“foreig education. Occupational history: (job descriptions and dates only) Signed: Lyn Caon-a 9. 83 Branch Officer Sponsoring Candidate SECRET (over) (94911”
“14-00000 1408: ny education and experience would quolify me, I should appreciate being con idered for it. l academic records, personal and academic recommendations, or further details concerning m military cork v ili be supplied it de E 1red • : Lee H. Wigren Sincerely,”
“14-00000 OS. ,.?*• h-o *= 6 •• CHETa SEC. II. WORK EXPERIENCE (CONT’D.) il 2.Previous Employment: Describe your previous work experience in sufficient detail to permit full recognition of your qualifications. Include military work experience. List last position first - — -”
“1 4-00000 —8— SEC. 20. FINANCIAL BACKGROUND (Cont’d) D. GIVE three CREDIT REFERENCES — IN THE U.S. Not Applicable NAME: . ADDRESS .................. 8t & No. State NAME: ADDRESS se’e No. ciy State tl NAME: 1 ADDRESS St.’a No. deny State SEC. 21. CHRONOLOGICAL HIS”
“employed by the Federal Government, indicate last grade G-M. Office phone stargleint Dates of service 4 that grade Prom AuX1**4 To Iroaon 14. AVAILABILITY INFORMATION. A. Indicate the lowest salary you will accept 1 per ) or if f it not be 4 onuidered for any position ft t”
“14-00000 > . % SECRET (Oen Billed Io; SECTICA 11 COSTIBUED FROM PAGE 1 Euss T- LIST ANY SIGNIFICANT Pumlisuto MarERtALS OF wiGhiste AM tht su Them ( Do not submit copies unfose requested) INDICATE* TITLE, PUBLICATION DATE, A-hmor or 4 ‘fe*nn, Hesontific articles, poner”
“14-00000 SECTION V ADMINISTRATIVE NTERNAL USE ONL GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL aNowirocs acquingp BGENECK (MJ NAME OF REGION. TYPE or SPECIALIZED DATES OF TRAVEL DATE A PLACE on OR countaY’- KNOWLEDGE on RESIDENCE OF STUDY •1*t » reavtu Study An 2-2i-m u”
“14-00000 / DATED or EMPLOYMENT * jERACT TITLE OF YOUR roson CLas-if "Al spf oon LARNIAGS . (lin - alsorvico). SHAPTIS 1 PER. TO __ L rinit I rrm J PLACE or EMPLOYMENT (oltp and State) MANE AND TLE or MMEDATE surravion NAME AND AnDmrss or EurLovEh (Been, organisation, or”
“14-00000 SECRET When fillaed In SECTION VIII AGENCY EMPLOYMENT HISTORY (Cont’d) 2 OCAND: (our", <", 3 DIRECIOWARE OFFICE Cc0viSiC~ garoh ■ CuyNt DattS ilen.19-br month a ,eor. • nnt or JOR 5. GRADES waD .>oe a DESCRIPTION OF DUNES NONE I. INCLUSIVE DATES From- to. ”
“1. LIST BELOW THE NAMES or COVERNMENT DEPARTMENTS, AGENCIES OS OFFICES TO WHICH YOU HAVE APPLIED FOR EMPLOYMENT SINCE 194:. (None) 1 4 1 i I- (13) 16 146-1”
“different from you perlonined in each position, accounting Itot all periods ul unemployment. Experience gained more than 15 years ago whib i not pertinent to the work that she-vn in steen 5 of this application, give under "Description of your work" for ear praition, the name u”
“(10) E. ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED OR CERTIFIED MEMBER OF ANY. :.TRADE OR PROFESSION, SUCH AS PILOT, ELECTRICIAN, RADIO OPERATOR, TEACHER LAWYER, CPA, ETC. SO * IF YES, INDICATE KIND OF LICENSE AND STATE— EA FIRST LIC. OR CERTIFICATE (YB) NA HA LATEST L”
“DATES OF EMPLOYMENT, (month, year) EXACT TITLE OF POSITION IF FEDERAL SERVICE, CIVILIAN OR MILITARY GRADE FROM TO SALARY OR EARNINGS AVG. HRS. PLACE OF EMPLOYMENT NUMBER AND KIND OF KIND OF BUSINESS OR ORGANIZATION PER WEEK EMPLOYEES SUPERVISED (manufacturing, accounting, ins”
“WORK •Please Note: The tm psitions listai z re rart-tine k bs Caly t:e **--610-8-1 while the caly,, elile applicant was a college student, Ihave never arnlief for, nor held, a full-time. civilian position.”
