Part 26, page 23

Transcript

The scan is the source; the transcript is machine-generated from it.

PERSONAL QUALIFICATIONS STATEMENT

Kind of position (or) if you are filing for (or a title of examination): Customs Security Officer

b. Announcement number: [redacted] 7. Birth date: [redacted] Month | Day | Year 8. Social Security Number: [redacted]

Options by which you wish to be considered (if listed on examination announcement): S

9. If you are currently on a register of eligibles for appointment or a reappointment to a federal position, give the name of the examination, the name of the other [illegible] maintaining the register, the date on your notice of rating, and your rating.

Patent's places you wish to be employed: Open

Home telephone: [redacted] 3. Business telephone: [redacted] A. Code | Number | Area Code | Number [redacted]

Name [redacted] (age) ☒ Mr. ☐ Miss ☐ Mrs.

D. Lowest pay or grade you will accept: PAY $ [redacted] | Pr [redacted] | GRADE: OK GS-4

Current address [redacted] City | State | ZIP Code

12. Are you willing to travel? (If not...) ☒ NO | ☐ SOME | ☐ OFTEN X

13. When will you be available? [redacted]

Will you accept: A) Reemployment/appointment of: —1 month or less? X YES —1 to 4 months? X YES —4 to 12 months? X YES Is less than full time work? (Less than 40 hours per week) X YES

(C) Will you accept a job in: —Washington, DC? X YES —any place in the United States? X YES —outside of the United States? X YES —only in (specify)

EDUCATION (A) Did you graduate from high school or did you graduate within the next nine months? YES ☒

(B) Name and location (city and State) of last high school attended [redacted]

3. Name and location (city, State, and ZIP Code of college or other or university. (If you expect to graduate within 9 months, give MONTH and year you expect degree.) [rows blank or redacted]

Dates attended | Years completed | Credits completed From | To | Day | Night | Semester hours | Quarter hours | Type of degree | Year of degree [all redacted or blank]

(D) Chief undergraduate college subjects: Semester hours | Quarter hours [blank]

(E) Chief graduate college subjects: Semester hours | Quarter hours [blank]

(F) Major field of study at highest level of college work [blank]

7. Other schools or training (city, county/a, trade, vocational, armed forces, or business). Give for each the name and location (city, State, and ZIP Code of school) [blank]

HONORS, AWARDS, AND FELLOWSHIPS RECEIVED

16. FOREIGN LANGUAGES Enter foreign languages and indicate your knowledge of each by placing "X" in proper columns

Reading | Speaking | Understanding | Writing Fair | Good | Fair | Fair | Good | Fair | Fair | Good | Fair | Fair | Good | Fair [blank]

Special qualifications and skills (licenses, skills with machines, patents or inventions, publications—do not submit copies unless requested, public speaking, memberships in professional or scientific societies; typing or shorthand speed, etc.) [blank]

Rodger Borres Approved SD-R0187

DB Cooper-6644

FEDERAL GOVERNMENT IS AN EQUAL OPPORTUNITY EMPLOYER Standard Form 171 (Formerly SF 57) July 1964 U.S. Civil Service Commission