“involving more responsibility and opportunity REASON FOR WANTING TO LEAVE Prepare in final form a variety of materials DESCRIPTION OF DUTIES, RESPONSIBILITIES AND ACCOMPLISHMENTS including correspondence, staff studies, technical papers, memoranda and issue papers which in”
“14-00000 / SECTION IX CONTINUED FROM PAGE 6 9. DESCRIPTION OF DUTIES 5 10. REASONS FOR LEAVING 1. INCLUSIVE DATES (From and To - By Mo. and Yr.) 2. NAME OF EMPLOYING FIRM OR AGENCY 3. ADDRESS (No., Street, City, State, Country) 4. KIND OF BUSINESS 9. NAME OF SUPERVI”
“kTe update attached Perianal Qualification! Statement Security Assistant 15-21 (77)A " As requested 6. LOWEST PAY OR GRADE YOU WILL ACCEPT PAY GRADE S per or '7 7. EXPERIENCE (Start with your PRESENT position and work back. Account for periods of unemployment in separate blo”
“.involving more responsibility and opportunity REASON FOR WANTING TO LEAVE DESCRIPTION Prepare in final form a variety of materials DUTIES, RESPONSIBILITIES, AND ACCOMPLISHMENTS including correspondence, staff studies, technical papers, memoranda and issge papers which inc”
“0000 SECRET Security Information SEC. II, WORK EXPERIENCE (CONT'D.), 2. Other, than CIA: (Describe work experience for the last 15 years in sufficient detail to permit specific coding of your qualifications. Include military work experience. List last position first.) Fro”
“kind of employees Kind of business o: orgticad- Starting 8 per yr. per week City: Washington supervised (manufacturing, accounting, insurance, 4200 etc.). Final $ per 40 State: D.C. 0 University Name of immediate supervisor Name of employer (firm, organization, etc.) and addr”
“announcement) R To update attached Personal Qualifications Statement Security Assistant 15-21 (77)A • As requested 6. LOWEST FAY OR GRADE YOU WILL ACCEPT PAY GRADE $ per or 7 7. EXPERIENCE (Start with your PRESENT position and work back. Account for periods of unemployment ”
“overseas: Exact Title of your position Service) ' Salary Description of Duties: Number and Class of Employees Supervised:___________________ - ■ Employer Kind of Business or organization (i.e., paper products mfr, public utility) ' Duty Station if overseas: From To. ■ To Tot.”
“nee Gene . 200 Mist'."! Kind of Business or organization (i.e., paper products mir, public utility/2 22__ . - Duty Station il overseas: From Toll, Tot.mo's'' Exact Tide of your position trwie—wire. -OCT Classifigation Grade(if in-Federal.. Sone “ceniva padic Service) Sala”
“4-00000 16- expo mi MCE ejan ***, ee precomt Posttion and work bock) © Date vl employ mem (memb. veer) Bract title of your position > __ *remnk.09.1S3 To present time /*** «U frroor Salary or eatninge « lassifi ation Grade : Place usf estiployment Kmd et business 1 or organ”
“14-00000 SECRET 00 Security ‘.formation SEC. II. WORK EXPERIENCE 1. CIA Experience: State the specific nature of duties performed with CIA and CIG, starting with your present position. Take position titles from your of ficial personnel papers, if you have personal copies.”
