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23.
REFERENCES. List three persons living in the United States or Territories of the United States who are NOT related to you and who have definite knowledge of your
qualifications and fitness for the position for which you are applying. Do not repeat names of supervisors listed under Item 16 (EXPERIENCE).
BUSINESS OR HOME ADDRESS
BUSINESS OR OCCUPA-
FULL NAME
(Give complete address, including street and number)
TION
1.
Tony P. Gilmore
Lees Summit, Missouri
merchant
2.
J. W. Major
Grandview, Missouri
banker
3.
electrical
K. A. McVey
441 West Dartmouth, Kansas City,Mo
engineer
24. May inquiry be made of your present employer regarding your character, qualifications, etc.?
Yes
No
Indicate "Yes" or "No" answer by placing X in proper column.
YES
NO
Indicate "Yes" or "No" answer by placing X in proper column,
YES
NO
25. Are you a citizen of the United States?
35. Have you any physical defect or disability whatsoever?
If your answer is "Yes," give complete details in Item 38,
26. Do you advocate or have you ever advocated, or are you now
36. (a) Were you ever in the United States Military or Naval
or have you ever been a member of any organization that
Service during time of War?
advocates the overthrow of the Government of the United States
by force or violence?
(b) Is the word "honorable" or the word "satisfactory" used
in your discharge or separation papers to show the type
If your answer is "Yes," give complete details in Item 38.
of your discharge or separation?
(c) Was service performed on an active full-time basis,
with full military pay and allowances?
27. Within the past 12 months, have you habitually used intoxi-
cating beverages to excess
(d)
Date of entry or entries into serv-
Date of separation or separations:
28. Since your 16th birthday, have you ever been convicted, or
ice:
fined, or imprisoned, or placed on probation, or have you
ever been ordered to deposit bail, for the violation of any law,
police regulation or ordinance (excluding minor traffic violations
April 20, 1944
October 23, 1945
for which a fine of $25 or less was imposed)?
If your answer is "Yes," list all such cases under Item 38 be-
Branch of service
Grade (rank) or rat-
Serial No.
low. Give in each case (1) the date; (2) the nature of the offense
(Army, Navy, M. C.,
ing at time of separa-
or violation; (3) the name and location of the court; (4) the penalty
C.G., etc.)
tion:
imposed, if any, or other disposition of the case. If appointed
your fingerprints will be taken.
Navy
Seaman, 1/c
957-06-00
29. Have you ever been discharged or forced to resign for mis-
IF YOUR ANSWERS TO THIS QUESTION (No. 36) INDICATE THAT YOU
conduct or unsatisfactory service from any position?
ARE ENTITLED TO VETERAN PREFERENCE. SUCH PREFERENCE WILL BE
CREDITED IN THE EXAMINATION. IF APPOINTED. YOU WILL BE REQUIRED
If your answer is "Yes," give in Item 38 the name and address
TO FURNISH TO THE APPOINTING OFFICER. PRIOR TO ENTRY ON DUTY,
of employer, date, and reason in each case.
OFFICIAL EVIDENCE OF SEPARATION FROM YOUR LATEST PERIOD OF AC-
TIVE SERVICE IN THE ARMED FORCES OF THE UNITED STATES DURING
TIME OF WAR. DO NOT SUBMIT PROOF OF DISCHARGE OR SEPARATION
30. Do you receive an annuity from the U. or D. C. Government
WITH THIS APPLICATION.
under any retirement act or any pension or other compensation
for military or naval service?
Indicate "Yes" or "No" answer by placing X in proper column.
YES
NO
If your answer is "Yes," give in Item 38 reason for retirement,
that is, age, optional, disability, or by reason of voluntary or in-
37. (a) If you served in the U. S. Military or Naval Service dur-
voluntary separation after 5 years service; amount of retirement
ing peacetime ONLY, did you participate in a cam-
pay, and under what retirement act; and rating if retired from
paign or expedition and receive a campaign badge or
military or naval service.
service ribbon?
(b) Are you a disabled veteran?
31. Are you an official or employee of any State, Territory, county,
or municipality?
(c) Are you the unmarried widow of a veteran?
If your answer is "Yes," give details in Item 38.
(d) Are you the wife of veteran who has service-con-
nected disability?
