Application for Appointment as Reserve Officer (WD AGO Form 170) with chronological statement of service - John Emil List
Document date 3 June 1949
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Id: Cooper-Part-45:032-033
Subject: Cooper Files: Cooper-Part-45:032-033 Document: Application for Appointment as Reserve Officer (WD AGO Form 170) with chronological statement of service - John Emil List Id: Cooper-Part-45:032-033 Page: https://cooper.theunsolved.net/documents/Cooper-Part-45%3A032-033 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 45 pp. 32–33 (DB Cooper-4655–4656), Form, dated 3 Jun 1949 — cooper.theunsolved.net/documents/Cooper-Part-45%3A032-033
APPLICATION FOR APPOINTMENT AND STATEMENT OF PREFERENCES FOR RESERVE OFFICERS (See Instructions on Reverse Side)
TO: The Adjutant General, Washington, D. C. DATE: JUN 3 1949
FROM: (Last name—First name—Middle name) LIST, JOHN EMIL ARMY SERIAL NO.: O9172[illegible] FOR GRADE OF: 2nd Lt SECTION: Transportation Corps
APPLICATION FOR APPOINTMENT IN OFFICER'S RESERVE CORPS
I CERTIFY THE FOLLOWING INFORMATION, IN CONNECTION WITH MY APPLICATION, TO BE CORRECT TO THE BEST OF MY KNOWLEDGE.
1. PERMANENT HOME ADDRESS: b6 per NPRC / b7C 2. DATE OF BIRTH: [redacted] 3. PLACE OF BIRTH: [redacted] 4. MARITAL STATUS: SINGLE [X] 5. DEPENDENTS: None 6. RACE: WHITE [X] 7. ARE YOU A CITIZEN OF THE U.S.? IF SO, DID YOU BECOME A CITIZEN BY BIRTH OR NATURALIZATION? Yes - by birth 8. [blank] 9. NAME OF FATHER: List, John Frederick 10. ADDRESS: Deceased 11. COUNTRY OF BIRTH: USA 12. IF NATURALIZED U.S. CITIZEN, GIVE DATE, COURT, CITY AND STATE: [blank] 13. NAME OF MOTHER: List, Alma Mario 14. ADDRESS: [illegible] 15. COUNTRY OF BIRTH: USA 16. IF NATURALIZED U.S. CITIZEN, GIVE DATE, COURT, CITY AND STATE: [blank] 17. PERSON TO BE NOTIFIED IN CASE OF EMERGENCY: Alma M. List b6 per NPRC 18. RELATIONSHIP: Mother 19. ADDRESS: b7C
20. EDUCATION (Includes Military Service Schools) CIRCLE HIGHEST GRADE COMPLETED, ELEMENTARY OR HIGH SCHOOLS: 1 2 3 4 5 6 7 8 9 10 11 (12) DID YOU GRADUATE? YES [X]
COLLEGE: Jr. College, Bay City, Mich — 3 mos — Engineering Univ of Wisconsin — 3 mos — Engineering Univ of Michigan — 3 years — Accounting
[DEGREES section obscured by diagonal stamp]
MILITARY SERVICE SCHOOLS: [blank/obscured]
21. OTHER SUBJECTS SPECIALIZED IN: Chemistry
22. FOREIGN LANGUAGES: German — READ: Good (X) — WRITE: [illegible] — UNDERSTAND: Good (X)
[Diagonal stamp text partially legible]: SPECIAL HANDLING REQUIRED... [guess: records from St. Louis]... Missouri... National... [illegible]
(FOR USE OF WAR DEPARTMENT ONLY) SOURCE: [blank] GRADE: [blank] SECTION: [blank] DATE OF APPOINTMENT: [blank] DATE OF ACCEPTANCE: [blank]
WD AGO FORM 170 PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE DB Cooper-4655
23. CHRONOLOGICAL STATEMENT OF SERVICE AND TRAINING IN THE ARMY, NAVY, MARINE CORPS, UNITED STATES MILITARY OR NAVAL ACADEMY, NATIONAL GUARD, OFFICERS' RESERVE CORPS, UNITED STATES NAVAL RESERVE, MARINE CORPS RESERVE, COAST GUARD RESERVE, ENLISTED RESERVE CORPS, NAVAL MILITIA, NATIONAL NAVAL VOLUNTEERS, CITIZENS' MILITARY TRAINING CAMPS, OR RESERVE OFFICERS' TRAINING CORPS.
DATES: FROM - TO | HIGHEST GRADE | ORGANIZATION (Include arm or service) | DUTY | ACTIVE OR INACTIVE Dec43 Apr46 | PFC | Army of the United States | [guess: Quartermaster] | Active Sep47 Jun49 | Cadet | Adv. ROTC, Univ of Michigan | Cadet | Inactive
24. IF A FORMER WARRANT OFFICER OR ENLISTED MAN OR BOTH, INDICATE SERIAL NUMBERS 16177034
25. WERE ALL DISCHARGES GRANTED UNDER HONORABLE CONDITIONS? [X] YES [ ] NO
26. WERE YOU EVER REJECTED FOR ANY BRANCH OF MILITARY SERVICE? [ ] YES [X] NO
27. EVER REJECTED FOR ROTC? [X] NO [guess: REQUIRED]
28. EVER REJECTED FOR CMTC? [ ] YES [X] NO
29. IF "YES" TO 26, 27, OR 28, STATE WHEN AND WHERE REJECTED AND CAUSE [obscured by CAUTION stamp]
30. CAMPAIGNS AND BATTLES PARTICIPATED IN (Give dates) Central Europe
31. THEATERS OF OPERATIONS IN WHICH SERVED (World War II only) European Theater of Operations Asiatic-Pacific Theater
32. DECORATIONS AND CITATIONS RECEIVED Good Conduct Medal, EAME Service Medal, American Theater [guess: Ribbon], Asiatic-Pacific Service Medal, Combat Infantry Badge, World War II Victory Medal
33. HAVE YOU EVER BEEN CONVICTED BY A CIVIL OR MILITARY COURT? (If so, give the date and circumstances) [ ] YES [X] NO
34. REMARKS Undersigned completed first year advanced Transportation Corps ROTC in June 1948. Upon enrolling in the ROTC in September 1948, I found that the TC ROTC unit had been deacti- vated. In view of this I elected to pursue the second year advanced QMC ROTC course which I will complete in June 1949. Inasmuch as my interest is centered primarily in the Transportation Corps, it is requested that I be commissioned in the TC-Reserve.
I have read paragraph 2, SR 600-220-1, 10 November 1948, and certify that I (have) (have never) engaged in disloyal or subversive activities as defined therein.
J. E. L.
SIGNATURE (First, middle, and last names) John Emil List
PRINTED OR TYPED NAME (First, middle, and last names) JOHN EMIL LIST
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CAUTION: SPECIAL HANDLING REQUIRED This material copied from records of National Personnel Records Center, St. Louis, Missouri. [guess: Do not obtain] [guess: This material copied from records] is a copy personnel Records Center reference only. Do not [illegible] to be used for reference in its original form or disseminate in the Bureau.
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DB Cooper-4656
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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 triplicate and forwarded to The Adjutant General. Each copy must be signed. 2. Applications will be accompanied by a Report of Physical Examination (WD AGO Form 68), 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 channels. 4. Under "Remarks" make appropriate explanation, when other allotted spaces are insufficient. 5. Under "Chronological Statement of Service," state duty specifically, as "regimental adjutant," "company commander," etc., not in general terms, as "regimental duty," "staff duty," etc. 6. Blank boxes on the right side of she[cut off] for War Department use only.
Serials: 16177034, O9172[illegible]