SECRET Security Information SEC. Uf. WORK EXPERLENCE (COsiT'D,) ec. Other than CIA: (Describe work experience for the last 15 years in sufficient detail to permit specific coding of your qualifications. List last position first.) §. Ba fop. ys exact Fitle of your position carn S Include military work experience, Fromyay bb T° Oct 4g Tot. mo! 5 Classificatron Grade(if in Federal Service) SP-7 Salary.g302] 09 Description of Duties: Timber disease control, Number and Class of Em Plays Ste fi ent ing ah fir ¢. pomn admin lutrabion ate Supervised: 100-La! ei Llad “Posey 69 | ds. @ Employer BA om mired we Kind of Business or organization (ite., paper products mfr, public j utility) Forestry - : | Duty Station if overseas: From ‘ 6 FOG Tot. mo's; Enact Title of your position Camp Supt. Classification Fare in Federal Service)cpc 1 Salary $2691,,96 ° | Deocription of Duties: ,,... eduction pb Number and Class of Employees ; forest £3 ; i Supervised: 35 laborers Employer @ Baap oo + ap Kind of Business or organization {i.e., paper products mfr, public utility) forestery Outy Station if overseas: From To. Tot.mo's + | Exact Title of your position:,. Classitication Grade (if in Federal Service) Salary}1,10.per hr Number and Class of Employees” ‘Supervised: EmployerkeCloud Biver Lor, Co Kind of Business or organization (i.e., paper products mfr, public utility) Fromjune LF ck ia! Tot. mo's 4 | exact Title of your position Laharar. Description of Duties: Brakeman on Deisel loco Gury Station if overseas: Classification Gradefif in Federal Service) Salary » Feber, Description of Duties: Yiorking with horses, catt le, Number and Class of Employees ; Supervised: none Employe @rown Shasta Ranch, | Kind of Business or oryanization (i.e., paper products mfr, public utility) . a at ' Frompy 4g Fo 5 ybot.moa's + | Classification Grade(if in Federal Service) Salary$90 per br Number and Class of Emptoyees pass mo irey arfi Cron3s. _| Duty Station if overseas: Exact Title of your position Labo: Supervised: Employer perpond River Lhe, Co i] Kind of Business or organization {i.e., paper products mfr, public utility) Lumber . wiv Sta 3 yerneas: : ; . aati Security Information ~-
14-00000 é ee TO! Mowmsbor. yoi3. Pobal Venths 30 “Loe Total sonths 7. Vervice)oa= falarye--.75 per hr nervisadee-. Uone tition---3rakeman Tr, averwn. cn ad “pond May 18h Tel Cet 1Loho Total Months “ ae ele ayaa —eaenpeniteiaananied Clan ae > Cif in ateral Terviies) Unk Salary cl’'.'") ner Fo, “usher and Glass of Saployees Supervised 10-20 laborers —_ At oe ast A A op ane Poa mR TEE wont Suainess PLtlo of we Daseririion of Fires, enforce =o ene Suwoy sbascon it a Total months a Sear Carvice) SAVORS 5 cor hr. ~ rember and elaas of exployees supervised None ete ere nan atte eon Se ainiaiseeneneemnemmemmetentaetamneteteeimaas eee ee ee 4.1939 Total Vonths eral “ervies) Lhd Salary 2176 Mune amd class of omplovees supervisnd loyer fry] of business act title of your nas weseription of your duts res 3 entorce=: sank of Ey station if overseas
Prez Lh. gan ox Lee Total Months | Men “orvica) alary f O.5°5 per a teria (: ars moor and class of vaplonses suneryised Lone ~ a hh be 2 a ae nt eno tite Page cbyysgs nioyer «-, ; lie Hind of Sunt Exact Title of your posable Meseription e2 your duties oe ences plemcn ona deine loconetirs men eee mi cae see eR a hand ener tteB 0 +e oterecanasttate etter ED ne sree ee ne ee From 1 (ct 1938 7 To 1 Jan 1929 Potal Months 3 Unewployed Total. Mont Prom atew 452% Toy fat 147i Cay Nb he ainda, Clash. urade (ULE in Federal Térviee) and slass of Smployens supervised vone tb Table o Nescrintion of “youb dutdos atations, Shation 4f overseas Prom Frb 1925 if? nee Ba Class, Siroriel ‘Hurther and clas es ro a “Suby station if overscan,