32. Does the .S. Government employ in a civilian capacity any
IF YOUR ANSWER TO QUESTION 37 (a), (b), (c), OR (d) IS "YES," AND YOU
WISH TO CLAIM VETERAN PREFERENCE. ATTACH TO THIS APPLICATION
relative of yours (by blood or marriage) with whom you live
or have lived within the past 6 months?
VETERAN PREFERENCE CLAIM (CIVIL SERVICE COMMISSION FORM 14)
TOGETHER WITH THE NECESSARY PROOF SPECIFIED THEREIN.
If your answer is "Yes," show in Item 38 for EACH such rela-
tive: (1) full name; (2) present address; (3) relationship; (4) de-
partment or agency by whom employed, and (5) kind of appoint-
THIS SPACE FOR USE OF APPOINTING OFFICE ONLY
ment.
The information contained in the answers to Question 36 above has been veri-
33. Have you ever had a nervous break-down?
fied by comparison with the discharge certificate on
19
If your answer is "Yes," give complete details in Item 38.
34. Have you ever had tuberculosis?
If your answer is "Yes," give complete details in Item 38.
Agency:
Title:
38. Space for detailed answers to other questions (indicate item numbers to which answers apply).
ITEM No.
ITEM No.
If more space is required, use paper the same size as this page. Write on each sheet your name, address, date of birth, and examination title. Attach to inside
of this application.
FALSE STATEMENT ON THIS APPLICATION IS PUNISHABLE BY LAW (U. S. CODE, TITLE 18, SECTION 80).
I
certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge
and
belief,
and
are
made
in
good
faith.
Date June 25, 1947
Signature of applicant
John
C.
Truman
(Sign your name in INK one given name, initial or initials, and surname). If female, prefix Miss or
GPO 16 47298-1
Mrs. and if married use your own given name as "Mrs. Mary L. Doe.")
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"ocrText": "23.\nREFERENCES. List three persons living in the United States or Territories of the United States who are NOT related to you and who have definite knowledge of your\nqualifications and fitness for the position for which you are applying. Do not repeat names of supervisors listed under Item 16 (EXPERIENCE).\nBUSINESS OR HOME ADDRESS\nBUSINESS OR OCCUPA-\nFULL NAME\n(Give complete address, including street and number)\nTION\n1.\nTony P. Gilmore\nLees Summit, Missouri\nmerchant\n2.\nJ. W. Major\nGrandview, Missouri\nbanker\n3.\nelectrical\nK. A. McVey\n441 West Dartmouth, Kansas City,Mo\nengineer\n24. May inquiry be made of your present employer regarding your character, qualifications, etc.?\nYes\nNo\nIndicate \"Yes\" or \"No\" answer by placing X in proper column.\nYES\nNO\nIndicate \"Yes\" or \"No\" answer by placing X in proper column,\nYES\nNO\n25. Are you a citizen of the United States?\n35. Have you any physical defect or disability whatsoever?\nIf your answer is \"Yes,\" give complete details in Item 38,\n26. Do you advocate or have you ever advocated, or are you now\n36. (a) Were you ever in the United States Military or Naval\nor have you ever been a member of any organization that\nService during time of War?\nadvocates the overthrow of the Government of the United States\nby force or violence?\n(b) Is the word \"honorable\" or the word \"satisfactory\" used\nin your discharge or separation papers to show the type\nIf your answer is \"Yes,\" give complete details in Item 38.\nof your discharge or separation?\n(c) Was service performed on an active full-time basis,\nwith full military pay and allowances?\n27. Within the past 12 months, have you habitually used intoxi-\ncating beverages to excess\n(d)\nDate of entry or entries into serv-\nDate of separation or separations:\n28. Since your 16th birthday, have you ever been convicted, or\nice:\nfined, or imprisoned, or placed on probation, or have you\never been ordered to deposit bail, for the violation of any law,\npolice regulation or ordinance (excluding minor traffic violations\nApril 20, 1944\nOctober 23, 1945\nfor which a fine of $25 or less was imposed)?