN FROM OVERSEAS RETURN TO OUTY Ta FITNESS FOR DUTY ‘BrATION NO. OF Dero MEOICAL RETINGMENT @ GVERBEAG PLANNING EVALUATION (Une Bloch west Do ches bed B MEGUESTING OFFICER eee t+ Farman terete nathan anny MEERA Eur eteruen te aaerene anuiiettey~ a fo et on des | sistidrund RGOM Ku @ Bulle tee yr da hb ae TG WIPER Physicals te be taken in the fidd, Deu Daw . -_ Se oo cee rere i eet ersines Senet aE Reet EERNE EE a ES te REMAP OF Bri dl ese oa mea SYA T eR Fee AP Peg BR 18 79 YA okt ake SRD MONTE ees et Lerprate me boa Drte Un mete, a Btaee eaF Pr rors ee het 2
14-00000 a— GCE 21 August 1956 _ Js SUSPENSE OATS Cy Buke tay Dare? (Oi dgiay be GPGAWIS OPE GMat O55 0 ume RT Se POGITism Feels band geatet Se PCMSORHEL OLYF HOM Vile Clerk as-h (XE) avece [TLTJrevert re TRE WP UNL OL DEFECT $3 REQUESTED TO CHECK THE ULGERTL BL TIOM, GETUMSING THE OMEGERAL COPP OF Teds Foam 19 THE APPEGPHIATE FEDS LONE, CEVISION WO LATER Tham THE SUSPENSE GATE INGICATED IW ITE RO, Ge . A [_] teerove processing 8 CJ Hold ponding receipt 7? aduitional medical cCX] Requett pracempluyeant far £eGebs information (Fore tee tars attached) @edical gaamingtion % romw wo. go REPLACES Om 37-188 $ MAS 4g wHice way OF VEL. ve : 148 ‘ { artes Liner nee Sethi Hien Aetnta eNO meet tenner ete enna elt pen atte thai eymy eet TEMES A tat metne a ot nea mnneNt ie pi nee tere cieth pene Satara SO aR OTHE NG eo pI at OE Laat teas apo st i f
14-00000 Re Tee a i SECRET . amas . {Freon Filfed Pap ARGAG MEDICAL ACTION REQUEST AND REPORT | REQUEST FOR PHYSICAL EXAMINATION OY 1, MAME thaede eFirses (aiaaias Parry: ~~ PICCUIO, Joseph 8. | A Soptondor 8 de TO POSET iba we OFFICE, DEVISTON, Bayle Se GRADE a File Clerk nor/ Wit/ U1 cS 3 ot Bd att Sine mere ene on errata Ge TPE OF POSITION T. EVALUATE FOR & (Co Joepartanntel (Ju. s. Plate KX Joverceas . a say (J roo Ca Pres taptoyayne CJ (Bb) overseas fes ; Co} tanvat - ua =e Ret ¢ Spectet (Spapie CT Jreturnes +) pecte og yi ~ ‘CE Ol bE se 14 REPORT OF MEDICAL EVALUATION - (“Joveiteied for full Outy IGenerets ‘Co Tesatities for uti duty iSpectats (CUT houell"fed for Departmentes Outy Onty CT Jol aqualt fied | Rewarkes i t veer wo eat er Spree toeamnces see RRNA FO NET FIORTE OMOEA a obs He Teele Tee |
14-00000 - SECRET (Phen Filled inp MEDICAL ACTION REQUEST AND REPORT i etquest FOR PHYSICAL EXAMINATION BY a, GABE thesta Piccolo yo 1G POTETIOM File Clerk be T99E OF POSITION sFieraee (wiadies Joseph ; Stephen We OFFICE, DIVISION, BRANCH DNP/FI 7. EVALUATE FOR 1? Spptreber, 1956. 3. GRADE GS-); : Co Joepartmentat (Teoo (R74 pre-employment Co. s. Flete (C7 } Overseas (JT Annual . ComThversess (a JReturnee , (CE spectei (Specttys ; i¢ SEPORT OF MEDICAL EVALUATION te (Tovetittes for Full duty tGenerets- (CoTTowatitiod for full Duty (Soectaty (CUhustified for Departmental Outy Only Cool squet ities 7 , ‘Subject 18 qualified for Full Duty/Géneral. (1/2h/57): . - Must be re-evaluated prior to any specific o/s assignment. : ene AT PT GEIS LT Fe ree Opt eR pe erent en YF é $ i ' ‘ oe ban pre nenanee On LITT kato + eae ce Rahat, BE THE Tatas
14-00000 SECRET ‘ fein FILLED IN} CERTIFICATION OF LANGUAGE PROFICIENCY TYPC CHANGE LANGUAGE CATA PHion TO TEST 4. A=anc C™CHANGE O-oerete wanr (Lasteriesremeccit ) CMPLOYEE Nv, ‘See tnantemmereettenemartrttent FICCOLO, JOGEPH J. + VATE TESTCO NOTICE 2 fOrfor v9 TESTED ©. ON THE DATE SHOWN IN LTEM 6 ABOVE, YOU WERE TESTED IN SPAUISH CU WOHiD) BLL "AND YOUK TEST SCORES ARE AS FOLLOWS: . . MAME OF LANGUAGE |__rcacina | ATR . Pe ss PERSON QO zevo |] INTERMCOLATE $* sition? H  wicr & = £LtMenrary N & NATIVE. 12, SIGNATURE © TEST RATINGS Q a : . ; ., . . 13. LO numeca 2 FORM ; GBSOLCTE PREVIOUS : ots -< : ° : . 1 : q » & tad ~ - GROUP. t =. > 1OA } 1164 273 EDITIONS (10-69) SECRET ECLUOED J agie AUTomRNE | ea i OPI QAS : ‘ O. LANGUAGE DATA AFTER TEST . 7. DATE OF TEST DATA FOR [Tan 2 THRU 7 18. - ease CODE Re wo vi ExXTRACTEO FROM PoRM 1273. :- . n ‘ “a ’ l : ‘ LANGUAGE PROFICIENCY \" [ B 18 / 3 / AWAROS DATA. . - 5 . ENTER UNDER "TrPE” = A © ADOITION TO RECORD C. = CHANGE TO EXISTING ‘RECORD ? wore } . ; Canc Ne “acaes curse aore Caitwaens Soo et a rns ~aparorene ory FR OORT ET SOT AeA TY ARE Ean nat alone deta” BL Koes Bes
14-00000 SECRET  - “sy (weer Fapeso EN} QUALIFICATIONS SYSTEM RECORD CHANGE 4PELICANT CODING CaTa . NAME MUST CONTAIP 20=2DIGITS ‘ THE DATA ADCVE tres 2 remy SP wikk oe Freee tm WHEN CODING AN APPLICANT FOR THE FIRST Time, THIS ce FORM (9 TMEN ATTACHED TO Fort 1962, MASTER CUALIFTI Cam TIONS CCOING RECCRO. ° CATE OF BIRTH moO OA YR e LANGUAGE CODING DATA « FORM Wade 2. EMPLOYEE NO, 4 LANGUAGE CATA cece J-LaTTERS BASE CODE . O ® oO — on 7 wren rorm bube penctes NO LANGUAGE i COMPETENCE, ENTER THE FOLLOWING IN i ~2 item 4s "NO++LANGUAGE” (12-01017T8) “4 x 5 « . a : . y ‘ at os J-uctTERs 2 ad : ; DATA. FOR. 1 Tem 2 THRU TES ‘ SO ; -€xXTAACTEO rRoM ror 1273, agg |. 4 . > oe . Cos - . sal hoo . , ‘ . . LANGUAGE PROFICIENCY AND BL i . ( LAWAROS DATA? , a { ; fr is i ~_QUALIFICAT [ONS RECORO : entca unoca "type" = ; A = AsQdITION To RECORD” ‘ C = CHANGE TO KxXIDTING RECORD @ , OLLETION CF- DATA FROM EXtSTtinag RECORD an beta torus 19628 SECRET [ee] ‘eens
14-00000 ~ SECRET a APPLICANT CODING DATA 2. APPL. HO. _ MYST CONTAIN CO@DIGITS THe cata apove (:rems 2 temu SP with se erence on WHEN COOING AN APPLICAN) FOR THE FIRST TivEe, THIS ® FORM 15 THEN ATTACHED TO FORM 1962, MAS*ER GUALIFICA® TIONS CODING RECOROG, LANGUAGE CODING DATA © FORM Ubbe 8 LANGUAGE Data Cove ~~ nO 2, EMPLOYEE NG. , ps ueivans BASE CODE < 3 Hoare suamitteo — |G.oatTe or BinTH | CATE supwitteo 7 wen For Ubke oenores no LANGUAGE . ; COMPETENCE, ENTER THE FOLLOWING OM . : trem hs "NOt+LANGUAGE" (12«010173} " . LANCUASE PROFICIENCY TEST DATA LANGUAGE DATA DEFORE Test. : . - : - . ° Sey “a BASE Cote : } ; : d ; r. fi ore a i : Tancuace OATA AFTER TEST f7oate or vest | f7oate or vest | Test ~ in ; LANGUAGE PAS SN GHEMCY AND ob AWAHOS DATA. $ i : - . ENTER uncer "Tyee" be A = AQDITION TO aECORO h C © CHANGE TO CXISTING RECORD z By DELETION OF CATA FROM Ex':STtws RECTRO we to. «@ "ee
