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2 FLEERENCES (Name three perbona, mol relates G4 employers, who are wellacquainted with you } “AME a 7" Jon f, Cube 3. Alen Pulicr, ever t Lagness vee fe ee et ee ran SPACE FOR CONTINUING ANSWERS Yo OTHER QUESTIONS (Show item numbers to which answers apply. Attach 2 | eepar enough apace here) + - . Attachnent For, .cont inuat ion to. Items: e woe i \ ienber of. ‘the. von Draun. “_team,- x vas required to_ “seuate to. a‘, polygraph ‘examination. and: “VQ lunteercd. to. it. on. 19, December. 195325 relative. £0, iny clearance, or acces ton “glassificd” natérial. : 1 Certiry. that the slate ents made t tle ana are made in ‘good faith ment on this term ese habl by. lamin , . an TR pera cee 7 Tea Sy 3! INSTRUC TIONS, TQ AG cy Pet -Maniiat, ; ails on’ when, this form required: and. how: “jt ia used TE thie id’@ réquest for:, OT fort if th pace for. “Date.of Appointment and, “show information about the Sroposed”s he"original and the’ first carbons “copy should be signed by. ‘the epplicant: ‘or cppointee, Submit: twa-. - ai formy.Standard. Form. 87. (Firigerpein “ Chart), and ‘any investigative information about the persof 3 jéCW)se,. LO ed States Ci Service Commissiong Investigations Division, Bufeau,o€: Departmental” Operationsy. Washington: 2 DECS sis for full field securitxe Investigation, § ‘submit there, forms to. the attention of. the Security, Investigations Sectio # ‘for preappointment national, agen pchecks, submit. the rime ts, he atlention of the Control. Unit : Lap ee THE APPLICANT OR APPOINTED): ror LN F ae a “CIVIL SERVICE REGULATION NUMBER'-"- OR vee ee MENT AUTOM