“'utility) Duty Station if overseas: From JAN AyTogn 58 Tot. mo fa 15 Exact Title of your position COAMANCITON Clas sification Grade(if in Federal OFNICEN J. Conguae Ten WITH OFFiche dies 3193Salary_________ _ ____ Description of Duties: Number and Class of Employees Resconab”
“title of your peatien Personnel - 91 ork Salary Starting, $. 1620 Fom April .....2 ROt . <Maikl.(Yones - ...2 (M6emh),. (Ynea ::.. Per Final $.. ..1800 - Name of employer:. Dunesondresponsbelittes Transportationofficer for OPA personnel " same ae above in organization of ”
“SUPERVISED UNIT EDUCATION PERSONNEL (i.e., paper products mfr, public PREPARED LICTURS + DISCUSSION MIATE9/A UN utility) Duty Station if overseas: From To Tot. mo’s Exact-Fitle of your position Clas sif ication Grade(if in Federal Service) Salary Description of Duties: Numb”
“SECRET ' • Security Information . . SEC.WORK II. EXPERIENCE (CONT’D.) 2. Other than CIA: (Describe work experience for the last 15 years in sufficient .• - - detail to permit specific coding of your qualifications. Include military work 2.; experience. List last position fir”
“)4-00000 ‘I /2 (S) CLASSIFICATION GRADE FROM... TO .. 10/3 . (IF IN FEDERAL SERVICE) EMPLOYING FIRM OR AGENCY ... hivossity ADDRESS.... . Vo:G (St. and Number: 14 t94 (State) (Country) KIND OF BUSINESS nivesety NAME OF SUPERVISOR -1..... TITLE OF JOB Suout ....... ”
“14-00000 PLEASE BE SURE TO READ ATTACHED INSTRUCTIONS BEFORE COMPLETING ITEM 19 r» P\PIFIPNE, terth tear P*1S, % pore wou.d reovb Mas inquiry he toos-de cet sour present eegfyef regards yorur thosa ror. qualim’stions, aof record off employment lVo So 1 1 Date of emp-st ***”
“May inquiry be made of your present employer regarding your character, qualifications, and record of employment? Yes No except for 1 "No" will not affect your consideration for employment up portuurtias except for HEARING EXAMINER positions) Dates of employment (sentb, year) E”
“public business a 8 acted as sales clerg for the shoppe utility) - thiger 10 196 ghoppe Duty Station if overseas: a dt o landsenping bus From 2/50 Tor/50Tot. mo’s 4 Classification Grade(if in Federal Exact Title of your position Assistant Bookkeeper Service) Salary 3200 / m”
“5 .9 /0 9 6 0 SEC. U. WORK EXPER-ENCE (CONT’D. - 2. Previous Employment: Describe yourprevious work experience in sufficient 7 .detail to permit full recognition of your qualifications. Include military work. 3845 experience. List last position first. 9 0 From EdaneL t ”
“14-00000 DATES Cl JMPLOT ENT (Month, yen LXACT TITLE Of TOUR gON SALARY ON LARNINGS FROM: TO: STARTING A PER YR. PLACE OF EMPLOYMENT (City, etate) - PER YR. FIPAL. OLSCKIPT 10% 01 YOUR WORK NAME AND ADDRESS OF EMPLOYER CUBES AND MIND OF EMPLOYEES SUPERVISED DY YOU NAME”
“14-00000 - SEC lit V IN Che STISUED FR 15/ PAGE 6 9. DESCRIPTION or DUTIES S 10. RE SORs FOR LE AVING I. INCLUSIVE DATES (FRY and To • Dy Mo. and y 1 2. NAME OF EMPLOYING FIRM OH AGENCY J. ADORESS to . Street Ciry. State. Country) 08 00 4. KIND or B UsiNiss '5. NAME”
“:May inquiry be made of your present employer regarding your character, qualifications, and record of employment? Yes No (A "No will not affect your consideration for-employment opportunities except for HEARING EXAMINER position.) Dates of employment (month, year) Enact title ”
“- SALARY $ 0029 PER - - YOUR DUTIES Install credit mystams for retail business firms %neos'on A-76694-16416 eA67A REASONS FOR LEAVING -............ FROM. 19/8 TO A.... CLASSIFICATION GRADE *4.10 (IF IN FEDERAL SERVICE) --------------- EMPLOYING FIRM OR AGENCY dolo-l.Amoa”