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CONFIDENTIAL CWHEN FILLED fg SECURITY APPROVAL DATE : 20 July 192 ard Your REFERENCE: 1OTTS DDr/TFW CASENO,:  LOSTO9 Oa Director of Personnel FROM 2 Director of Security ; SUBJECT 2: PICCOLO, Joseph Stephens ; ; ‘ i 2 } 1. This is te inform you ef security approval of the subject person as follows: amss Subject haa teen approved for the appeinteent specified in a your reques® undor tho provisions of Resalations 19-210 and . ; 20-730 including accoas to classified intyrmation through Top Searet as required in tho performance of his dutles.. : : _ . . . [-] Subject has been approved for appointment under’ the authority ‘ - : ot or Paragraph 4(d) of Regulation 10-212, snd under Regulation ; . " -72) including accosa to classified information through : ; Top Secret avy reguired in the porformance of his duties. : , ; : 2 Uniess arrangomenta are made within 60 days for entrance on duty within 120 days, this approval tocomea invalid. As part of the entranco on duty procosaling: [C7] A personal interview in the Office of Sevurity must do arranged. ‘ , CX] A personal interview io not necessary. FOR THE DIRECTOR OF SECURITY: L)Lné. W. A. Csdorne Chief, Personne? Securlty Division | o mom Se Beem 8 Cb ete
CONFIDENTIAL SECURITY INFORMATION SECURITY APPROVAL . Bate: 20 December 1956 TO: Chief, Records & Services Divaion Your Referens :Ga6351 FI Personnel Office FROM:, Chier,f/security Division Case Number: 109709 Personnel ' SUBJECT. PICCOLO, Joseph Stephan 588 ‘ [] Provisional clearance for full duty with CIA 1s granted under the provisions : FOR NO. 28-498 8988 « l. This is to advise you of security action in the subject case as indicated below: Security approval is granted the subject person for access to claseified ; { information. : of Parsgraph b of Regulation 10-9 «hich provides for a temporary appoint ment pending completion of fall security investigation. The Director of Central Intolligence has granted a provisional clearance for full. duty with CIA under the provisions of paragraph H of Regulation 10-9, 2. Unless the subject person enters on duty within 60 days from the above oan : ; date, thie approval becomes. invalid. : i 3. _Sabject is to be polygrapbed as part of EOD procedures, DF M, Loy | | - ‘ ay iuvay’ 2€ C408 Heyy 1 TORU 28 GAMCINE GENES?
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14-00000 / , _- UL S$. OEPARIMENT OF JUSTICE Btandans ron 89 FOR APPROVED Fi.-.RAL BUREAU OF INVESTIG..:0ON BUDGET BURTAU We 30 BOSS Ste speck segs rermutciag o WASHINGTON 25, D. C. eps ope O. Piet deers ComeEsIO’ ] CHAPTER AE FEOF Ass OrbscHmel RaMUeL Chee kag by 1 ~ 4 , ’ NOTIFICATION OF PERSONNEL ACTION ®F8 5° /, a DATE oF oF iain 1 4 SOURNAL OR SS TION Ne) & Dat #. ROME see * IGS RAR “peremnans EmeCTAR ¢LaAGes F.B.t. JOSEPH S. PICCOLO —-_——s# 18185 | 12-6235 _| S714 Tha te 0 fx to notify yes you Sof fie fellow: ing actos » effecting peer omplaycocent Attlee mers teen oy ete meee 6. GFFECTivE Dts F. Clva SERVICE OR OTHER LEGAL AUTHORITY &. MATURE OF ACTION wee srandseo Teawmoveen ‘ RESIGNATION File Clerk G3 l. Series 305 PUIPSh-D-267 $3415 per annum &. S€Avic. SERIES, SALARY, GRADE 1G, ORGAMIZTATIONAL BESIGHATIONS Div. Four Files Section D * Cc ¢ Raaking ham eral ~agfaoa x é ree ‘ PRX | oes DEPARTMENTAL $2. FIELD OF peer. f Thi Prt { DEPARTMENTAL +3. ETL RAN 8 PREFERENCE FE 14, Position CLASSIFICATION On AcTION > PT. oo atwe maw wiee] t 4.) weas, t ; BIBAO, Orne a : 4%. HEADQUARTERS . HOME] wats ormea) 8. x 1g. V8 a7, aprRormiat: on 2 ed. rai 29, BURZTCTTGc & $8. Bard OF APPOIsT. FO LEGAL RESIDENCE SEK RACE BCTME ERT ACE WENT APPrIOaWITS PaOm: 17O 9-8, ACCSEROS GR es 0 CLAIMED oO PROVED we etarEe: : oe SAME No PICA 1 | eran ——_— % oiatcroa F, 3. _ Me BaRgg. NN Forwarding Addross: 2210 20th Street, Northwest eet Washington G, De Co leave in the amount of $5 heurs extending thru 4230 pete Palde55, Owes for 214 hours olua 1 helicey for advanced sich leave which is being changed to L¥CP for the veriad 681055 (9200 aem.) ty €D TaiinS5, The above listed 55 hours leave isa being used to offeet hie indiebtednasa, i 36 OCT 12 1955 _— —_—a po ~“paesteee at : ; OD ern Sere Sees Se Seer Gc B wees eneee: 66 -aed eee Grr Gy mee ate mb a 5 ANSE P02 HS Rpt eet Noten naPtesiare rca 1B amino h - teat Sate == Seer t. PERSONNEL FILE ss . FOTN tyne me ae . NITY wae
14-00000 STANDARD FORM 83 NOTICE OF CONVERSION PRIVILEGE Saar taeda Federal Employees’ Group Life Insurance Act of 1934 CHAPTER FP ta. \ An employee is entitled to: convert to an individual policy when his group insurance terminates because of separation from an agency, transfer or appointment to a group exciuded by Jaw or regulation from insur- ance coverage, expiration of 12 continuous months in a nonpay status, or entry into the military service of the United States and-acquisition of coverage under the Scrvicemen’s Indemnity Act of 1951. An employee whose group insurance terminates as indicated above sony, under provisions sect forth in his Certificate of Group Insurance, purchase an individual policy of life insurance without medical examination. The individual pohey may be in an amount not exceeding the empluyee’s group life insurance and will be issued at rates applicable to the type of policy purchased and to his current aye and class of risk. If you are entitled to convert group life insurance to an individus! policy and wish to exercise this privilege, you must: 2 1, Ask the agency identified i in the block below to give you a completed Agency Certification of Insurance Status, and 2, Follow the instructions printed on the Agency Certification of Insurance Status, and mail it to the Office of Federal Employees’ Group Life Insurance, 330 Fourth Avenue, New York 10, N.Y. That office will promptly mail to you detailed information on how to apply for conversion. ; 4 - PORTANT THE TIME IN WHICH AN EMPLOYTE MAY CONVERT IS LIMITED. THE COMPLETED “AGENCY CER. i TIFICATION OF INSURANCE STATUS INOT THIS FORM) MUST BE MAILCO TO THE OFFICE OF. FED- CRAL EMPLOYEES GROUP LIFE INSURANCE WITHIN 31 DAYS AFTER YOUR GROUP INSURANCE t TERMINATES, OR WITHIN $8 DAVS AFTER THE DATE OF THIS NOTICE, WHICHEVER BASIS GIVES YOU ‘ THE MOST TIME. ‘ UNDER CERTAIN CONDITIONS, LIFE INSURANCE 13 PAY ADLE IP DEATH OCCUNS WITHIN St DAYS APTUR AN CMPLOYZE'S GROUP INSURANCE TERMINATES, CVEN THOUGH HE HASNOT APPLIED FOR [| -! CONVERSION. IF OCATH OCCURS WITHIN THIS PERIOD FURTHER iHiFORMATION:- CONCERNING POSSIOLE BENEFITS MAY BE ODT AINED FROM THE AGENCY NAMED BELLOW, ur, Joseph S. Piccolo DATE OF THIS NOTICE NAME AND MAILING ADDRESS OF ACLNCY Bnotpabiine A Pieced INSTRUCTIONS TO EMPLOYING AQENCY Feder. oo: ovo loventiguiion a, ill in the name and addeces of the office which Rees“: issues this notice (overprint of atamp HM desired). ‘ Mess : . . ; Unate ., . [or taunt of Jusvjou a. Fill in the date this notice is iseucd, and note thia Wogsiteteon 2s: eo Hy : date in your records fur possible future reference. FOR Ra LEG ity ite ee ; 3. Give thia notice, a9 required, to every employee . ty on the dute his insurance terminates (except by ’ ff waiver), @ & ebeseenter saretiag reng = = be— TopeR-d See ee nr 1 ete AN RBC La ava
