QUALIFICATIONS UPDATE - MILLS, MONTRELL EUGENE
Document Type:
Keywords:
Collection:
Document Number (FOIA) /ESDN (CREST):
0001309036
Release Decision:
RIPPUB
Original Classification:
U
Document Page Count:
2
Document Release Date:
February 19, 2008
Sequence Number:
Case Number:
F-2005-00558
Publication Date:
January 13, 1970
File:
Attachment | Size |
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DOC_0001309036.pdf | 128.52 KB |
Body:
QUALIFICATIONS UPDATE (b)(3) READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING, TYPE OR PRINT, AVOID USING LIGHT COLORED INKS Now that your qualifications are a matter of computer record, they must be periodically updated. This is done auto- matically for much information; however, some must be obtained directly from you. This ,form is for that purpose. Section I must be completed in all cases. You need provide other information only if there have been changes since you submitted your Form 4441, "Qualifications Supplement to the Personal History Statement," or a previous update form. if you are in doubt whether information has been previously submitted, enter it in the appropriate section. The si ned and dated form should be returned through administrative channels to the File Room, Office of Personnel, Room Headquarters, whether information is added or not, Additionally, a qualifications update may take place at any time there is information to be added or changed simply by completing and returning an update form on your initiative. SECTION I BIOGRAPHIC AND POSITION DATA EMP. SER. NO. NAME (Lest-First-Middle) DATE OF BIRTH SD Milta, Montrell Be 31 Jan. 1921 EDUCATION HIGH-SCHOOL LAST HIGH SCHOOL ATTENDED ADDRESS (City,State,Country) .. .. YEARS ATTENDED (From-To). GRADUATE YES .l-'l NO ~--JJ COLLEGE OR UNIVERSITY STUDY NAME AND LOCATION OF COLLEGE OR UNIVERSITY SUBJECT YEARS ATTENDED DEGREE YEAR NO. SEM/QTR. MAJOR MINOR FROM--TO- - RECEIVED RECEIVE D HRS.(Speci[y) 1. 2. IF A GRADUATE DEGREE HAS BEEN NOTED ABOVE WHICH REQUIRED SUBMISSION OF A WRITTEN THESIS. INDICATE THE TITLE OF THE THESIS AND BRIEFLY DESCRIBE ITS CONTENT. TRADE, COMMERCIAL AND SPECIALIZED SCHOOLS NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHS OTHER NON-AGENCY EDUCATION OR TRAINING NOT INDICATED ABOVE NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHS 1. 2. SECTION III MARITAL STATUS I. PRESENT STATUS (Single,Married.Widowed,Separated,Divorced,Annulled,Remarried) SPECIFY: 2. NAME OF SPOUSE (Last) (First) (Middle) (Maiden) 3. DATE OF BIRTH 4. PLACE OF BIRTH (City,State,Country) 5. OCCUPATION 6. PRESENT EMPLOYER 7. CITIZENSHIP 8. FORMER CITIZENSHIP(S) COUNTRY(IES) 9. DATE U.S. CITIZENSHIP ACQUIRED SECTION IV DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE NAME RELATIONSHIP DATE AND PLACE OF BIRTH CITIZENSHIP PERMANENT ADDRESS C0 ADD 0 DELETE ADD 2. DELETE FORM 10-60 444n UPREVOUS EDITIONS >4 SEC T (When F 11ed In) APPROVE DATE: N SET (When F' led In) SECTION V GEOGRAPHIC AREA KNO EDGE AND FOREIGN TRAVEL KNOWLEDGE ACQUIRED BY--CHECK CX) NAME OF REGION OR COUNTRY TYPE OF SPECIALIZED KNOWLEDGE DATES OF TRAVEL OR RESIDENCE )=tp1Ti&~LYAF E O CST d- .` IIoE Ife T RAVEL STUDY WORK ASSIGN- MENT I . FEB l 2. I lu SECTION VI TYPING AND STENOGRAPHIC SKILL 1. TYPING (WPM) 2.SHORTHAND(WPM) 3. INDICATE SHORTHAND SYSTEM USED--CHECK (X) APP ATE ITEM. OTHER GREGG SPEEDWRITING Ell STENOTYPE ^ SPECIFY: SECTION VII SPECIAL QUALIFICATIONS PROVIDE INFORMATION ON HOBBIES. SPORTS, LICENSES. PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTED. SECTION VIII MILITARY SERVICE CURRENT DRAFT STATUS I. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED? YES D NO 2- NEW CLASSIFICATION 3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS 4. IF DEFERRED. GIVE REASON MILITARY RESERVE, NATIONAL GUARD STATUS CHECK RESERVE OR GUARD ORGAN I- ARMY MARINE CORPS ^ COAST GUARD ^ NATIONAL GUARD ZATION TO WHICH YOU BELONG E] NAVY # AIR FORCE 0 AIR NATIONAL GUARD 1. CURRENT RANK. GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK 3. EXPIRATION DATE OF CURRENT OBLIGATION 4. CHECK CURRENT RESERVE CATEGORY [-] READY RESERVE 0 STANDBY(active) STMDBY(inactive) EIRETIRED [] DISCHARGED 5. MILITARY MOBILIZATION ASSIGNMENT 6. RESERVE UNIT TO WHICH ASSIGNED OR ATTACHED MILITARY SCHOOLS COMPLETED (Extended Active, Reserve Duty, or as Civilian) NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION DATE COMPLETED mmmmmm= RESIDENT AGENCY-SPONSORED SECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS S e Co b Ci S DATE OF MEMBERSHIP NAME AND CHAPTER , er, treet, ty, tat untry) ADDRESS (Num FROM TO I. 2. 3. SECTION X REMARKS DATE SIGNATURE OF EMPLOYEE