“Officer Hleadgsirters on 4411vidun7a a A organlsatl, na as Duty • requested or a denred ecezasry. I also maintain Title: Reports Officer Duty Station, 11 overseas: two CE notebooks. From 12/1 To 12 Tot. mos.5 Description of Duties: Same as above with a Sob— tation. I had les”
“establishment, and division) manufacture of lie ks, otc.) DESCRIPTION OF YOUR WORK 90 1 V wf Kite ... Spine Denile,ir Douen narrative particular Draval Traito40 sanation 62 subject ninfootage g Films Ie - autin. 0 TJ Wnting Croduer 00 for 0 52 4/ Satts of ”
“POSITION FIRST.) Indicate chronological history of employment for past 15 years. Account for all perioda including casual employment and all periods of unemployment. Give address and state what you did during periods of unemployment. List al! civilian employment by a foreign Go”
“.f setsi • Sen $89.24 grade OX 11376 mom 6-51 To Present 14. AVAIL.ANILIT’Y INFORMATION. A. Indicate the honeif salary you will ascepr • , pre annum ) on vaizia uerl ze io-risdere, for 74* peseticat as ,35, u lsu i’r cittranio salary. It, 1 yon are now a federal empllryre, ”
“14-00000 •* et SEC TION IX CONTI LED FROV PAGE 6 • DESCRIPTION OF DUTIES 5 IS REASONS FOR LEAVING 1. INCLUSIVE DATES (From and To • By Mo and Ye.) % NAME OF EMPLOYING FIRM ce AGENCY 3. ADDRESS (No . Street City. State, Country) 4. KIND OF BUSINESS s. NAME OF SUPER”
“FEATURES % None 12. CURRENT ADDRESS (No., Street, City, Zone, State and Country) 13. PERMANENT ADDRESS (No., Street, City, Zone, State and Country) AND PHONE NO. OB (2828 Connecticut Avenue,N. W.. #203 2828 Connecticut Avenue, N. W. Washington 8, D. C, 00 #203 - Washington”
“reasons of any unemployment indicated) I/no continuation sheet if more space io required. PRESENT POSITION DATES OF EMPLOYMENT (Month, year) EXACT TITLE OF YOUR PRESENT POSITION SALARY OR EARNINGS iACEQP*v22b2.T re.l,erneynt Lagal Lisison Officer STARTINGS 7000 PER YR. PRES”
“SECRET Security Information SEC. II. WORK EXPERIENCE (CONT’D.) 2. Other than CIA: (Describe work experience for the last 15 years in sufficient detail to permit specific coding of your qualifications. Include military work S experience. List last position first.) From /C1 T”
“Price Clark EMPLOYING FIRM OR AGENCY 0 ADDRESS' ISL and Number) (City) (State) ME OF SUPERVISOR D. ALLEN KIND OF BUSINESSBIDIN. MATERNESE TITLE OF JOB Hannon PRICED MATERIALS EN THE EACTERN SALES ....... SALARY ... PERO YOUR DUTIES FLOW ALVAUCEN DUSTRNT AND HANDED K”
“14-00000 It CONTINUED.. Exact firr or vo.m POuTiON CLASOTICATION GRACE SALARY OR LARRINGS 2) FA34- DATES OF EMPLOYMENT (month, year) TO (rf in Federal service) STARTING 8 mAt 8 PA vin TLACE or EWrOYMENT (city and State) haleE axp IT OF IMMCOUTE surerVisON NAME ANn ”
“W. Washing ton S, D. C. #203 - Washintton 8, D.C. 14. CuRReNT PHONE NO. 19. OFFICE **£ vo. • ERT. 16. LEGAL RESIDENCE ’State Formtoro or Casatyt 265-8322____ 17, NICANAMES None Was <ton. District of Colubia 8Orega NAVES You wivt 0se3 Dan I None ysispvenn 19 inicArE CI”
“12. CURRENT ADORES (No . Stewet, City, Zone, State and Country) 13. PERMANENT ADDRESS (No. Stroot, City. Zuno, State and- Country) AND PHONE NO. - - 5011 Hanes Street 1905 Forth 10th Street i ‘clean, Virdnin Kansas City, in sns 1 Linwood 6.4811. 14. CURRENT PHONE NO. /- 15. ”
“----------------------------------------------....... ........ ./ (3) CATES oEPLEY* (cnenth. rear) EXACT TITLE oF voun POSITION / CLASSEK.A’MN GNADF (sf in Federalservice SALARY OR LARNINGS STARTING 8 /A PER TxcE NRV A967c, inu SAS 1949 Editor WAVE AND TITLE or IMMEDIATE”