. “* . §. DEPARTMENT OF JUSTICE ponu arenovee prampano rons BO FEucRAL BUREAU OF INVESTIGA iON | DUBOET BUREAU RO. BO-REES Rey, BFL Ree  & Ceeth BB eeICE COPmASYS - CRAFT ES oe, Pe OERAL PERU ONE, MANU hE Chey hed by: 4 a NOTIFICATION OF PERSONNEL ACTION ‘Hed by: 1, MAME sae, aie. Gee. sFimeT. MiDOAG GnrTbeL COSTE TB Se HMI OPT oURNAL On ACTION Wo] © BATE F.8. 8 Mi, JOSEPH S. PICCOLO 22823 § | L2o8u wile Sh . Tate ss te wetsfy vow af the foilentng wetion affecsimg pour employments 9. MATUNG OF ACTION wet BiancaaD Ieemimcsoen) & GFVECTVE DATE | 7. CIVIL SERVICE OR OINER LEGAL AUTHORITY PROMOTION | 1d-Jo~ 54 EXUEPTED BY iW FROM Li) racaureete WASHINGTON 25, 0. C + Prepared bys fos aa) @ POSITION THRE Sane File Clerk 48 3 (Series 305 FBI#54-D-86) $2950 per annum. ooo » GLAYICE, BARTS SALARY, GRADE os & $3175 per annum rae Div. Four to, oncamzanona, | SAME Files Section - BaSGNATIONS Same BD. G. Same 1. HEADQUARTERS rie) [D | DEPARTMENTAL FLD O8 DEPTS te) ; oLPARTeCNTAL iar VETERAN 8 PREFERENCE 7 1a Soren Classivicanion Aen Series 305 FRIF- ace | os Pau esas, 54 D-167) : 14-PUIRE D19SO. J GT Hse X | Betty Breoke Koontz Je aesacY To C. 8) We. Bats GF VPROiee [Ga Lidad Rraimeaces ” RAMNCEBINT ACT MENT ATFIGAYIES 0 CLAeED 0 PROVTD OTATee 17. APPROPRIATION 6 @ 6 POS AVG B.Fe0p8 WEL TEHOKE ORs TE no FIVA a PRO» same e * rege NP Bem - Roo& Siascioa. #6. Lah Nyy Kae ‘ 4 . © REGALSESs The provisions of the Universal Military Training and Service Act of 1931 have been complied with. The classilication grade of this position Is subject fo post-audit and correction pursuant te Jection 1110 of the Supplemental Appropriation Act, 1932 ~ Public Lew o 253. approved 111-51. tnle promotion :8 temporary in acoorianse with Public Law #843) Uupraved 9-27-50, sree eens epaernaemeen enpntramsceeHey @20Ci 2yisod a TCO RTRs. tte mana i nF AAR eI iGO ORE ate LENE ERO NATE moti Pale, SL NA ee GC ON OW aR MMR iE oe Re ROE at Ee a a et Bo 6 survabp bem cues wher bebe gee $, PERGOMNEL FILA .# sag, e N | : CREST TT Ma oe aes etal foe allt thee 6 the Dtewee
14-00000 FEDERAL BUREAU OF INVESTIGATION “he UNITED STATES DEPARTMENT OF JUSTICE REPORT OF PERFORMANCE RATING Name of Employee: mi Pr precé : (Division) a Unit) - RESEARCH UNTD Payroll Title: . E CLEQY CS-~ & Rating Period: from —b2b=Sh to 9-30-25 5 ate me oe manana ee ames teat > ADJECTIVE RATING SATISZACTOHY Jaitials Outstanding, Satisfactory, Unsatisfactory d. , p Rated by: fp S a fat } /Pignature Date : . 8} ia 4 Reviewed by. Syoeryison in Charge SEP a 0) 1954 4 Rating woo i oa OW Pee. Fence me Posts § (grey t ey 2] 1954 : Signature Tule Date q TYPE OF REPORT (2) Ofreral Gi) Adeunisrative ie CX) Anal 2 () ed day : _w He 21 1994, ( p Seperenon from eerewe ey RE
-. . ; U 3. DEPARTMENT OF IUSTICE . nate FEDin AL BURFAU OF INVESTIGATIC:, CSO ESTE wo, soe cnr we eaves WASHINGI ON 2%. 0 C. coarnees, febtes: browunnes BARUAL , r rerar ed by ' & (26 . ‘ne Cheeked by Wao \h'> NOTIFICATION OF PEMCONNGIL ACTION Filed by! BR vate nt Biwtaa bP UrreRR ag hier Py ate . FB E 12-835 : _ 38602 | 3-86-5R 4, PERIAE oem, = Wises BHO, « FAA BION E FRATIAY wh aDTE MR, JOSEPH 8. PICCOLO fe to dy ates pw af fhe foile« We Pint ae ee rae eeeplrertent: 5, MATURE OF action (VEE EPARUAHE THA r ood La. rrrigiiet ware fof Leet be hie Uke GHEE AL AQT ROahty EXCEMTED BY. ra. a CHANGE IN TITLE a Oc, | 8. POStotd FELe i Locate Clerk File Clerk BO APRYITS ering bALARe GHA G8 3. same Ge 3 (Series 305 csC#3741) $2950 per annum . 1M one ee gery gas ‘ Be Bideree Feeses% Div. Four . - sane Files Eection sane c, Bang b D. C. 18, HESOQUANTERS : i . i BR $3, vatensers PHerearHce : ‘ a Peteteny fesianeanion AGTION Ps Raat | fant jormi a: ® OF, en viet wow | ote a? eae ra . . aiacd jeune | (8erdes 305 csos37) in x : th t Tre 17. APPROVUIATION 8. B hn FOL aT? bu "9 Ve Daly oe aieaints OG mC TNT Te :. Ren RACE be pieuene a MEAT Pee webs fae ° - : 1% pasos, rarer We rrinereen) Ll cuamco (C1) eroven i . M 18 tm sane no ) PICA Biaves t perenne meee ne oe emnnereen nee anaee n . i i aN 180 | 5. * frente etree catniard one natant tere Bee BEVVIE OB o Feeg OS acetone mies OteOe Oo & weeceenae? Ese sre seEg. EECoND a. PERSONNEL FILE’
14-00000 ™ FD- 185 FEDERAL BUREAU OF INVESTIGATION UNITED STATES DEPARTMENT OF JUSTICE We REPORT OF PERFORMANCE RATING rf ra . /} . i Name of Employee: : COLO I Where Assigned: BZCOIMS © COMMUNICATIONS RZcO0S SECTION FILIG RIF : a (Division) (Section, Unit) ; ; Payroll Title, ——LOGAT# CLERK GSe2 Rating Period: = from —— 823-93. to . 12<21<5 ' L . . . Employee's i TISFAC TORY Initials F ADJECTIVE RATING: , Outstanding, Satisf ep ene wory, Unaatislactory - / Le 2-31-53 Date CEC 31 1953 Reviewed by: gs os Signature Tithe Date Ad we a ofan e515 MIRECTOR : Rating aporoved by: aoe Yinnvenn, ASSISTANT DIRE JAN 9 1954 nature Title Date TYPE OF REPORT 7. +, a anne ae ce set eches . - (x) Oficial 7) Adin, nen vee | {X) Annual (3) 60 tday corres cas i €) Transfer lee ( ) Separation froin eerie’ 2 2 lod . () Srbcial_! ih
