14-00000 i" Be acum ESL ET WORK EXE RIENCE (CONT'D, ) vi ; 2. Previous Employment: Deseribe your previous work experience in sufficient detail to permit full recognition of your. qualific: itions, Include milvary work expesience.. Listlast position first. oo... . oo From‘: To°* Tot,mo's ~ Exact Title of your position Classification Grade(if in. Federal Lo _— , Description.gf Duliese 7 hes Fn waar oe i Service)” Salary -Description. of. Dutics: Dn pete tt _ — “Number and Class of Employees Supervised; 700 S eG Employer “~""* ; . _ Kind of Business or Organization : ° : fi.e., paper. Products, mfr, public j utility). - 9. ap. nm, | Duty Station if overseas: ~ From To "Tot. mo's Exact Title of your position Classification Grade(if in. Federal. , Service) Salary “0h Number and Class. ipl Employees Supervised: Employer Kind of Business or organization (i,e., Paper Aroducts 1 mnfr, public utilit Desgription of Duties: yy ~ Duty Station if overseas: From”. -" To “Tor, mo's* Exact Title of your position Classificption Grade(if inFeaeea | Service) __Salary | . ; Number and Cl Clags SF Empleynes e ‘ Supervised:. Employer 1M Kind of Business or organization (i.e., PSE PORN AN public utility)». ., 3, ~ .. | Duty Station if overseas: te ; From’ - To ' Tot.mo's- __.| Eegact Title pf your position Clasailigatiny oradeit in: Federal, Service) ) Salary Number and Cl. Cla9s 9) Employe¢s Supervised: Employer Kind of Business or organization (i.e., PARSE PEPE. mir, public j Duty Station if overseas: atility) . From 7" To “~_Tot.mo's kxact Title ot | your position iia Classification Grade. ip Fedyral tht bi daec cam: Service) Salary ’ Number ‘and Class. spf Employees Supervised: Employer” Kind of Business of organization (i.e., paper Broducts mir, public epee utility) Outy Station if overneany, SECRET —ege
a — - Be SEC. HU. you may have been employed, O1 U.S. Secret Service wr Civil Police SECRET WORK EXPERIENCE (CONT'D) | Special Work Experience: -Check-any-of the following organizations: ‘by which - 24 Air Force A-2 25 Foreign_Economice_Admin,_. FEE RAR the ALR atl ees he we te a 03 Military Police 04 U.S. Border Patrol 05 U.S. Narcotics Squad 06.- FBI 07 Criminal Investigation Div. 21 Office of Naval Intelligence 22 Office of War Inforrnation 23 Army G-2 20 Office of Strategic Services SEC. ll, FOREIGN LANGUAGES List below the forcign languages in which you have some competence. Check ( X) your competence and how acquired. - include uncommon modern languages. LANGUAGE * if you have checked ‘Fluent’ for a languaye that has Significant ditferen and written form (e.g., Arabic), explain your competence herein vespecialined Language Competence: invalyvjng vocabularies and terminology in the scientific, List the lamyuace with the type of speciality. cations, and military fields. ' : ceemrmnmonetes on 2 Counter Intelligence Corps a7? Immigration & Naturalization 28 Strateyic Services Unit 2? Foreiyn Service, State Dept. 30. Central Intelligence Group 3: Armed Forces Security Agency 32 Coordinator of Information 33 Office of Facts & Figures an “34 Board of Economic Warfare - BB Federal Communications Comm. Equivalent to - Be sure to COMPETENCE .. HOW. ACQUIRED Tsly w 2 beg | Be & glo |g #le raed x oe Safe het cd & a(t 613 2 oe got = we nuie s a - wid z/ familie Describe ability to do speciahecd language wor telecommuni- engineering,
14-00000 (9 SECHET gg - SEC, IV. AREA KNOWLEDGE ee ‘List below-any forcign countries of regions of which you have knowledge ce, travel or study. Study can mean either” 7 7 gained as a result of residen a forcign country resulting {rom an intelligence, academic study, or study of _military, commercial of professional work assipninent, Dates of i | “Minne rin Whreh-Knowledye co _. _ Country or Region | Residence, Study, 2. specialized Anowicdge of Area List specialized knowledge of foreign country such as knowledge of terrain, coasts and harbors, utilities, railroads, industries, political parties, ete., ? gained as a result of study or work assignment. Include name of employer or organization. TYPING AND STENOGRAPHIC SKILLS (PRESENT UTILIZATION) WPM (Approximate Prefer Agssiynment Using Skill Ottener SEC, V. Per Cent of kill Time Used {Not Used typing tT , shorthand System: |. LICENSES, HOBBIES, SPECIAL QUALIFICATIONS 2. Tiobbies: List any hobbies such as Sailing, skiing, writing, oF other special qualifications, SEC, Vi. l. Licenses: List any licenses oF certie fication such as teachers, pilot, marine, SEC. VI. PROFESSIONAL AND ACADEMIC HONORS List any protessional or acawcimnts Besectatians ur honorary societies th ow ich you hold membership. ; . . eerste ronan TEE MA AAS LONE EO TC A a
14-00000 SEC. Vil. PUBLICATIONS Loe List below the type of writing non-fiction: professional Of scientific articles, |_| lerest » etc; fiction: novels, short storics, atc. ) general interest subjects, current events of any published materials of which you were author or co-author, eal 1G i. SEC. -XUI.-woRK ASSIGNMENT -_ SEC. IX, INVENTIONS Describe any devices you have invented as to type of work for which intended SEC, X, . TESTS (Within present Organization) | Describe below the {ype of tests which you have taken, Type ot Test . SEC. XI.- PHYSICAL HANDICAPS . List any physical handicaps you may have, SEC, XU. OVERSEAS ASSIGNMENT Are you willing to accept periodic tour of dut overseas ? . : io @}) 4 year Tour. tod Not interesten . | , © year Tour - a In view of your total experience and education, for what assignment do ou think you are best qualified? ; © SECRET@
14-00000 og SECREB | - - “Present “iipalt States Have you reyiste red under the Selective Service Act Or 19487? — Il yea, indicate your present draft classification Yad i 2. Present lleserve or National Guard Status—- -a eee a _ Do you now have Reserve or National Guard Status . If yea, complete the following. 1. National Guard | 2. Air National Guard { 3. “. Active Reserve Status (member of oryanized unit) _ j 4,__Inac tive Reserve Status . 3 t Pere rerntneraaeuecereannemmnnnmnmenamasteal Service Grade ‘Serial Number Reserve Unit with which.currently aftilizted ; ; et ae AM (uA 2) Service Mobilization Assignment, if any . Location of Service Records, if known Abow rb evab Mc 74 Feel no ee | orc or Oo oe SEC, XV, TRAINING ate t Catses List the tralning courses or subjects you have taken in this. organization. SEC, XVI, REMARKS Use this space to indicate any other qualifications you may have which you do not describe above, 4 eae oe - SR Ta em f . . . Bhame, fe & pat i 3 . Rema? Busca ‘wer! 2 mame