W.D. A.G.O. Form 170 application for appointment and statement of preferences for reserve officers, Schuyler W. Miles Jr.
Document date 1942
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Id: Cooper-Part-114:048-049
Subject: Cooper Files: Cooper-Part-114:048-049 Document: W.D. A.G.O. Form 170 application for appointment and statement of preferences for reserve officers, Schuyler W. Miles Jr. Id: Cooper-Part-114:048-049 Page: https://cooper.theunsolved.net/documents/Cooper-Part-114%3A048-049 What is wrong (title, date, type, which pages belong together, copies)? What does the scan show?
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FBI 164-81, Vault Part 114 pp. 48–49 (DB Cooper-10670–10671), Form, dated 1942 — cooper.theunsolved.net/documents/Cooper-Part-114%3A048-049
APPLICATION FOR APPOINTMENT AND STATEMENT OF PREFERENCES FOR RESERVE OFFICERS (SEE INSTRUCTIONS ON BACK)
From: Miles, Schuyler, William, Jr. Date _______, 19__ (Last name) (First name) (Middle name) To: The Adjutant General, Washington, D.C. R.O.T.C. (Through Corps Area or Department Commander)
I hereby make application for appointment as Second Lieutenant Infantry (Grade) (Section) in the Officers' Reserve Corps.
In connection with the application I submit the following information, which I certify to be correct to the best of my knowledge:
1. Permanent address: 65 East Katherine Avenue Washington, Pennsylvania
2. Date of birth Jan. 29, 1923 White or colored: White (Month) (Day) (Year)
3. Place of birth Washington, Pennsylvania
4. State whether or not you are a citizen of the United States and whether by birth or naturalization. (If the latter, append evidence of naturalization, or if evidence not available, state on what date and in what court natu- ralized.) Citizen by birth
5. Married or single: Single
6. Number of minor children: None
7. Name of nearest relative, giving relationship and address, including street and number: Mrs. S. W. Miles (Mother) 65 East Katherine Ave. Washington, Pa.
8. Father's name: Miles, Schuyler, William (Last name) (First name) (Middle name) Father's address: 65 East Katherine Ave. (Number and street, or rural route) Washington Pa. (City, town, or post office) (State or country) Father's birthplace: Washington, Pa.
If of foreign birth, state whether or not naturalized; (If naturalized, state on what date and in what court.)
Mother's name: Miles, Hilda (none) (Present last name) (First name) (Middle name) Mother's address: Same as father's (Number and street, or rural route) (City, town, or post office) (State or country) Mother's birthplace: Pittsburgh, Pa.
9. Marksmanship, giving year of qualification: Rifle: None Pistol: None
10. Languages: French | Spanish | German | Other | Other Speaks fluently: None | None | None | None | None Speaks fairly: None | None | None | None | None Translates: None | None | None | None | None Reads: None | None | None | None | None
11. Special knowledge, professional or other: None
12. Present occupation, years of experience in same and name and address of employer, if any: Student, 4 years Greenbrier Mil. School, Lewisburg, W. Va.
13. Experience in other lines and years of same: None
14. Schools attended, other than graded schools, including service schools:
Name of school | Number of years attended | Graduated? Yes or No | Year | Degrees Washington H.S. Washington, Pa. | 2 | No | - | - Greenbrier Mil. school. | 4 | Yes | 1941 | -
Subjects specialized in: None
15. Campaigns and battles participated in (give dates): None
16. Decorations, citations, and commendations (attach copies): None
17. Wounds, giving date and [guess: nature] of occur[guess: rence]: None
18. State membership in professional societies: [illegible - obscured by stamps]
19. Are you at present a member of the Regular Army, Enlisted Reserve Corps, or federally recognized in the National Guard; if so, state which, giving grade and organization, [guess: type] of [guess: service] and date of expiration of enlistment: None
W. D., A. G. O. Form No. 170 January 1, 1935
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[illegible stamps overlapping form text; partial text visible includes:] REQUIRED ... SPECIAL ... [illegible] ... RECORDS ... COPY ... [illegible]
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DB Cooper-10670
20. Chronological statement of service in the Army, Navy, Marine Corps, including service as a cadet at U. S. Military or Naval Academy, National Naval Volunteers, National Guard in Federal service, as a Reserve officer on active duty, or at military training camps, or as a contract [guess: surgeon] serving full time, or as a student in the M. T. C. or R. O. T. C., Basic Course, Advanced Course, and Advanced [guess: course] camp, giving inclusive dates for each by month, and year.
From To Station Grade Organization Duty Full name and grade of immediate commanding officer 9/14/38 6/6/39 Greenbrier Mil. ROTC Student Maj. R.E. Swab 9/15/39 6/5/40 School, Lewisburg, " " " " " " 9/12/40 6/2/41 West Virginia. " " " " Lt. Col. R.E. Swab 9/11/41 6/1/42 " " " Colonel R.E. Swab 7/1/42 9/25/42 Ft.Benning,Ga. Cadet 1STR.ISSC Student, TIS Capt.E.J.Novicki,Jr.
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21. Were you ever rejected for any branch of the military service NO or for the R.O.T.C. NO or C.M.T.C. NO If so, state when and where rejected and cause ___________
MILITARY SERVICE OTHER THAN ABOVE
22. Service in Officers' Reserve Corps (inactive); National Guard of the United States; Enlisted Reserve Corps (inactive); Naval or Marine Corps Reserve Forces (inactive); National Guard or Naval Militia not in Federal service, or in military or naval forces of foreign countries:
None
23. Prior service in Coast Guard, Public Health Service, or Coast and Geodetic Survey. Give dates and nature of service.
None
24. Have you ever been convicted by a civil or military court?No If so, give the date and circumstances.
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REMARKS—State any other information you may desire to submit for consideration:
Physical examination April 15, 1942 by Dr. C.W. Lemon, M.D. Student meets physical requirements for appointment.
I certify that I am not drawing a pension, disability allowance, or compensation or retired pay from the U.S. Government. I have been enrolled in the 2nd year junior college course at Greenbrier Military School since September 11, 1941.
(Signature—Sign all names in full) Schuyler William Miles Jr (Name typed) Schuyler William Miles, Jr.
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INSTRUCTIONS 1. Fill out on typewriter, if practicable; if not, print proper names and write clearly. This form must be executed IN DUPLICATE and both copies forwarded through the corps area or department commander to The Adjutant General. EACH COPY MUST BE SIGNED. 2. Applications will be accompanied by a Report of Physical Examination (W. D., A. G. O. Form No. 63), which may be obtained from any military post or station. Physical examination should preferably be by a medical officer of the Regular Army, Officers' Reserve Corps, National Guard, or Public Health Service. If applicant so desires, the examination may be made by a reputable private physician. 3. If the applicant is in the military service, application will be forwarded through military channels. 4. If appointment is sought with a view to assignment to a particular unit of the Organized Reserves, that fact will be stated under "Remarks." 5. Under "Remarks" make appropriate explanation, when other allotted spaces are insufficient, and any statement you may wish to make with regard to your preferences for duty and any recommendation which you may have received for promotion, giving full name and grade of recommending officer. 6. Under "Chronological Statement of Service" state duty specifically, as "regimental adjutant," "company commander," etc., NOT in general terms, as "regimental duty," "guard duty," etc. 8-7556
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DB Cooper-10671
Serials: 8-7556