14-00000 4 $. DEPARIMENT OF JUSTICE arr pee ea FEDERAL BUREAU OF INVESTIGATION ne rete eee bof tatt WASHINGTON 25. D. Prepared by i at SMAPTRA AL PEOEHRAS PH EOCRRLA Webby checked by? “wh NOTIFICATION OF PERSONNEL ACTION pried byt 1, MAME 1o8 —inR—&ED.oPtau omiraed IitttnweAEA UATE OF OUST ON Sod weg ee pre RABE MR. JOSEPH S. PrecoLo. ee 1 18-835 10703 | 12-453 Th te wat ty wa af the wert 8. WATURE OF rowers GVASLGAD PERRO. Seot ee “Pe errecuve care Soak st RS .. an otayt ac “at Oo) a ~ PROMOTION ne 5-51 76-53. a ' Schedule eA Part 6, 108 () “File Clerk CSF rositiow ete Locate clerk. i ® SERVICE. SLRITS. GS 2 (Serles 305 bJ#50-D-53) | Bata emane GS 3 $2750 per annum $2950 per snnun | tO, CSG aNIPaTIONAL . OESIGAATIONS | same Div. Four Filea Section i same D.C. Same : Vi, WERQQUERTCRS a ( { | niece Di DEPARTMENTAL baa, FELD oR oFeTeL en tt ‘ D | steaay wed 49. VETERAN'S et ~~ te _ PESITION Ceeton ages (Sertes 305 eso437 1) none | wen jormae, er] 30. sant | paca [1 wee ae ' a pre Hattle B.. Hall a renee . moe | iremove from rolia ‘ io | i RE KX leffective cb. 9~10~ ~28 a Vi. | alas ee verry Pte Soguech To cs, 7 18 Bate a et Bo CeGal WMSwENce sex ancel RETIREMENT ACE MEMT 2651. 8 .ths e from: [- tYE> NO? iactoencer vaKee | (2) commeo (1 proves M 48, . same Ino FICA j stave: - 7 seen Wee ahaa of yD ns et | eee. & tide Od - he pir é. A ACL a ae iesee’ WA fe: “ fe Ta. * Pere elit: ‘y ‘abd ee Cte Lye: s¢) AO ae Fe oy, we wo @ “us . tc “SY pamagee ‘The provisions of the Universal Miltary Training and Service Act of 1951 hava been complet with. The classification grade of this poution ts subject to past-audt and correchon pursuant to Seci on 1310 al Appropriation Act, 1952 ~Puble Law #253, approved 11-1-51. peat Bon ion is temporary in accordance with Public Lan - Ss ray e _Y Hg a’ “yl ~ wv 7 e « Supplement- ‘ ‘ 1 (DEC 16 1953 1 cet anemia annny mee Seeman sama By eeegbes ot e Grima hyed of Crea syle BTe SHIR ~ @ an soexereme ceraseee covet one ~ Ghose {. PERSONNEL FILE
14-00000 es TRO aD een ee Hee ae TES GM yey vite cea, Fae A eR gt aye MS gt bie, 2 4 \ ; ; \ ‘ : ce peuansy arenas ATE fc AE eee ee nee vd ett ee ne Ait er ee ee ee ~~ ~~ a . Laci tex ey ‘ o + Blan thie card te the : i wate 6 9 \ :  Revomimen? creme oC ol tO PERRIN 1a *)” (1:0 cata elinns SE i atthe aye Fast THHIAL [LAL RABE .s ; Pa QUTeATiET eume t » te tet B yaats oe, ‘* . ‘G . Eee en us we yy wre pew OSSD 1 Sel ICCOLO | : te Gedy 178) we je ROSHION NUE : : ° . 2 |: } by : yy I ed AM. 3: ; | sonre cr sor 22-2935 stag an aproinrecnr om ~ ama oem cy BMF theseey "bern . {AT THE SEmice CHECKED BrLOW: * = yo i 4 [54 ewotaruzonosaam = 5 ["] 0 crn. SEP 21953 1s, [7] nurartion i : ) MESIAL 4 MTA AL : po 8 CD Ciererion 0. [7] erva. we, Le ° "7 = MEALTH ; i ") Lae? : SURGICAL + 8 Orne. ; : . ; 6 [LD] merratonr «(J c [} ocura, 1. [~"] ctamatocoar : ; 7 (] meoeas i. [7] erotarme 13, (] cone 7 | Hi THER . H _ 2) Mp9) oe ence ee wr coe 4 Br Chine Risistia wu. , di, MAME OF DOCTOR : CCT gS ore —— dt adi i Ciwis, see ice Cees MEDICAL APPOINTMENT ANO REPORT : i GLP, A, CHET 43 ' Bates tee mene peer ee em a on ~ ee ton wee vere! , a oo w soe “ , \ gwar heard fain i + ¥. »
ste Senn ne cant -_) us 3-123 é VETERAN'S PREFTRENCE AND SOCIAL SECURITY STATEMENT Date 5-8 3 1, Are you eligible to claim Veteran's Preference under any of the _exiating Veterans Preference Bills? Yes Xo x e 2. Furnish information substantiating Veteran's Preference clain, including disability rating, if any. 3. Are you currently receiving any Social Security benefit payments? Yes : No _X_. (If you are receiving any Social Security benefit payments at the. ’ present tine you should immediately contact the local Social Security field office as to whether you wili still be entitled to ’ guch payment.) 89 ANG 241953 1% a . ents felons ae Teta
- B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY AND AFFILIATION SO engage while an employee of the Government of the United States; that I am not a member of STANDARD FORM G8 fReviseo anest 9M) PAOMULGA TIO BY CTL S8e VICE COMsISSIOM FULERAL PE mee, MARUAL APPOINTMENT AFFIDAVITS IMPORTANT.~-Before swearing to these appointment affidavits, you should read and understand the attached mformation for appointee USTICE cele BE WPS HIN ETON BOE 0. ““GDepastment oF egrncy) oreerenese heron on  daviewon) (Pla ¢ of employment} i, a we cecesasnneanee , do solemnly swear (or affirm) that— A. OATH OF OFFICE I wiil support and defend the Constitution of the United States against all enemics. forcign and-————-. domestic; that I will bear true faith and allegiance to the same; that I take this obligation frecly without any mental reservation or purpose of evasion; that I will well and faithfully discharge the duties of the office on which I am about to enter, SO HELP ME GOD, Iam not a Communist or Fascist. 1 do not advocate nor am I a member of any organization that advocates the overthrow of the Government of the United States by force or violenee or other unconstitutional means or secking by force or violence to deny other persons their rights under the Constitution of the United States. I do further swear (or affirm) I will not so advocate, nor will I become a member of such organization during the period that I aim an employee of the Fedcral 2 Government, . : a C. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL COVERNMENT : oe . lam not engaged in any strike against the Government of the United States and that I will not Tyee ae , ome yt an organization of Government employces that asscrts the right to strike against the Government 5 of the United States, and that I will not, while a Government employee, become a member cf sich : an organization. D. AFFIDAVIT AS TO: PURCHASE AND SALE OF OFFICE I have not paid, or offered or promised.to pay, any moncy or other thing of value to any person, i ‘firm or corporation for the use of influence to procure my appoir.tment. 7 E. AFFIDAVIT AS TO DECLARATION OF APPOINTEE The answers given in the Declaration of Appointee on the reverse of this form are true and ‘ eorrect. oo " an : ; < ce a (Date of entsance on duty) i {Regeoture of appoiaten) : if . . ; j { ‘ . {onac} wevesecennmmamnssennneserans ss oe p : : ‘ nocoenesvenecestecee? . bbl. Sayre 2 a ones segs os eee aN NOTE. ~ff the path ia tahen before & Notary Public the date of eapisation of Ais com — aaioh shoul, By, Se ob Re a be Rut 7 ‘) eat a . vi . € ray . L ae . 6 et-
