“14-00000 - , . DECLARATION OF APPOINTEE 242 Delaware Ave. S.W. • This form, ft required, is to be coriploted before entrance on duty. Every corotion must be qurwered Aos tales siotement la this deSarotien will bo grounds hoe cascelation of application er dismissal offee app”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer nil questions. Any false statement in this declaration will be grounds for cancellation of application or dismissal after appointment. Impersonation is A criminal offense and will ”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer all questions. Admitted unfavorable information about such matters as arrests or discharges will be considered together with the favorable information in your record in determining”
“-5 .9 9 ; WEE e **R % S A L u iS v 8 l SECRET (when pitted gey ». PHYSICAL DELLINC PLACE (Peroonbnt Ploco of e. •. ofile PLACE • QUEstTo (Requreted Poswohent Pioco of wnfeso addeevs in iten • la approved ja Biew-therbo) Rebidonco.fdifteront from itco$,: .FULL ADpoISs. .”
“14-00000 ar. DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer nil questions. Any false statement in this declaration will be grounds for cancellation of application or dismissal after appointment. Impersonation in a criminal offense and w”
“14-00000 DECLARATION OF APPOINTEE I This form is to be completed before entrance on duty. Answer all questions. Any false statement in this declaration will be grounds for cancellation of application or dismissal ater appointment. Impersonation is a criminal offense and will”
“14-00000 SECRET (+Neh Filter Ie) 9. PHYSICAL Defllivn PLACE (rer-anent Place of Keestence € GtnF> Piste •tCe5760 I Requested Per ent Finco of Kontesa address in stee s 19 approved in lieu thereof) Futt ADDRESS Rensdongo ol different f-ox iteo 3) FULL AD:133 8151 LARK”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Question 3 i to be answered in all cases, otherwise answer only those questions which require an answer different from that given to the corresponding questions on your application form. ”
“14-00000 . :, DECLARATION OF APPOINTEE . - - This form is to be completed before entrance ou duty. Answer all questions. Admitted unfavorable inform aticn a Lout such matters as arre sts or discharges wil I be considered fogether with the favorablc information in your record”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer nil questions. Any false statement in this declaration will be grounds for cancellation of application or dismissal after appointment. Impersonation is a criminal offense and will ”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer nil questions. Admitted unfavorable information about such matters as arrests or discharges will be considered together with the favorable information in your record in determining”
“Military 27/12/74.08760 Service. L. Scottula SETA sure or Siployee Date Signed Address (Street, City, Suite, 012 Code) 4314 BIRCHLAKE CT. ALEXANDRIA, VA. 22309 VINT 7 Overt 7 ivers 2 la 9 2 1 1 I! 8 9, a ) is g i $ 7 8 (”
“14-00000 DECLARATION OF APPOINTEE This form is to be compacted before entrance on duty. Answer all questions. A fmitted unfavorable information .. about such matters as arrests or discharges will be considered together with the favorable information in your record in determ”
“14-00000 ‘** 03”-1* 9-1-48 Futejy #5-312 APPLICATION 10 CEFANIMERT " PLOYMENT IK THE FOREIGN SERVICE OF THE UNITED STATES ATE (0) Arrnov BUD- 1 enav No. fr.tor-.f :BE3 PRusuaBY 38, 1998 THIS SPACE ro> OFFICE USE ONLY (ASTRUCTIONS—Asswers to all quentione mest ba typ”
“Willett 30By cily Street on MUST office (including postal tone) and state option pafren GRADE 1Nil natinG Albany _________ 7. UUL UR vofthu nus"l (State) Bi OFatrNON .paina Peadar 3 POINTS % atowts New York 14-2101_ 3-6218 6 Oct.9,1918 • cun of mint (month, day, year) ”
“DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer all questions. Any false statement in this declaration will be grounds for cancellation of application or dismissal after appointment. Impersonation is a criminal offense and will be prosecut”
“1 4-00000 DECLARATION OF APPOINTEE 6 tJax This form is to be completed before entrance on duty. Answer nil questions. Any false st. vent in this declaration will lie grounds for cancellation of application or dismissal after appointment. Impe cation is a criminal offense and”
