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SEAN SAOU Rae tg hone Goa ete Be ae RT ON rN DINERO EP ORR tye Cr er EE SS kare ~.- y Form No. OEM-2 : EXECUTIVE OFFICE OF THE PRES!. *T ‘ . SFFICE FOR EMERGENCY MANAGEME Return this form to the Office for Emergency Man- agement, Personnel Office, Washington, D.C. 2. Date —_ - ~ a ~ 1 Manth | Duy | Yoar rd 1G 2 . Mrej NAME | First NAME i MIDDLE NAME TELEPHONE So segur Miss omy a i a a ans p . | City and State i POO ST! i y | We y Y, J ome _ S Central OAM Wt, Ee) be / VY, Trl Le (ee 5. Lecau VoTING RESIDENCE 6. Personal DESCRIPTION ; { } State Congressional District > Se Marital Status Married ow { ny ne 1 Male 2 — Female 0 County q ' Wale ters vet =—— dow (er = eo — . Height 1 Weight Divorced City or Town | §-i0 ° i706 Separated 1 Race ea 3 i | Single a ! | . : . “ite i White “a Colered 9 | Other (spec fy) . Ie You Have Estasuisnep VETERAN PREFERENCE Winn tus U.S. Crvin Servick Cosission, CHECK THE KIND— ae np ern nenE On nS iS. Witt You Acceer fesporany |. Wraps can Lowi i Spanrin: 5-point Oo Wife of disabled veteran MPLOYMENT? Yes No Satary You Wier Accrin, 1 month Cc) Ol Disability Widow of veteran 2 oe TONGS L : < Goanonths _ ‘7 oS bevoncnuin. 10. List ALL Feperat, Sratr, on Grier Mueniv Syst < Tixaminations You Tlaynr ‘Taren Title of Exacsinadion : Conn, con Conducting ~ Date Loe ve = - ’ we — ae eee ee a eas - we \ ' 7 as 7 ~ 11. Do You Have Eviaiainiry For APPOINTMENT TO THE FEDERAL | 19, Nase ann Tocarion oF Scuoors ATTENDED: Bove Atta COMPETITIVE CLASSIFIED SERVICE —Yes No on na a Bee By transfer? oO q By reinstatement? im Oo From a register of cligibles? m7 ob Tin -- - From, the emergency replacement . list my -_ 1. Cave Deraits or Your Coiince Elpccatios, Botu UNDERGRADUATE AND Gblaplat> 13. EpucaTION ~ ~ naehaenn ene Dates Atiended Semester | | . . es nh your) Tips ‘ ; “ind Years Cous- Name and Location of College Sc oft. | Muajur § ig I Oo, Pa 7 Kin pleted ¥From—~ {| To~ ! Coed ‘ Grammar school 7 | oo. Junior high school ; ‘ i — ' - wee nee on High school | _ Business school _ \ ' | : : College (ran tatorrr Caan AGB ; | | FS | Posteraduate CZ. Lnws ™ 45. List Ant Cotirap Sunsects IN WHICH You Have Hav Ten on | IG. List Cotundiate Feeiowsulprs, SCHOLAnSHIPS, SCHOLAETIE Mons Semzsren Hours. Inpicate NuMBER OF CREDITS. Honors, anv Sianipicant COLLEGE Acrivirirs. Suahbtect | Hours Credit i ce eee - seen ~ — _ _ ns, Inm-lbbis