14-00000 ecrimjnal offense and will be prosccuted accordingly. 4 és fi, rds : a PRY LNT apowess (etreer and member, erty atnuf State) DECLARATION OF APPOINTEE p- This form is to be completed before entrance on duty. Anawer all questions, Any false st. declaration will be grounds for cancellation of application or dismusaal after appointment, ape & 1 Jax; went im this ration is a NONE fp ee eo 2 4A} GATE OF BIRTH I" € GF BINTH Costy oF tuwe and State ot counter) 3 GO INCASE OF EMERGLACY PLEASE KOTIFY GO) RELATION INP | (C)STRIET AND NOMDEA, CITY ano stare lj rinen LAG oS Pe, LG, . . ‘ a + m~ ye wn os er od Mie Yl Piccola tei e Wh she ra 8 Tar pastcamowtuse [J ves [<] xo uff oy for seach guch colative Allin the blanke helo HM additanal apace i nocomary, complete under Iran 10. MAME PORT CAPYLE ADDPESY INDICATE “YE3" O@ “HO” ANSWER BY PLACING “2” IN PROPER COLUMN 3 ARK YOU A CrTIREA OF OR OO YOU OWE ALLEGIANCE TO THE UNITED Frater a a EN & ARE YOU AX 08 FICIAL OR EMPLOYEE OF ANY SPATE. TERRITORY, COUNTY, GO MUNICIPALITY Fes csonnn af your anerer fe “Yee, deve dotaiia in ftem 18. P. OO WO RECTIVE ANY ANALITY FROM Tht UNITED STATES OF LIS THIC? OF CCL ea GOVE MMT NE URDER ANY Pt lant MENS ACK ON AMY Piet Cat QT CLA COMPLICA TH8 BON MILITARY UA RAVAL GEAYECE? 200.0. 6 epee eee oon df paue anewer 10" Yea’, give ra fiorn IO coanun for sadssarnant, that ta, jae, optional pditdy, o- by reasen of raluntary of opvolantary separation after 3 peace’ service; asrmnune of fofvreament par, aod under what retirement act, and satin, of catsrad frame military or me eerreee @ SINCE YOU FILED APPLICATION RE St TIM ra Torts APPT TET Oba AR YAR! BLES DISTARGED OF FORCED TO RO* LOA, FON MIC Ol OM LATE FACTORY S2SvICE FRO ant POSTIONT Cece eenrne wee ene ante cee e ee nne Brouwer answer la’ Vas", fiver leem 10 the name and address! Sinplus of, date aad foaaus 60 @avh cease { B have YOU BIPM ARALSTED (MOT INCLUD TRAFEIG WR ATICNT RO POC! Wo WERE FINED 629 GR LEAS OF PORIOTTEO CTA RATE RSE OF 1 OR $ASS) GUNCL FOU FLY AD PLICA TEE RE IULTING IM fous Apr ind ett, if gowe anawer ca "Voo'’, feat alf auch casas under fram 10 Grire in each sees’ (4) Phe date, (a) the nature wf she offense ow tmlateon ti) fhe name and bs afoul the sunset (6) §he medeg soupeneand, of arp, o¢ uther shegwrertiott af the cose Weamsented, Powe Ange permis wall be taken x The aupadeting alfiree before when the Prowgring certificate is mate ghall Grtee insane Yor Rie cca bated artim Uhet thee mpemnt ree armakt tar us perfusate @ WH dhe Chek treo g Aad, Bpyarets Cavil Here ® Mawes otal Steg geting and Be te Of Pomtgte te gare emurng 19 mppeent ment, Wag forms eimdd te othe bad be bod ng of adie e, preminm, gt etahey im soa Gem ten Geel ts amg Pad uf Perea doa hartge. cg asrret, ami partmalonty far the Pahavertngs ¢ ar idoatitg af anpointas 24 te the duty of the apgecaoing offem ta Gee 4 ages teyeie ean om) fe Seterimiss begemn? reommesiag d-astd phat | tee areertes t Fhe tacos om whee ashe ant Gee eutesient The Bre~wntoe's Hamed we Bent Beg ete Hay he commng erent BO ths ar-cum at head feed yy edtere fa toument pass bo bee areesasee gear fad mb @ Berle Sead: Bolen, the wgwel are ee ¢h.4 Sean Shot i ts sommes Dit Pee Si geet cr? OH thee Bota aieran Ghevt, Shh Bee Gerd tm Gwe Co memes ae Mem Bbw pte ae OF Geyweay Sane amag be eb Geel age net bho ene beat eer tite ee Tt argent ee er pee ts gasetnened up be pemael tet-ep be agp comers BS bes pore wand Protos, (Olive atreet number, if any) eo NO In 1 b< & OCLS THE UNTER BTATEN GOVERNMENT EMPLOY, IM A CIVILIAN CAPACITY, AMY SITLATIVA OF YOURS (UTHER BY BLOOD OF MARRIAGD WITH Whew you LNT OR BALE UN eo WITHIN "T @ reanes G) Taoraay On hot } BAR DUPARTMUMT OF AGINCY IN WHICH RUATON | ry | SROLE tMFLOTLD Check oni ji aes Bwvrvecasacetsrsenscenecescrecesnsevoneens Biccanneneneeseorrens teacnens onaenevsownss, a nonmecesrtemnvemmenenerenacene | enaaecemnane ae - B caveccaneestvanererersourecerseuacees sane Q, wenenmnee eters cerearerenwewsntanunaemme da 8 Res wire in LUT COLUNN RUMBTRS OF ITEMS $0 Wain OLTARED ASeweR? any ° ; a INSTRUCTIONS TO APPOINTING OFFICER CD Age -1f deSoite ago Umite hove been gut sti chad far the mm $8 sec Pe adoterssmind Dee orgs SBel is w+ eis the age fangs BQO wee? Bat pan hk dedeemmatons we tide, Ae aprender pap tnt be v centhegncot aed {VP CLsewssc - The spgeteting fie ap 10 semcommbie fhe steers ma ole etrowes sigs geese wep ed (}) the Conil Revewe Meee aod 11? mp avr gorel oh & 26 Beeen 6) cvmertituieg om Or rlevtg he Lek peergorme aeet nee eye ctee gave td Ggter est P Geta ta The sherm « af gem. ting combines ® DR im beeed swat Oe Bperacs tas Seaeks see be 4+ tebus Oe) wet I > bead eae hee bere Pomeroy Se iyo ea tify omg whee od thd Oona towne e £ uaa me, C48, Members of Farmer Meetings 8 rd the Cree Berwee &.4 gorse ming Ped Bowers ar Cee Ore Bree by Vere we mms Gu orders 66 9 Pants Ger emg weetee Rook op -cqnarl 0G GWE MeemnPes eae eee bee Lt Sumyart tree Bee ee Ge ee Bae Gree tan <6 gw hk fame ety the the ge ahmre caf Ge gee one e I tn gee te HD Bee cement toe Bertie Cae bt we ae ot permed GE kd te Oa Oe GOe Pre Oe ee Behe nt be Mh at pigisw enters Th mmm bane tt Baum ® perme anna De re Oe a Po ee ee ee BBre Gy gw ye sees edit g od the Liew Ge tne Comamentmmes Op Gre eo @ & ermangmer ser eteny GPHS Be abo 6 tae Deas, ge BENT in 5 ye wep Ss aay
14-00000 FO Ae ee oS tee LE rat salrte i « 4 ~ Fe +N 3-85 OFFICIAL ENTRANCE PERFOHMANCE RATING Dates August 3, 1953 )> Ramos Joveph S, Plecoalse . a Bods August 3, 19°93 ; Under the Federal Bureau of Investigation performance rating plan, every new employee ia given an entrance performance rating which will conetitute hig official rating until. superseded by a subsequent. official rating. ° The official entrance rating for this employee is satisfactory. : Poe ee
14-00000 mete es PM EE Feerby the ha REM be eT eR EN TUM IOL WO bets ope gee Peer ete Mem ean fae, Maat Same 5h 6, rok Fe Loy Fee ED eT A UE a tee 1 Pte ete Me ed BaORANDUM Ris Mie. FOSLPH S. PICCOLO A charneter and fitness investigation including an appropristea loyalty check was conducted concerning this employee and he was found aulteble for amployment with thig Rureau, SRE rea ewan nef Tot Smee ap rege ar
