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Extracted text
OCR Page 1 of 4Stock Form 110
DEPARTMENT OF COMMERCE
WASHINGTON
INFORMATION FOR APPLICANTS
10
Positions in the service of the Department below the grade commissioned by the President are, with
few exceptions, filled by the appointment of persons who have qualified through examinations conducted
by
the United States Civil Service Commission. There is practically no demand for persons with gen-
eral clerical qualifications. Stenographers, typists, and persons qualified in professional, scientific, or
ALTHOUGH NOT ESSENTIAL
technical work are in comparatively greater demand. In view of the policy of filling higher-salaried
positions by the promotion of qualified employees already in the service of the Department, appointments
SUBMISSION OF A PHOTOGRAPH
are seldom made at a compensation in excess of the usual entrance salary.
INSTRUCTIONS.-Read CAREFULLY before answering any of the questions. Your answers
a
IS DESIRABLE
must be complete and ACCURATE. Questions Nos. 13 and 14 need not be answered unless applicant
possesses the special qualifications indicated and is applying for a noncompetitive position. Appli-
cants for such positions must also execute the oath (see paragraph 15). If more space is required,
attach additional sheets.
DATE
Application for position as
In Bureau of
Will you accept temporary appointment?
Minimum salary acceptable?
Mr.
Mrs.
1
Miss
(First)
(Middle)
(Last)
Home
Home
Address
Telephone
Office
Office
City
County
State
Legal (voting) residence
Marital status
Married
Divorced
Separated
State other names under which previously employed.
2
(check)
Single
Widowed
PEVION
How many persons are
If wife or husband is
totally dependent on you?
employed, by whom?
In case of emergency, notify
Relationship
Post-office address
3
Month
Day
Year
Race
Birthplace
Birth date
4
Yes
Yes
Are you a citizen of the United States?
First papers?
Date
No
No
Give date and place of issuance of final papers, if naturalized
Military and naval record. If any, check (v) to indicate branch and other information, and give dates of enlistment and discharge:
5
None
Army
Navy
Marine Corps
Coast Guard
War veteran
Pensioner
Veterans' Bureau
beneficiary
Enlisted
Discharged
Enlisted
Discharged
Rank
Rank
Rank
Rank
Organization
Organization
Organization
Organization
Are you receiving a Federal pension or annuity? If so, give reason, and annual rate thereof
Are you the wife of a disabled veteran or widow or orphan of a person who was in the military or naval service?
(Wife, widow, or orphan)
(Name of veteran)
(Organization and last year of service)
(a) What illness, operation, or injuries have you had, if any?
TRUMAN
6
(b) Have you any physical defects or diseases at the present time; if so, what?
MATIONAL ARCHIVES& of
ADARIN
11-12038
Relations
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