CAREER SERVICE QUESTIONNAIRE - MILLS, MONTRELL EUGENE

• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0001308751
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Release Date: February 19, 2008
• Case Number: F-2005-00558
• Publication Date: October 4, 1954

 CAREER SERVICE QUESTIONNAIRE SECTION  I                 (To be completed by  employee) NAME  (Last)                    (First)                    (Middle) AGE GRADE       N O.  OF MOS.  IN CAREER DESIGNATION G RADE &.11 26 STAFF OR DIVISION BRANCH POSITION TITLE Resident agent F MOS. IN PRESENT MOS. NO.  OF MOS                      NO.  OF MOS. POSITION      20 1 DATA ON ALL PERMANENT DUTY OVERSEAS OR  IN U.S.  FIELD (Include  any TDY during last  two years) APPROXIMATE DATES OF SERVICE LOCATION TOY PCS COMMENTS FROM                            TO COUNTRY           STATION March 19,51 Nov, 1952 U- S, INDICATE WILLINGNESS TO SERVE TOUR OF DUTY OVERSEAS PCS A 11  YES                               B ?                 ONLY  UNDER CERTAIN  CONDITIONS                                 C =NO INDICATE ASSIGNMENT PREFERENCE IF PRECEDING ANSWER  IS OA*  OR  0131* PREFERENCE COUNTRY STATION TYPE OF POSITION 1ST as suited 2ND 3RD a IF ANSWER A                 STATE CONDITIONS:  IF ANSWER ABOVE  IS "C."EXPLAIN YOUR REASONS Only if services as can be offered are seriously needed and upon proper orders. INDICATE GEOGRAPHIC AREAS OVERSEAS  IN WHICH YOU WILL NOT SERVEAND  EXPLAIN REASONS None INDICATE RELATIONSHIP AND AGE OF EACH DEPENDENT TO SE MOVED OVERSEAS Wife, . 31.years. of ;age Son, .::$ ' years of, age           . INDICATE KNOWN MEDICAL RESTRICTIONS WHICH THE AGENCY HAS  IMPOSED ON YOUR SERVICE None                                                                                                             APPROVED  FOR,RELEAS DATE:  NOV 2007 *MAY BE CONTINUED UNDER FORM NO.                                                                    SEC T 1   JUN.54   59-174                                                                                                    REMARKS ON REVERSE SIDE. INDICATE  ANY  UNUSUAL  CIRCUMSTANCES  CONCERNING  DEPENDENTS  (old  age,  chronic  illness,  need  for  special  educational facilities,  etc.)  OR  ANY  UNUSUAL  PERSONAL  SITUATION  WHICH  WOULD  AFFECT  YOUR  OVERSEAS  ASSIGNMENT Hone DESCRIBE TYPES OF HEADQUARTERS AND U.S.     FIELD POSITIONS FOR WHICH YOU WOULD LIKE TO       BE CONSIDERED  AND THE ORGANIZATIONAL COMPONENT IN WHICH YOU WOULD LIKE TO SERVE The present location and position is considered preferable to any except a position as ASAC or SAC.of a field office, in the I~IOr REMARKS DATE SIGNATURE OF  EMPLOY 9 September 19 SECTION   I I                                 (To be completed by employee's supervisor) INDICATE APPROXIMATE TIME (months) WHEN  EMPLOYEE CAN  BE INDICATE APPROXIMATE TIME  (months) WHEN  EMPLOYEE CAN  BE MADE  AVAILABLE FOR OVERSEASSERVIC .-i   ,/"'?/~V//J MADE AVAILABLE FOR ANOTHER HEADQUARTERS OR U.S.  FIELD ASS I GNMENT _ ?1yQI// iI ~   _ PERSONNEL OFFICER   LL FORWARD ORIGINAL TO OFFICE OF P       ~-vi                                      h            RVICE BOARD