Part 26, page 25

Transcript

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

PLEASE BE SURE TO READ ATTACHED INSTRUCTIONS BEFORE COMPLETING THIS [illegible]

5 EXPERIENCE (Start with your PRESENT po[sition] of work had)

An inquiry be made of your present employer regarding [illegible] character, qualifications, and record of employment YES NO X

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Dates of employment (month, year) From To PRESENT TIME Pay or earnings Starting $ per Present $ per [illegible] and title of immediate supervisor

Area Code and phone No. if known reason for wanting to leave description of work

Exact title of position

If Federal service, classification series and grade

Age. brt. Place of employment Number and kind of em- Kind of business or organization per work City ployees supervised (manufacturing, accounting, [illegible], State etc.)

Name of employer (firm, organization, etc.) and address (including ZIP Code, if known)

Area Code and phone No. if known reason for wanting to leave description of work

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Dates of employment (month, year) Exact title of position If Federal service, classification series and grade From Pay or earnings Age. brt. Place of employment Number and kind of em- Kind of business or organization per work ployees supervised (manufacturing, accounting, [illegible], starting $75.00 per month Co Sa[illegible]a Ann 50-80. Inlisted U.S. Marine Corps [guess: Enlisted] sal $600.00 per month NA State Calif.

[illegible] of immediate supervisor Name of employer (firm, organization, etc.) and address (including ZIP Code, if known) U.S. Marine Corps, Washington DC Area Code and phone No. if known reason for leaving Transferred to the Fleet Marine Corps Reserve description of work

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personell Dates of employment (month, year) Exact title of position If Federal service, classification series From To and grade Pay or earnings Age. brt. Place of employment Number and kind of em- Kind of business or organization per work ployees supervised (manufacturing, accounting, [illegible], starting $ per City etc.) State sal $ per [illegible] title of immediate supervisor Name of employer (firm, organization, etc.) and address (including ZIP Code, if known)

Area Code and phone No. if known reason for leaving description of work

For agency use (skill codes, etc.)

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b6 Per BOC b7C Per BOC b6 Per BOC

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IF YOU NEED ADDITIONAL EXPERIENCE BLOCKS USE STANDARD FORM 171-A OR BLANK SHEETS SEE INSTRUCTION SHEET

DB Cooper-6646