“14-00000 .SECRET, SECTIC# LX CONTINUED FROM PAGE 4. htist Ahe tl WHOMf POPLIRID variate -* epirM *(.., Aht tw€ Au’twor ( Do not subwst copses unless requested). bicarr rife. OGLICAtIon pArt. AN D TYPE of waiting (%on-Pietson, nciontilas articles, general interest sub. Jecto”
“wow yeu dce,t ehort term optounitie nt, .1 offers I, , ke- to Jmenthad.... 3 to b months? 6to 12 aooth»?..-. J. P-5 (d) What ta the lowest entrance salary wos wit accept ‘*...CAF.12 th Woukt you accept appaotment :t cttured- X por (9Of. tn Whshunglii, D. C.P.. __ ... Y”
“potential value of OFTS idate to the organization in other • than the position immediately undee consideration: FORM NO. MAY 19 50 26-8 (Enter any additional raasris on reverse CONFIDENTIAL Sig T Bbinbocker :uro of Interviewer”
“College, Gractuxta Nori- FROM TO NAME OF SO.OOL DEGREE ANO MAJOR PRIOR Us COVERNMENT SERVICE INCLUDING MULITARY OTHER GOVERNMENT AGO CY CLEARANCES HELD EW REQUEST: RECHECK OS NUMBER AND DATE If a rechack, | #532 652 — 22 Nov 67 REMARKS 1 6 i FORM 2941 USE PREVIOUS 4 ”
“60 SECRET #509 Fillet Ie . SECTION A CONTINUED FROu CAGE 4 7. List AND SIGNIFICANT P 0 I4*00 MATERIALS Oil mseirjis eoiyi ani Tici ser 1 Ch pot ooh-at copies IN cart tittr. iratiso QA16. aNn TyFf of anttInG (None ficta . tienflfse articles, gene jects, novels, short ofori”
“4-00000 SEC. VIII. PUBLICATIONS List below the type of writing (non-fiction; professional or scientific articles, general interest subjects, current events, etc; fiction: novels, short stories, etc.) of any published materials of which you were author or co-author. SEC. IX”
“14-00000 / SECRET Pttos #* (Whenifilled In) " CesrIAl USE ONY until ANed .4 QUALIFICATIONS SUPPLEMENT TO PERSONAL HISTORY STATEMENT 039 SICHION 1 ithP Sib riO DEAD BAtDiC TONS CAREFULLY BEFORE: COMPLETING TYPE OR PPirat AVOID USING TIGHT CotO*:% ote; ?av/g.tetw.wdde-w”
“DATES of EMPLOYMENT (month, year) EXACT TITLE Of POSITION # FEDERAL SERVICE, CIVILIAN OR MILITARY GRADE FROM TO SALARY OR EARNINGS AVG. HRS. PLACE OF EMPLOYMENT NUMBER AND KIND OF KIND OF BUSINESS OR ORGANIZATION PER WEEK EMPLOYEES SUPERVISED (manufacturing, accounting, insie”
“14-00000 (10) E. ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED OR CERTIFIED.MEMBER OF ANY TRADE OR PROFESSION, SUCH AS-PILOT, ELECTRICIAN, RADIO OPERATOR, TEACHER, LAWYER, CPA, ETC. IF YES, INDICATE KIND OF LICENSE AND STATE...._____ NA -........... ...... NA FIRST LIC.”