14-00000 U. §& DEPARTACIHT OF JUSTICE Sranpano rune $0 FEDERAL BUREAU OF INVESTIGATION Loceit puayay NO Buctere Be AP Ot FOE pesaciquies WASHINGTON 25. D. C. Feri _ Ne Ae WG Clon ean eww rrare® RwsrIis St, CPOPHe, FRety mere BF sae eat by: NOTIFICATION OF PERSONNEL ACTION Filod byt PB erat nt oak ee tr tine ter t, MAME iea. = Ieee eey Fs seer watt: Pho h FNDSIEG mS AGTE i 2, DAIR UF , tt a ve be te te ae MR. JOSEPH 8. PICCOLO __ (26835 2906 - 8-39-53 Tho te wet fe pee 0; fhe folten wg a.tiee a Fe tog seme smplarments @, GPPECHIVE Vase 2, Chel BERNIE OM QTHTM ATSAL QUTHOtHTE 14 ware i's i GS MATURE OF BALTIC Herne Coemioey TRomINa sued EXCEPTED INDEPINITE APPOINTMENT EOD 8-3-53 |Schedule A Part _6.108(5)_ 1O 4. OA ——e— 7 "Ts, position THE File Clerk rn %, Seavice, armies, as 2 BALFAT. GHAUE : | $2750 per annum fo gecnuiraoane Pics Sesttc C] 8d 0 D. C. | $5, HEADGUAUTLAS ———"} pete f | oreanewcnren | ie ee of ore re L TY pee D. 4 DEPARTMENTAL a VETERAN'S, 3 oneree fier oe — j 1a Pe muniee Chae JEUFICATION ACTION DJ#50-D-53 waar | mwa pore ‘bon. f jeee ou } | =e rene aes Cecilta Shirley Mintole pee /yeassign GS 2 FBI¢52-D-18 gt lavic :t.'si Cee ns im. coreg AEE, 0-23253-; 207 LeGas, Be BOEACE aa ie “Gh appeueaiavion §. 6 &. #61 SAA | RACE; Retin MIT acd Ment are. vith a] i £8. o0ee. ind COMMER Cl paoveu SUatey ee game ho FICA_. | 883853 jem é Lruanee: : . aa — coon meena ; pita, ,orea wal Ae 19E 9-NOS ABCC TRESS Ob OE “pieaciod. #8. i. ey ee teu a aa Petree etary ats . ecettrte ete ty en oot PEMAREB. The provisions of the Universal Mluary Training and Service Act of 1951 havo been complied with. The elassulicanon grade of ths postion is sucject to post-audit and correchan pursuant fo Sechon 1310 ¢ Supplemont. al Approprishon Act, 1952 ~ Pubhe Law 725], app: coved 1-151. This eppointaent te e temporery, indefinite appointment, pur unt te the provisions of g@ Publie Law #73843, approved 9=27<50. tenant aie nett a = ras ee ett Seas Teas C8 OTHE autwe wie shim Ba & qosesemens CRERTEEE EPPeND sote « RbEEDD 1, PERSONNEL FILE
14-00000 Pliage oe savin 6 reese a ee ee FEDERAL BUREAU °F INVESTIGATION ro-1ae ee » 4 TED STATES DEPARTMENT OF JUST, <0 ete 1 green itd BOT ed AP ad TRECTOR: APPLICATION FOR EMPLOYMENT Specie] Agest thaw Treteed? federal Burenu of Investigition . Specgel Sgeet (Accoeataat) United States Department of Justice Lteange ep ber washington, D. C. Tygnet fCherk poatites BIR: . peek ; apphied fer} I hereby mike appliention for arcloyment by the Peteral Burequ race] ioe ° of carver iantione United tates chriment of Justicw in the ie eraser betas ° position indicated by a cheva marke, amd for your une in con Fatory secbaleras niormutl icon. weweer cena asasstnawe nection therowith I sulmit the following HOTICE: Application MUST be typewrittes of clearly pristed. ALL questions MUST be asewered, Jf 8 question is Applications which are gat complete asd legidie will got be considered, aot applicable so state, fe apace provided is sot sefficiest for complate seswera, of yoo wink to fereiss e464) 1io0al iaformation, " gitach “ebeeta of the same sise sa (hie applicatios, sad sander asswers to correspond with guestioaa, 1. wane in PUNE. PLCCQLG.--52 2970 - sagen ennneenn a DODG AN 05 on wnnnnn nnn nnn ane APD AD --.0aencenenanoee 8) List all other names you have used Including nicknames, and malden name of fesale applicanta. ae ee Le. rr Td © pesenecnnevna J OBg-PLGy Le ncnccnccnnacansacnncsnwenseremncunmeenmnn in : Present Residence address: Heke WIth steFt Laudordale, Fla 3163 rezabotetopnone,..22284 Rais 2. Present Residence Address: Hehe ee ee a twang ut cecunadenescn Street eaey address to which you with mail or telegr ans sent: 4636 WeEs PO th oteFtshantersgle FIA. 00%. nano... Street City Zo e tiate 0 ne RS welght, 613] 4. woight 129. 6. fate of Birth. B------ Dope ----L93 Fe Place of sirteYonkara..... fy Te---. . ‘ . . ’ are you 3 U,$. cltizent_yag? if not torn in U.S. dive date of entry mane 4) wiace of entry, NONG. Looe. , ra wi SAME Ae Nw anos Setter sctntAEE MO Mae at nt cAmurtgttine-Antine. ie Nata aterm ne estan Be 10. are you naturalized? po i. O8te pong... iv: Place, NON@......-- 13+ fourt POOR on nee nunece ee Describe any physical defects of ditabilsties you have, Including extent of defective vision, if any, with and . 1a. without glesses (Snellen) ard deficiencies in color vision and hearing. DODB. .nnncswececrnnseuesamenascenon wows . ’ + $5 Ef appointed ac a Special agent, are you willing and yrepared to accept assigrmert 27 transfer to any part of [ . the united States of its territorial pustessions, for either temporary of permarear?t Curation? HA, a} ff ape - 7s pointed to other positions, will you accept assignment anywhere in the United Jeates or ite fe parla Poe : . Sessions: Ne 2 -..- OF If not, specify wterea you wil} accept assignment: Pashicgton WoO er : if appointed a3 & Special agent, of to other positions for assignment in washington, 9.0%. are you willlag to praceed to ee Lote 0.0. al your Oen expente, upan 30 days osal are ees a} if ext, *¥ 4 ber minimus notice you will eccept? Bm mm 17. Mat ia the lowest entrance salary you will accept? & af oy 18. Afe you now enployed by an agency of tte. Federal Government? ye. a) Mave yous teen so employed within the past 90 days? no. 0) Bane Of Agen y FONG nwt meneemnern- ©) LOCOLION, | DODO oe cwanecdaecnmmnauee a) Date, pORS $9. Mave you ever before appiled for exployment with the federal Bureau of investi gat io? _ BO b) where did you apply? DONG Wc wmmewrwmwenserascrrecowns eaznerenes ewes seen ee wogveccgeeree: 20. COUCATION yet ATIC) ° Bast OF Z00O04 LOCAliog FROM 70 3° OP omas HECE IED : sere perspec rena shheh pip enh Dae 2 ae Ak Niel Yen Ste Anthony's Central Catholic wIGH SCROOL COLLEGE “2 abua ld 30 O04 Bone! Rene . 5 fe amie sane “ammeter tetmtcorges! meee fib birtecne « ener bar yo—atrerecr bish bmi | 5 BQ... 9) fe ehat state ke, BD wo ase e ek TOR ema wees 28s coe B panes eammomennammand "By OT es 3 ide re ce 1B a ater ng . BE re meat ebater! | Beam . | nr oye * agelisagte fos Rese Powitsnee wees F196: & samplete FaraeG #8 BBOLE beeseseal Retbilre cite age, 67 90R8S pereeea:’ O28 & GORE OG Seertigtisa of SRere Ssperseg-e be 88a Bparshis weg fer Obs28 afeirserine tm berng made, Seperers 9° Ot eremegtd Geaceissag ser eesery Soeisficetiage F.6 these Gaoitiaes EF) be Fase. eses age F64q08% mt ae ere ae wear ae OS SCGe4 auf ous ewes a ¥