“14:00300 3 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer all questions. Any false statement in this declaration will be grounds for cancellation of application or dismissal after appointment. Impersonation is a criminal offense and w”
“14-00000 - * - * * * 2 0 Coming SECRET (■*»« Pilten !n) - ». PHYSICAL DetLiNg PLACE (Permanent Place of-Resigeneer •. ONNim PLSce mtgursteo (Requested Pereneret Stadeo unlove eddeves in iton • Ia approved in Iteu thereof) Novidinc’tt dittosont troe item $9. FULL ADDN 39 . r”
“14-00000 SECRET (Ahan Fill69 In) . PHNSICAL Poruliny PLACE crorwanent Place of Keniderse •. OTHER Pl ack w*0E97e= (Requested Per ent Place of . unless a*9;vds in item * in approve? in lieu thereof) Ropidenco if different free iteo 9) $) FULL apeerssi - 8204 Stone Trail D”
“14-00000 b'1 1 • . • 8/44 1. SIFICATION ARD PERSONNEL DATA :‘ FOR EMPLOYMENT CF untrzo STATEs CITzaN 1iNStrLGTuNS.—Tierare in guadfupt up-date Ali sections must be completed Write‘ "when 9; plcable. Type’s print anteety| - 20 space not adequate for rociplesth answris cont”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer all questions. Admitted unfavorable information about such matters as arrests or discharges will be considered together with the favorable information in your record in determining”
“DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer all questions. Any false statement in this eclaration will be grounds for cancellation of application or dismissal after appointment. Impersonation is a iminal offense and will be prosecuted a”
“14-00000 Form 13 Wrenen attwove Feliruory 1946 UNITED STATES CIVIL SERVICE COMMISSION Dwbpit Bureau Number 50-R050 PROOF OF RESIDENCE, Arsstcotiens for ergusnitment in the oit-teeetiorm-3 detvsrtmentisl enevire most !• eevethepenenry toy a co-til -sle slewing legal or wretr”
“14-00000 / DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Question 3 is fo be answered in all cases, otherwise answer only those questions which require an answer different from that given to the corresponding questions on your application f”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer all questions. Any false statement in this 1 declaration will be grounds for cancellation of application or dismissal after appointment. Impersonation is a criminal offense andwin”
“14-00000 . DECLARATION OF APPOINTEE . This form is to be completed before entrance on duty. Answer all questions. Any false statement in this declaration will be grounds for cancellation of application or dismissal after appointment. Impersonation is a criminal offense and w”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer all questions. Any false statement in this ' declaration will be grounds for cancellation of application or dismissal after appointment. Impersonation is a criminal offense and wil”
“1 4-00000 (12) C. HAVE you EVER BEEN I. OR PETITIONED FOR, BANKRUPTCY? . no GIVE PARTICULARS, INCLUDING COURT: .....2.............. :1.................... D. GIVE THREE CREDIT REFERENCES-IN THE U.S. .• 1. NAME Carlile crosit........ ADDRESS Carl iclo, la. (Cilg) (t, nn ”
“1 4-00000 2939 Siosee) B. . u.s cat! 97 ;k. " 146. :ON APPLICATION FOR FEDERAL EMPLOY AF T Form cig nyrod . • - Budget beredu Na S-F044 wn •• • trIN K 3 vra sto gaidt/g for a :r- —the Un.ti 1! nitelon ti-.rr rw 1. t fint 6 ArcmiRaton rnouncmrnenil sirefs : am has”
“14-00000 DECLARATION OF APPOINTEE This korm U required Dte l completed bel-re entrance on duty. Kvory quoshon ova be answored. An, tales stalersent is this declaration will be grounds foe cuncelubon of applogbon a dounitoal nfer opp-antrent. Foks personation to a erunisal oll”
“IGAL-HESIDENCE (Caty ancastare or country) 16 CURRENT RESIDENCE (GEeF and ataro or country. Wilshire Blvds, Loe Angeles, California 17 MARITAL S ATUS (Chock as appropriate) i SINGLE op-.manien Ceroeo AmBULLED. sceseargo. T Jotvoscso 18.: NUMBER OF DEPENDENTS (Not including ”
“1 4-00000 SECRET /‘• ..... Fille- In) tis nate PERI IC SUPPLEMENT PERSONAL HISTORY STATEMENT 21 January 1959 INntatCTIONs if, wilt he lent < rent Even though it uplecates This form provides the infecestion You need complete • sherehi boer official personnel see ou ”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer all questions. Admitted unfavorable information about such matters as arrests or discharges will be considered together with the favorable information in your record in determining”