“14-00090 5 . € SECTION weir CONTINUED / R‘,4 PAGE 4 4. ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED 29 CERTIFIED VEUBED t,v art TRADE OR PROFESSION, SUCH AS PILOT, ELECTRICIAN, RADIO OPERATQ9, TEACHER. L4V:E8, ca, MEDICAL TECHNICIAN, ETC.’ ves LINo s. ie you HAVE ANSWER”
“provided below describe Everv position which you have yeld since youfiret ogand to 1 tork. Start wlth proeenth position and work Seek to the first position which you belo. Account for all periods el ‘unemployment and state reasons of any unepployment indicated). Yse continuation ”
“etc.?.. Yes No 37. EXPERIENCE In the apace furnished below give a wind oM every emiph smen* both poste and private which you have had since youstirst began to work Start with your present pos tion and work back w the first posrion you held, acern.n’n.o for call periods nt unem”
“re. LEGAL essidence (tote. Territory or Country: 17. NACNAMES is orhen NAuES YOU HAVE useo is. inoia re CIRCUMSTANCES ihictnting Length nt Fimu) UNDER WHICH you have even usto ruese NAMES. 20. je LEGAL CHANGE. Give PARTICULARS (Whern on-t by Whet Authority). SECTION n POS”
“X le) ll you are willing to travel, specify: outside the Ucttrd Statear.... ...X... 0 Occasionally • Frequently Constantly 16. EXPERIENCE —You qte recqueefod t furnish all information astel tor below tia sufficient detail to anclile the Civil Serncs Commwwta axl the appointin”
“entrance salary you will accept $.. por year. 1 ‘ in Washington •C.?.____ You will not be considered for positions paying lons. anywhere in the United States?.- (o) 21 you are willing to travel, specify: . outside the United Statee?--..X. Occasionally Frequently Conmantly ”
“WASHINGTON, D. C. • ANYWHERE er rat UNITED STATES You will nat be considered for any position with 4 lower entrance salary • OUTSIDE THE UNITED STATES (. CHECK IF You WILL ACCEPT SHORT TERM APPOINTMENT OFFERED, FOR: 1 TO J MONTHS 1106 MONTHS 1c 10:12 MONTHS 00 IF You WILL AC”
“1 4-00000 6* (10) E. ARE YOU NOW 0” save you over BEEN A LICENSED Oil CERTIFIED MEMEER or ANY TRADE on PROFESSION, SUCH AS PILOT, ELECTRICIAN, RADIO OPERATOR, TEACHER, LAWYER, CPA, ETC. IF YES, INDICATE KIND OF LICENSE AND STATE ___ No: FIRST L.IC. OR CERTIFICATE (YR)”
“1 4-00000 , i / 060 SEC. 1-1. ACTIVE U. S. OR FOREIGN MILITARY SERVICE 1Corpa..........nlliosonant 1/3-/1/SI Ela edera .sovran - I (Rank) (Ranki - thates of Service). as Vog 4, Sova Il.ast Station) 10-2090263Donovablo Ceve. 2 Coovie (Serial Number) (Tape of Discha”
“14-00000 AD.-Ts oiunorvrst (month,)ee) • Err ring oo vous muuttoN • cmate ALAPY rin *.N536 Clartir,, utoru S°92: %0 • eoju._to_1 FINAL 1 ven race or ter Ovsgat keity and Store) MAM AND TITLE or roWFDiata surtesttom NAME ann ADOPT OF MPLOYER (Reeve, de ganitatat. 01 Pedora”
“14-00000 SECRET - (When Filled In) "tourer No. ty/es REQUEST FOR SECURITY CLEARANCE _1-8573 Lux.*19Con LAIE REQUEST ‘ NAME LAST - FIRST • MIDDII) - _ 8 FLb1960_ (IS « as U*R OF BIRTH (39-301 ___ puritr., navruramthe POSITION TITLE - POSITON NUMOtR (39 • 36) occur. ”
“1 4-00000 ATTACH SUPPLEMENTAL SHEETS OR FORMS HERE Dates of employment tmoe’b, year)• Enact title oil your Emroisieies % t-30 IC)■ - ** 40 Sotiu. At Salary of earning? Classi stan.Grade Place of employment Kind of business of org onlaetion Starting $. , pet CEX**) set j”
“pamne usoi th) If you Lite never Yoon employal or hr nor unemployed indicate that fact In the more prosded I elow for "Promt Poston.” PRESENT POSITION Dates a employment: (Month, yours Eluct Uile ct your ,resaut ponton: Soxiy ct buttings. From: Ta prosent time Stirmna $ pet”