14-00000 pater bts) 28 gee rene om: wage 4h b teinie ce enn the 6 ITI Cine vet Lorna ie wae wel bce eet YEO be dios eat tues Sap pe wees nonin © a * er Toil. tr 24. tf you have ever used ‘any names otter than your true name, during atat period, and unter what circum Py Stances, were these names used? monG. 2 eneen eee e ce ce enebewecernenenren smanacceraccsscensenes sae eeeee é ae - none -, Hone nons 28, Mave you ever tegally changed your name MO 25, Sate: BONE a) Place BON! OS nn ennccce 0) Court eee es 26. where do you consider your legal residence?, snderdale a Brongn. ..........F eenwnenennnee vw 4 Ft be ? . Que F State Pe EMPLOYMENT: (ifst chronologically ALL employments, iacluding suwner and Pare Lee NS a TT oe arta es } ANNUAL POSITION AND PENA Calg, MES \ MAME AND ADDRESS OF CMPLOYER FROM f SALAaty aa oF BBR a y Og ach Pee. 1949 {present $500 teaching J.Piccols still akiress enployed sateen een etrtinereT b) sane ~ ‘ Address c) Name ‘tte tetemrrceecutvasountstonansavensennennpneninnnmenne address a) Rane address @) Kame address Ff : ‘ f) Ware. address pe 9) ame ras address woof . . f . : Lh) Name . ve : t f 7 t . address. : : . 78. MILL TARY RECORD: . : - a) Have you ever served In the Armed Forces of the United Statest.pg. 5) Bach _ wong o_o ener eee ween ‘ eee i é e) Oates of Service | ONG oo www newer nen a) Type of Discharge BQBE ow eneneneececaceenewoves . . b. "te e) Serial funder a. en® f} Basis for Oischarge _ none... ween cewen naan ceteeen ere neneenes 9) Are you registered for Selective servicer “nga. 4) loca’ Goard #o. none. i) Clty. mene... 8! J) 00 you claim veteran's Preference? no. &) Basis for Chaim. OMG. en eee eee ennemrene 29 Have you aver served In the armed forces of 4 foreign country?_ mo ° 4) Dates_ none... ae ee eee enen nen amen nae bd) Country. NODS we c) branch, RODS... 9) Circumstances, BONO eee renee nenennne 90. Wave you ever visited or resided in any foreign country (except for travel in the armed forces of the u. $8.) 7,8. COUNTRIES ViSiTEO FROM ¥o Scasom FoR Weaver $ Ge pmereemtensiltaeca $te List any close rotatives, inctuding in-laws, now residing outside the United states {except those in the ¢ aragd forces of the u. 3.) : -, citizen Ce meat pant agiateos act ater COuBTsy gu fe oo 49 Far ast e saytte en sinner oe argome @ ‘ @ ne & ' 1B
14-09000 . an | . 7 eat 320 ode 38. 336 3b. ere cm say as ss ss nnsnnde Se Smee ee ean Geto sean an een ns eanem-ante tant 37. 380 BGs B0e be a2 Write "TES® of "NO” fa the appropriate columa. If the aasvers to any of the following qeeations are "TES" pow MUST give fall deteile, using aiditional sheeta if secessary, to correspoed with questions, nave you had any serious illnesses or operations in the pest § yeare? oo mmnmrecenannmenamacne aod sunberiag aasnwers 8) If so, describe and give Oats. oo ecw ewan ee nerenenenses pesenscwennseweweueweneeenneweceenesnn b) were you hospital ed? awerecenececceecaccennmasecenareeencacecsessuennmeeneuecnneensnnse wospital LOCO OR een me Bates: emma nem nm amet n a same ae @ anvarennenecenseeenn ¢) Ncw many days‘ work have you lost in the past 6 years due to i lnese: 20 cseecceemereencoreeeten d} 00 you have any Service Gisalilily? ou weemeneeenesececocrosasamme on emeenewnnomenecnmee enum mnmee e} Percentage: oe F) Babure OF GISAEDT ICY? oon a mee mencnwssnermensnanermnsmmn arenas amnendminun wunsnaneinston i © Gt 3c you have any sources of snacome other than your sa) ery? . oo. eeencneenrececeerenrerenceenne nena b} Total amount of such Income $_ oo mmawene 8) what are ee Was your credit record ever been considered yunaatisfactory, or have you ever been refused credit?_ a) 0f so, give dates, places, names of creditors and circumstances, Are you now Indebted to anyone?._ o_o peencwencensnenmenensceme conecme me meee .wme aemmnraemanmes marae dee toe _&) Hames sss Address te be arount . cena ent ND AD AO ED EE ED DO GD 2 ES ED EE ES SEY GO EE A SED APD SESERGD BD GD FE TAD SD EMA DOAN EO tc At tN BO nH HO HN Ct Ae OLE RR AD EO EM A ED a GOD AAA A SH OO OH PD EA REY OS OO SO a ND BA A ED SOLO ENN EEF A AD EP LOMO PE LMS ASSAM CET SE 16 2 . e . BO Ra HO LY ee Seer ee OE NAD HE PD SEO A A MS HO DH OB AS OS EDD a SF AERP SGD A a PO EO OED AA MED SOAP AEE AOD AP A Ae OD Have you ever been arrested (include traffic violations, but not parking tickets)?._... enewe “DATE , PLACE - CHARGE O1SFOEI TION GRTAILS Mev ant oo 20 00 982.8,1553 | Ft Leuderdele.....epeeding fined. 318,00. ce eet eR AER CO-ED GPa Ge A SD EET OD 5 SE GH HE SD SE SD OE SFE SD A OEY ESE SO 6D EAS EAD Ao SD LG OD ED EP AEE CP CP SOAP LS ELEY SPENT ENY SORTED Ht en RR 20 See ah AP ae SO SN A PPM SEADOO SEP ED SY OP OO EE Has any member of your Immediate family or close relative’ (Inctuding in-laws) ever teen arrested for other than traffic violet lone eu. mewamewarcnmaseumaerarseurerseue aun see meee w arene in we mre eee BATE PLACE CHARGE 0956051 TiOw SAME RELATION - ecetertteemeetne San <6 Stet A We Senn ae ni sb na af nena ee hee ah ts eet et emia Ene eh SS OO AN AEE SED TERD SPE BAINES SPARES SEEDED EDD REET NE DED ED ED [Sse pte tee Heat! ERD‘ RDA hn i PS A a te PE EN RNR ee a AOR 6 AS ED GP IMP SENDS Ht EAE ADO EY EY SEAS NDE ETSI ISD SD SP EAD OC COM ee re EM Pt te ne te were you ever dismissed from @ school, or was any disciplinary action, Iectuding scholastic probation, - ever taken against you, during your scholastic career? oo uae. cecar ee an eran eevee SCHOO): eee eee cecenn, OMSt LL. Type of action... have you eva been dismissed or asked to resign from any employeent or position you nave meld? Cates aman ACSSONE: eeemenan sp ae em area SOG OH Employer's name: oe emneenne Have you evar been a defendant [na court action? eee (1 80, give date, place, court, names of parties involved, nature of action, and final disposition) wo Attached sheet ee eeereeecerencoee Are you qoe, or have you ever been, a, member of the Communist Partr U.$.&. oF any Communist organization ne Ee ate: are you now, oF have you ever been, a menber of 4 Fascist OF GAN LOS ORE ee etme nine bone oom are you fou, OF have you ver Lean, & “ender of any organization, sheet iation, moverert, qroup, oF combination cf persons which advecates the overthroa of gur constitutional form of qoearrrert, or whlen has adopted @ poticy of advocating oF approving the commission of acts of force sr vicletce to deny other persons thele rights under the Constitution cf tre united States, or of seening to alter the form af government of thy united States by unccnstifutional means? eee weonece eae aw: VES #O nek t tant me ssdwiteme ene a ee ME meets ate et ge Mert om ye ” f BE et ang TEE me MET BR MN Bape ey em as pee rN egpeege ome mods dott eee ra + ia ee en a ee Ne io