“name different from that shown in Items % of this application, give under “Description e| your work” for onch position the name used.., (b) If weru hove novor boon employed or are now unemployed, indicate that fact in the space provided below for "Proa at Pantion " PRESENT PO”
“roantinn hr which you are Jofemna me * co provided below describe EVEE1 tectin y'x have held. Use a wenarav ve see EACH D* on. You may 4.91 .nctola ony portiment te igicus a .4 wst are "• or organ rotonul or organ cctvi‘7 •when you Lavo vynel rotonul activity either with or w”
“Federal veevyco) stANfImO J PER FROM 2/50 5/50 PACE or tariovurot city and Sratos TO Aat. Bookkeeper ____________ MAML AND Tiru tar IMMEDIATE SUPERVIR $ 200 Per mo Fnat $ " Washington. D. C. NAME AND An* or vKone (Kem, organisation, or person: it Wederst, name department”
“pock Nenhiniton Pe Co.wtee Wand pled your pos.tpTransportation Officer, Starting $1800...... * Rob - Oct. „ .142 (Month) ‘ iJune 43 -(IW) , ." Mousbr ■ t/om Employee Services Clerk a.... .... X.Rhals. . Pe For Xe nmol2000. ........... ... $.2000... Name of employer: . -”
“arranged for conferences arid travel, typed gov’t. proposals, traveled occasionally. For agency use (skill codes, etc.) Dates of employment ( month, year) Exarr title of position If Federal service, civilian or military IF From 5/67 To 1/68 Secretary grade Salary or earnin”
“photographic finishing) During--- ‘ or organisation: • . * crush weoko, I worked overtime as a photographic-. waRrAx1£ industry ...-... : ■ printer, enlarger, or at any place where the workload . ‘ was particularly heavy (I have-had my-own darkroom immediate supervisor ......”
“NAME AND TITLE OF IMMEDIATE SUPERVISOR ___ Hentre a 1, _Cuebe C_______________________ _ NAME AND ADASESS OF EMPLOYER (Gem, organization, or person; if Federal, I, Harry Jacoby KIND OF BUSINESS OR ORGANIZATION (o. d.. wholesale silh, insurance agency, name department, burea”
“this information. other interested party; T. Name and Address of Applicant: 8. Employee’s Identification Number: Isiah C. Mathews Signature of applicant PART II VERIFICATION 9A. Is applicant now employed by you? 10A. Position or Job Title: 11. TO BE COMPLETED BY MILITARY”
“Describe Employment Experience On This Form. (A resume is not a substile ior this form and will not be made a part of the application, if more than 2 pages.) 29. PART-TIME And SUMMER Employment During The Last Three Years. Name of Employer Dates ■ Salary Position and Duties ”
“Describe Employment Experience On This Form. (A resume is not a substitute for this form and will not be made a part of the application, if more than 2 pages.) ■ ' . 29. PART-TIME And SUMMER Employment During The Last Three Years. Name of Employer Dates Salary Position and Du”
“pom-tion: Salary or earnings. From: June i, 23 € To present time Starting, $ put Place ol employment (city and State): ‘t- yo - t-lew Present $ 26. matico, Gsorela Description of your work TActice pee Name and address ompl zer thirm, organization, or person). If Federal Do”
“mient. that shown in Item S t/t this application, alive under “Description of your ] szen-e gained inure than 15 years ago wbN h i« tea pertment to the proris wurkd for each portion, the name used. 1 tre ve rh you are applying may be aumainrized in rats or more of the blocks,”
“Exact title of position If Federal service, civilian or military i From 3/70 To 3/71 Secretary grade :Salary or earnings Avg. hrs. Place of employment Number and kind of employees Kind of business or organization Starting $ 6,500 per yr. per week G Washington, supervised (”