. SECRET es: Security Infarmatieon ea SFC LU WORM EXDPIORIENCK. (CONT'D) 3. Special Work Experience: Check any of the following organizations by which you may have been employed. ; ol U.S. Secret Service 7 e4 Air Force A-2 ony Civil Police (ronest Service) 25 Forvign Economic Admin, 03 Military Police 26 ¥ Counter Intelligence Corps Os U.S. Border Patrol 27 bumigration & Naturalization 05. U.S. Narcotics Squad 28 Strategic Services Unit | 06. FBI - . 29” Forcign Service, State Dept. 07 Criminal Investigation: Div. 30. Central Intelligence Group 21 Office of Naval Intelligence 31” Armed Forces Security Agency | 22. Office of War Informatio 32. Caordinator of Information’ 23. Army G-2 - 33. Office of Facts & Figures 20 Office of Strategic Services 34. Board of Economic Warfare : 5 Federal Communications Comm, SEC, II, FOREIGN LANGUAGES _— List below the foreign language's in which you have seme competence. Be sure to include uncommon modern languages. Check ( X) your competence and how acquired. a COMPETENCE HOW ACQUIRED ey oe S 5. a ies a “a ba ro] re #15 2 Pea) eed A ol? pe So aj2 be oO o ¥o pee . Te Sigel wy v LANGUAGE Mia cle y 2/34 q i rom Mot . > Sle -s]3 3 OLS o> ‘qoade bd ra gs, dojS no a ais 2 a ai— oO ¥ a2 2 * If you have checked ‘Fluent’ for a language that has significant ditference in spoken and written form (e.g., Arabic), explain your competence herein *eSpecialized Language Competence: Describe ability to do specialized lanyuaye work involving vocabularies and terminology in the scientific, engincering, telecammuni- cations, and military fields. List the language with the type of speciality. SECRET Security Information
14-00000 SECRET Security Information SEC, IV. AREA KNOWLEDGE ; 1. List below any foreign countries or repions of which you have knowledge gained ag A result of residence, travel or study, Study can mean either acadernic study, or study of a forciyn country resulting from an intelligence, military, commercial or professional work assignment.” - ; Dates of . Manner in Which Knowledpe Country or Region | Residence, Study | . (check (X) one} Etc. ; ; 2. Specialized Knowledge of Area List speculized knowledge of forcign country such as knowledge of terrain, ‘coasts and harbors, utilities, railroads, industries, political parties, ete., gained a8 a result of study or work assignment. Include name of employer or orpanization, ; £20. ¥. TYPING AND STENOGKAPHIC SKILLS (PRESENT UTILIZATION) Per Cent of. WPM (Approxiniate Prefer Assigmnent shill - |-‘Time Used | Not Used Proficiency) Using Skill Oltener : Typing pa, Fe , 1, Yous 2, No Shorthand 2. ; 1, Yes e. No Manual 2. 3. snarthand Syston: Machine opecdwriting. SEC. Vl, LICENSES, HOBBIES, SPECIAL QUALIFICATIONS {. Licenses: List any licenses or certio é. Hobbies: List any hobbies such fication such as teachers, pilot, marine, as sailinu, skiing, writing, or etc. other special qualificatians; ne ree aor enter serene Ho pag suicueins ech ery hes ng a CLarny god weyre ; i SEC. Vil. PROFESSIONAL AND ACADEMIC HONORS  4i5t any professional or academic assz0cialions oF honorary socicties in which you hold rnembership, Wriegcee® pow . a. SECRET . 3 Security Information weap at
SECRET Security Information ot SEC. VINE PUBLICATIONS ee! . List below the type of writing (non-fiction: professional or scientific articles, j general interest subjects, current events, etc, liction: novels, short stories,ete. ) — of any published materials of which you were author or co- eauthor. NDAD Dien Leck ihe Counter Intellivence. Cosp ais Ghservation and Descrirtion dence SEC. IX. INVENTIONS Describe any devices you have invented as to type of work for which intended and whether patented, Patented” { SEC, X. CIA TESTS Describe below the type of tests , Date Taken i Movs ; £ SEC, XI.) PHYSICAL HANDICAPS List any physical handicaps you may have. SEC, XH. OVERSEAS ASSIGNMENT Are you willing. to accept periodic tour of duty overseas ? aoyeur Tour y 3) Not interested 2year Tour! SEC, XL. WORK K ASSIGNMENT In view of your futal experience and education, for what assignment in CLA ‘do you think you are best qualitied ? | ——treratinnas ot instructions le Sphui tiene Cap tiie ileal td di - Jus i . - a et at iu z li lh | | : | | a SECRET Security Information