14-00000 bet tamnn et * agemneenirsypamme mene * woe ing “ee ure: 7 ere mm at, Brak tee optus vad. SEFEWERCES vive three personal references frot relatives, former wrptoyers, fe’ise aesloyres os ccPool tercners) ahd Bre Fesve eoasiote adults of recutatte standing in their communities, Sa* as MousePotders, property  waners, susiness oF professional an ar agen including your femily physicone if you Raye cone, eho nave envan you avlii during the Past S pest i So p S pears, ho. OF YEARS nant RESIDENLE ADPRESY BLSUNESS Meta ACCIALNTED [TRO karbor Tatas tema 2 oste [russ rte me Si sat — ears ws & spats aSe List the wanes of any of your relatives eho are fow troat——¢ by the Feveral Government WANE 5 RELATION AGENCY 8° abtin EMPLOYED LOCATION ee LESt mames im FULL of any friends or acquaintances who are now emplcwed in the Federal Qureau of tnvestle gation, Give the name of the city in which they are working, or were agrhing when you last neard frum them, wae ie FULL . LENGTH OF ACQUAINTANC FROM 10 STATE in © = sce ce g Le || RUREE ie : e . 4, tes eee ts o a pete AEM OO PRE ARAN ee Le a ot setae ® are stomata tye miter + “ye ri eR OT tee
74-90000 . : i . i ° . Yes yo ty ay. & we Are you single, mirrind, widowed, separated or divorced? __ Single. ....ncnnnnncas cececcancenanenannecomsensnunme: a) if divorced, give date of divorce, mon? _.. Place MONG... eens COUTL DONO. wenn enennnanceenune: 99, MAiden name Gf wife of hustand’s full ne: FONG. . ccccncccuan enna enasaneeneenet ned enpe mee senmenneaneesneesenmeun * 4) Occupation. mone ou Eeployer’s name and address: | MOMB. .cncuccucecnnnwnenncetedemnaensanonanageueceaues B) wife's or rustand’s present address, MOG. oo wweennnaceccecacncomenewenen cane nn cewe nanan enn enn nee ene sins mune ©) is Re or she a U.S. citiler*pang | @  ¢) Birthplace: mon@............. 5) Date of Birth, MONG... nnn wewne f} Oste of naturalization nom@......-... 9) Place, MONA. ..nnceneecceneneaee ") COUT! pape oo. necancnens oon. S00 BAMES OF CHILORER a \e. |: na eeccncunas caceneanenconses weewn cece ne AGE weace teeeenunene: IS A 9 END 5 FBP A AD SPD HE DEE ES LD GD GD CD ED DD OAD OD YD ED PSM HD AD DO A OS HO A ES SD OH A LS wD HD GP OE MD ODED Ds $ on aD EO om EDAD ED MD.aD OH am Ho we As MOTE: If you have beer married more than once, give the above information concerning each former husband or wife. fven though a relative is deceased, give al? information requested, and indicate last residence and year of death, Include stepehrothers and sisters, and if you or your wife or husband have step-parents, beqi} . i guardians, or others who have raised you instead of your parents the requested information should be furnished ' _ i comerning them as weit as your real parents; AELATIVES OATE & PLACE OF “ : ; PLACE OF : a aM ADDGESS BIRTH OCCUPATIGCN MATUR ALT ATION : ¢ ra * c tebe a 3} a é O fl 5.83.93 n . . 5 Sie MOTHER mn Amneae F S oelew. Pad 20tn S ae leonkers uv [ncusced to.__| sone ‘ L Boe BAGTHERS ARD 315tLYS Pittsfield  tadent | . Ay Preo he, 40 atabite HERES : pfaidex wiets ” $ : Swe Q Mass Sg figen avarars ; (nG | ama | atelst sa . ‘ po aleret: aFetets ee ean nenns < =: ‘s) ‘. 5 ‘¢ ry > = 5 BAT WIVES CR HOTEARTS GF ERSTAERS OW SISTERS > Sed creer pnerpirmge ee e er  etemne sey «) 5s> Fats Ro | td ae aterees efevets: “et She MOTHER i n-Lae il 67, HHOTMERS AND SESTEOS GF IWGum mySeant O@ wir a feral: a aveuak: : i i ' . ¢} ' a) . i none a $8. Qletas {arsticate relation - see nate above} 4 RCTS * 3 + t}
\ £8, Lest all clubs, societies or organizations.of which you are a marder : 8). davohois -Cled tan. Club ....--...--c-cceceneesnecenncnecncecsccennunnsmmnses _tocationF, LaudendaNe....-.. i Donan eeenneenannencaas ananaenenantenscecnsencanssemerenenenreenensnracnenaenenn en bOCAtiOM ~-. “} AOCBE LOM oo resmminn mona mnene wocue Dune sean enneennencerennnnansannncentccaaenasseaealteenenenneanes nae naueae mau mn wel OCA1OR, nnnnunmeccamneneeeoss 60. Foreign Vangus under stand tead write indicate your proficlency in each phase of each language as “stight® *good® "Cluent*® 61, Uist any special ablil¢ies you have, of avocations at which you are proficient with degree of profictency. + NO APPOINTIVE CONSIDERATION WILL BE AFFORDED ANY AP- . PLICANT UNLESS SUCH A PHOTUGRAME TS PURNISHED. psa woeceneenne oe cetneceneneneeeecnceneeeneneneenmnnnnnnent q | Attach. photograph here Attach an.unmounted tull face photograph of yourself, : i securely with paste, . not larger than 2 3/4 x 2h inches.. Print your nane : ot tape or staples plainly on the back of the photograph. The photograph : o. whe Pet ; must have been taken not more than 3 months prior to the ! i date of this application. i 5 ‘| l understand that all appointments are probationary for a period of one year, during which time the employee must demonstrate his Citness for continued eaploynent by the Federal Bureau of Investigation. [ also understand that any appointment tendered me #ill be contingent upon the results of a coaplete character ani fitness investigation, and [ am aware that willfully withholding information 1 or making false statements on this application will be the basis fur dississal fron i the service. 1 agree to these conditions, and I hereby certify that all statements 7 raade by ae on this application are true ami complete, to the best of ay knowledge, Respectfully, re . . . ® ) a ; 2 : ny ao Fa . vont wn fae www he SS k Lanen Sewn ales vee on wat ew weve es oa Sea Cae he le mean we ene oe y bmagare of Ue applicant as usually written) ca $ & | Hi ° 4 + E ia > og q & & -@- sper get em eae ance ae ‘ #
14-00000 . ~ ee See i a ae i |. ( “a, ’ ° ; 3 e & r= ~4 . Be 8 y - ros ‘ s te s e e 8 3 @ ao eb . a) 3 a & a e& a #8 ad | 6 3 z e 2 & e e a ay $s: nn: an.) 37 : e g . = cep eee nae een tater we ener ee oe ee gover. hog .