“Less war wtow iewo9i GaADUAfg Ove a feo TE409 or CoLLros • 40 ofcure Gw#00L Geanvara HCH|IO>*I opgeta TRADE, iuil4f«1, on CaHMOCHL S0w081 Regusra DeAbATE $70ov 1*00*3 TO etuntn or cere 1ao vrans COLLPO Ja Leis wasr a’s otante vorroe- orgest r. COLLEGE ON UNIVERSITY STUDY SU”
“do you think you are best qualified? Juscry Capacity, EsareAlso Operational or Instruction. orgonicatienioxpenince in super- see cobeiderabe SEC It ET 6 Security Information miof”
“LOCATIONS ONLY. GIVE ACCEFTA9LE LOCATIONS NOTE. Acceptance or refusal of a temporary short-term easportment will not affect yourhie opportunity to obtain • probational epseor cent is IF YOU ART witkind TO TRAVEL SrecIFy OCCASIONALLY FROUENTLY come-sartir 1% EXPERIENCE It r”
“and work back, explaining clearly the principal tasks which you performed in ra<b position, accounting for all periods of unemployment. (a) If you were ever employed in any pumition under a name different from Experience gashed more than 15 years ago which is not pertinent to t”
“14-00000 •, • SECRET■ (When Filled Ze). SECTION XI CONTINUED FROM PAGE * 1‘ UIST.ANY SIGNIFICANT PUBLISHED «ATERLALS OF WIT Wich Tit Autwo. Ch YOUTARE THE autwdn ( (Do not submit copsea Do not undone requested). copsen unless :N INDICATE TITLE, PUBLICATION park. AND T”
“qualifications record up to date. 3. Your cooperation is requested in completing the questionnaire as • thoroughly and accurately as possible and returning it to your Administrative Officer within the time allotted. George E. Melon SEC RKT Security Information PO No. 1, ”
“all information asked for below in mifficient doto’l to enable the Civil Service Commissi- n and the appointing officers v. Q,m/0 to dwtwir.ne f.l.t quglilications for the poiltion for which you Ges as: rov, Ir. the spaces provided hvlow dea be EVERY position you have held Use ”
“4-00000 SECRET When F.fled •’, As - - LLC OFFICIAL USE ONLY (until 62nd •** QUALIFICATIONS SUPPEMENT TO PERSONAL HISTORY STATEMENT - . TREAD INSTRUCTIONS CARErUlly SEROSE COMPLFTING rope c. PENT AVOID usivg’la’t COLORED WAS SECTION 1 ‘Sioctmic AND FosinON DATA]-- ’ EW”
“14-00000 . -SECRET ;(her milled (o)i SECTION V GEOGRAPHIC ARE A KNOWLEDGE AND FOREIGN TRAVEL NAME OP- REGION TYPE OF SPECIALIZED- nafr’s OF TRAVEL DATE t PLACE KNOWLEDGE ACQUIRED GV--CHECK4Z) •ott . OR COUNTRY i KNOWLEDGE OR RESIDENCE OF STUDY ent. feavts stupv »Ev - ”
“4-10000 SECTION \ill LOVA UNC LC FROM P’ACII 4 AMT ,00 now d’n MA ve • Al,€ ‘,D ELTC CAN TAIO GrF *011 4: 5ir rou BAVF Ahteenrts to Anove, INDICATE Reit or •AND ee gietty Nimuber, if known) •• rinst LICENSE on (• AtiFiTE Come of Issue) NSE on a. List 49 sionriCant runL”
“14-00000' SECTION t’Ill CONTINUED FROM PAGE1 *. ALE • OU NOW OR HAVE YOU EVEN BEEN A LICENSED OR CERTIFIED MEMBER or ANY TRADE OR PROFESSION, SUCH AS PILOT. ELECTRICIAN RA00 OPERATOR, TEACHER, LAWTER, CPA, MEDICAL TECHNICIAN, ETC.! LZ] ves LINO 5. ir rOU HAVE ANSWERED "YES"”
“14-00000 tt (30) E. ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED OR CERTIFIED MEMBER OF ANY TRADE OR PROFESSION, SUCH AS PILOT, ELECTRICIAN, RADIO OPERATOR, TEACHER, LAWYER, CIA ETC, e. 7 frcevr. * asoun .c 1106 06 2n 007o ; IF YES, INDICATE KIND OF LICENSE AHO STATE ..”
“I il. f] M.-J. _D:*3L 2S November 1918 36""’ IXFomale ois I* n Marved ; 13 h wght without shone ". gated aSxdo .5. tret 21. T. .104. Arnim.** SELECTION .14, Hfave yoa •«* been explored ty tr.o Federal Geverement? 6•.• No 2 now waplered • The Sodoral Government give precent”
“14-00000I DATES or IMPLOIMENT (month, Fear) anagr Tiru or TOLA ruwtion CLASSIfc,* M..*? na LXN%3S taf in Ferg -lerewe • $. *** 1 PER FRON TO ! FTRAS, I Pen. PLACE of EMPLOYMENT (city and State) NAME AND TITLE OF IMMEDIATE surtiVISSR NAME AND ADDRESS or FURLOYIR (firm, orga”