“14-00000 60 056: 1-26-51: DEPARTMENT v: STATE BUDC BUPEAU NO.47-R0?1.9 APPROVAL EXPIRES August J1, t9se APPLICATION F OR FOREIGN SERVICE AND DEPARTMENTAL EMPLOYMENT !. a. GAVE (Print) (Use with Standard Form 57) "Earl J. Williamson It more space is required, use addition”
“Bertha G. Wyatt, 6633 Soacly Road, Manassas, Va. 22110 MAVE vou r*fcutro * Ponta or aftouarv I— - Vis I----- I vo. (7) e* * peseene the povrr of attorney?) Dy Wife. 6. ADDITIONAL DATA AND/ OR CONTINATiCA OF PRECEDING ITEMS 7. RESIDENCE DATA - TO BE COMPLETED ONLY St DPLOYEES”
“-00000 roam osP-js edeet Persee Re. ev-899t.4 9-1-93 MMlfMir of Start Approve Repicen June so, toon 7.8. SAW((Print) SUPPLEMENT TO STANDARD FORM 57 ge morespoco je required, poo edditicesl beota of paper. Write Robert Tyler Shaw OB each sheet your semo, M4r»i» and date of ”
“14-00000 - DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Question 3 is to be answered in all cases, otherwise answer only those questions which require an answer diderent from that given to the corresponding questions on your application form”
“14-00000 FOR# OSP-39 ' - DEPARTMEN STATE. BU buzsAu NO. 47-2074,8 APPEL ‘. EXPIRES AUGUST 31, 1959 FORMERLY F5-372 APPLICATION F EMPLOYMENT . IN.THE FOREIGN SERVICE OF THE-UNITEDSTATES . THIS SPACE FOR OFFICE USE oyLr. aIESTRUCTlONS—Aaswers to all questions mast be typed o”
“14-00000 4 SECTION 23. GENERAL QUALIFIC-O gi :h0l"4‘ ast $PrCi8; Nu#lto+t• 1181NO et.d Aart, 8L90, Li zootr A NT .t ‘ I CAT 0% 9 is a "isu: •* ‘mailing 04 tariiwf, WHICH MiGh’ 71! rOU fC9 a PSBTICULAR 0il11n%, Football Track Swimming SECTION 2%. SPORTS AND H0881ES Baske”
“14-00000 / ronu osp-30 9-3-98 Di PARTEE yA STATE I vr peessu so. er-edtt. 1 APPLICATION. EMPLOYMENT APPR . EXPIRES Avcusr 91, 1930 FORMERLY FS-372 1% THE FOREIGN SERVICE OF THE UNITED STATES ruts sracs’ros orrtcs tsu ovlr JASTRUCT1O%S—4s-vere so all questions must b ty”
“14-00000 SECRET (when Filter (o) 1, payqirat peftling PLare (Permanent Place of Residence 6 ctosm PLACE pooEstro (Requested Permanent Place of unless niileenn ih stem 0 in approved in lieu thereof) Bensdence if different from item 9) FULL ADDRC99 FULL ADDRESS Washington,”
“3. HOME ADDRESS (No., Street, Citr. Zone, State, Country). 6300 St. Charles Ave., New Orleans 18, La. 4. BUSINESS ADDRESS (Vo.. Street, City, Zone, State, Country). INDICATE NAME OF FIRM on EMPLOYER, IF APPLICABLE rone 5- HOME TELEPHONE NUMBER 6- BUSINESS TELEPHONE NUMBER 7 B”
“14-00000 SECRE 17 ; % (WNen Pillen'Iny wis Oars PERIODIC SUPPLEMENT PERSONAL HISTORY STATEMENT ISTECTIONS el records walt This fota provides the dehoe ebeeoby your official personnel wilt No hept eweront. Even rhougo it duplicates information you have furnished previou”
“PERSONAL HISTORY STATEMENT Instructions: 1. Answer all questions completely. If question is not applicable write "NA." Write "unknown” only if you do not know the answer and cannot obtain the answer from personal records. Use the blank pages at the end of this form for extra d”
“14-00000 DECLARATION UF APPOINTEE This form is to be completed before entrance on duty. Question 3 is to be answered in all cases, otherwise answer only those questions which require an answer different from that given to the corresponding questions on your application form,”
“14-00000 DECLARATION OF APPOINTEE This form is to be completed before entrance on duty. Answer all questions. Any false statement in this declaration will be grounds for cancellation of application or dismissal after appointment. Impersonation is a criminal offense and will ”
“OrricE ADDRESS - (1) DEPARTMENT ON AGENCY IN WHICH NAME (Give street number, if any)! RELATIONSHIP RIED GLL 1vrLow%D MARYANNCLOYD SEDGE WicK ST 1: LAWYER FULL TIME SISTER INLAW (Check one) E NW WASH 1.4 FAR CHARLES LLOYD . t. . DEPTOK DEFENCE BROTHER C LAWYER FUA”
“14-00000 •• f SECRET (When Filled Je) *19 Dark PERIODIC SUPPLEMENT PE9084L HISTORY STATEMENT zisravcrtona ThIe form provides (he eesoe esacete pont official personnel rorneite will be hept current. Even though it duplicates informbtion.yov hove furuioben proviowbiy. i”
“14-00000 4 / / PERSONAL HISTORY STATEMENT INSTRUCTIONS ANSWER ALL QUESTIC’S COMPLETELY. If QUES’ICN pers NOT APPL: WRITE -nor APPLICABLE*. MITE *UkNOWN* ONLY IF YOU 00 NCT ATCh THE ANSAER AND CANNOT OBTAIN THE ANSWER FROM PERSONAL 7EC0ons Use 4 SEPARATE GHFET OF PAPER FOR ”