\nIf your answer is \"Yes,\" list all such cases under Item 38 be-\nBranch of service\nGrade (rank) or rat-\nSerial No.\nlow. Give in each case (1) the date; (2) the nature of the offense\n(Army, Navy, M. C.,\ning at time of separa-\nor violation; (3) the name and location of the court; (4) the penalty\nC.G., etc.)\ntion:\nimposed, if any, or other disposition of the case. If appointed\nyour fingerprints will be taken.\nNavy\nSeaman, 1/c\n957-06-00\n29. Have you ever been discharged or forced to resign for mis-\nIF YOUR ANSWERS TO THIS QUESTION (No. 36) INDICATE THAT YOU\nconduct or unsatisfactory service from any position?\nARE ENTITLED TO VETERAN PREFERENCE. SUCH PREFERENCE WILL BE\nCREDITED IN THE EXAMINATION. IF APPOINTED. YOU WILL BE REQUIRED\nIf your answer is \"Yes,\" give in Item 38 the name and address\nTO FURNISH TO THE APPOINTING OFFICER. PRIOR TO ENTRY ON DUTY,\nof employer, date, and reason in each case.\nOFFICIAL EVIDENCE OF SEPARATION FROM YOUR LATEST PERIOD OF AC-\nTIVE SERVICE IN THE ARMED FORCES OF THE UNITED STATES DURING\nTIME OF WAR. DO NOT SUBMIT PROOF OF DISCHARGE OR SEPARATION\n30. Do you receive an annuity from the U. or D. C. Government\nWITH THIS APPLICATION.\nunder any retirement act or any pension or other compensation\nfor military or naval service?\nIndicate \"Yes\" or \"No\" answer by placing X in proper column.\nYES\nNO\nIf your answer is \"Yes,\" give in Item 38 reason for retirement,\nthat is, age, optional, disability, or by reason of voluntary or in-\n37. (a) If you served in the U. S. Military or Naval Service dur-\nvoluntary separation after 5 years service; amount of retirement\ning peacetime ONLY, did you participate in a cam-\npay, and under what retirement act; and rating if retired from\npaign or expedition and receive a campaign badge or\nmilitary or naval service.\nservice ribbon?\n(b) Are you a disabled veteran?\n31. Are you an official or employee of any State, Territory, county,\nor municipality?\n(c) Are you the unmarried widow of a veteran?\nIf your answer is \"Yes,\" give details in Item 38.\n(d) Are you the wife of veteran who has service-con-\nnected disability?\n32. Does the .S. Government employ in a civilian capacity any\nIF YOUR ANSWER TO QUESTION 37 (a), (b), (c), OR (d) IS \"YES,\" AND YOU\nWISH TO CLAIM VETERAN PREFERENCE. ATTACH TO THIS APPLICATION\nrelative of yours (by blood or marriage) with whom you live\nor have lived within the past 6 months?\nVETERAN PREFERENCE CLAIM (CIVIL SERVICE COMMISSION FORM 14)\nTOGETHER WITH THE NECESSARY PROOF SPECIFIED THEREIN.\nIf your answer is \"Yes,\" show in Item 38 for EACH such rela-\ntive: (1) full name; (2) present address; (3) relationship; (4) de-\npartment or agency by whom employed, and (5) kind of appoint-\nTHIS SPACE FOR USE OF APPOINTING OFFICE ONLY\nment.\nThe information contained in the answers to Question 36 above has been veri-\n33. Have you ever had a nervous break-down?\nfied by comparison with the discharge certificate on\n19\nIf your answer is \"Yes,\" give complete details in Item 38.\n34. Have you ever had tuberculosis?\nIf your answer is \"Yes,\" give complete details in Item 38.\nAgency:\nTitle:\n38. Space for detailed answers to other questions (indicate item numbers to which answers apply).\nITEM No.\nITEM No.\nIf more space is required, use paper the same size as this page. Write on each sheet your name, address, date of birth, and examination title. Attach to inside\nof this application.\nFALSE STATEMENT ON THIS APPLICATION IS PUNISHABLE BY LAW (U. S. CODE, TITLE 18, SECTION 80).\nI\ncertify that the statements made by me in this application are true, complete, and correct to the best of my knowledge\nand\nbelief,\nand\nare\nmade\nin\ngood\nfaith.\nDate June 25, 1947\nSignature of applicant\nJohn\nC.\nTruman\n(Sign your name in INK one given name, initial or initials, and surname). If female, prefix Miss or\nGPO 16 47298-1\nMrs. and if married use your own given name as \"Mrs. Mary L. Doe.\")"
}