PERSONNEL QUALIFICATION QUESTIONNAIRE

• Document Type: FOIA
• Keywords: HITCHCOCK PETER
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0001515936
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 8
• Document Creation Date: June 22, 2015
• Document Release Date: August 7, 2009
• Case Number: F-2008-00564
• Publication Date: June 18, 1952

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Securit ation
(b)(3)
(b)(6)
HITCHCOCK PFTER STARI-iiy
Name: Last, First Middle
TO:
FROM:
SUBJECT:
Personnel Director
PERSONNEL QUALIFICATION QUESTIONNAIRE
1. The Agency is currently revising the system for machine coding
employee qualifications, thereby permitting more complete and accurate
data on all personnel. The new system will aid in implementing Agency
policies on promotion from within by facilitating the selection of personnel
with desired education and experience for vacancies which may occur. It
is also expected that the new system will provide readily accessible statistics
for planning and management purposes.
2. The attached questionnaire is designed to cover adequately those
factors in which the Agency is interested. Although the information is, in
a large measure, already reflected in previous forms submitted by you, it.
is felt that your time within the organization may enable you to emphasize
those qualifications pertinent to its needs. The questionnaire also serves
to bring your education and qualifications record up to date.
3. Your cooperation is requested in completing the questionnaire as
thoroughly and accurately as possible and returning it to your Administrative
Officer within the time allotted.
e ge t!;. mei on
P 4/sonnel Director
FORM NO. 37_152
MAY .1952
SECP ET-
Secu-Li-t~05imation
APPROVED FOR
RELEASE^DATE:
28-Jul-2009
 . SECRET
Securit mation
1. Serial No. 2. NAME: (last (first (middle
H~ I tcf-k O c k ?P ETF- R STWRLIN6-
PERSONNEL QUALIFICATION QUESTIONNAIRE
5. Sex: prlnale (1)
female (2)
4. Date of Birth
/; 4 Nrr'1 g?
7. Citizenship:
W, U. S.
Othe r
Martial Status 40m 6. CIA Entry
Nr. Dependents__I_ ?o sC;p C/
8. Acquired By: (1) a-' firth (2 Marriage (3) Naturaki
(4) Other(specify)
Year U. S, citizenship acquired, if not by birth
SEC. I. EDUCATION
1. Extent: (circle one)
1. Less than high school 4. Two years college, or less 8. Masters de
2. High school graduate 5. Over two years, no degree 9. Doctors de
3. Trade, Business or E. Bach- ear degree
Commercial school 7. Post-graduate study
graduate (minimum 8 sem. hrs.)
2. Colle e or Universit Stud :
Name and location of Yrs Compl
Eight Degree Recd
Min or
College or University Major -Title.- 11 Date
From I -To
Day
WESLEYAnr L Nl)
M'(R3DLE1-DVJN , CatyN
UN IV 04: tq. CA9VLI MA
, 4PEt. l4'tLi.. / .G .
Ff~enn
J20 L
fs . I
S
~Ff
3 4
FS 8
JON
-i i
3. Trade, ommercia , an Specialized Training:
4. Military or Intelligence Training (full time duty as a student in specialized
schools such as intelligence, communications, ordnance disposal, comman
st
ff
t
a
e
c)
, . School
tip IN FArnr r r y Sc.WooL
Attendance Dates
3u L 144V
19A 4,4
tftE ARMY G r1RAL OL
#r RIe-E KAftj 2- NN 11Mh
rE l1>tIAW tctY S%ttoo L APf AI
Study or Specializatio
Study or Specialization
4+
Secu ormation
gree
Sem
Hrs
 SEC. II. WORK EXPERIENCE
CELT
Security-IifcTim'ation
1. CIA Experience: State the specific nature of duties performed with CIA and
CIG, starting with your present position. Take position titles from your of-
ficial personnel papers, if you have personal copies. Please do not request
your Official Personnel Folder. Include geographic area and subject matter
dealt with, if applicable. Position Title is your classification title such as
Geographer, Intelligence Officer, etc. Duty Title indicates your organization
position such as - Section Chief, Branch Chief, Administrative Assistant, etc.,
and is to be filled in only if different to the Position Title. Approximate dates
(month and year) are sufficient. Use a continuation sheet, if necessary, to
adequately describe your duties.
romEEp51 To *N52Tot.mos.Description of Duties:
rade ) ( Salary S 7 .4 0
Office F E4p'C_
Position
Title: ~.~ N C G Ca FF
Duty
Title:
From p.KSZ o 'peS Tot. mos.
Grade i( Salary 5
Office
E E F C__
~'"~O-^~+ air ~, E ~ - ~.-~~-?-.-..
Duty Station, ii overseas
Description of Duties: _ - a W
Titl
`
e: TE - _ 1 E'Acc E
OFF
D
t
,~
u
y
&
-
Titl
?1 Zip
:
D
uty Stat
ion, if overse
as :~.c.a.e
From To Tot. mos
.
D
escripti
on of Duties
:
G
d
ra
e Salary
01
.00
OR
Office
Position
Title:
Duty
Title: Duty Station, i overseas:
From To Tot.mos.
Grade Salary
Office
Position
Title:-
Duty
Title:
Description of Duties:
Duty Station, if overseas:
__m 9JLF
5 E! _ ~ormation
Secu '
 SEC.
2.
S G EST
Securi rrnation
II. WORK EXPERIENCE (CONT'D. )
Other than CIA: (Describe work experience for the last 15 years in sufficient
detail to permit specific coding of your qualifications. Include military work
experience. List last position first. )
r'rom a ?\j 1 To Sj Tot. mo's s
Classification Grade if in Federal
Service) Salary ZSo
Number and Class of Employees
Supervised:
Employer ...=,~c)
Kind of Business or organization
(i. e. , paper products mfr, public
utility) Ru.bbsa* PJ.msi'c.6 r..,,.M
From Mw 4 G To Tot. mo's
Classification Grade if in Federal
Service) Salary
Number and Class of Employees
Supervised:
Employer F~
Kind of Business or organization
(i. e. , paper products mfr, public
utility)
From .( t3 T . .Tot. mo's
Classification Grade if in Federal
Service) Salary
Number and Class of Employees
Supervised:
Employer
Kind of Business or organ zation
(i. e. , paper products mfr, public
utility)
From ,.! To ate. T
q-t mo's
Classification Grade if in Federal
Service) Salary
Number and Class of Employees
Supervised:
Employer-t-& ?PCG,
Kind of Business or organization
(i. e. , paper products mfr, public
utility) 4 i._c.,~?~?+
From zL, To 411 Tot. mo's
Classification Grade(if in Federal
Service) Salary
Number and Class of Employees
Supervised:
Employer
Kind of Business or organization
(i. e., paper products mfr, public
Duty Station if overseas:
Exact Title of your position
Description of Duties:
Duty Station if overseas:
Exact Title of your position
G--'- b I -t--
Description of Duties: .,.a? c?
C o e o, ca.~ 6
uty Station if overseas:
Exact Title of your position
Description of Duties:
utility) Duty Station if overseas:
Sec urit 0rmation
C.) ~
 Securit a ion
SEC. II. WORK EXPERIENCE (CONT'D)
3. Special Work Experience: Check any of the
following organizations by which
you may have been employed.
O 1
U. S. Secret Service
24
Air Force A-2
02
Civil Police
25
Foreign Economic Admin.
03
Military Police
26
Counter Intelligence Corps
04
U. S. Border Patrol
27
Immigration & Naturalization
05
U.S. Narcotics Squad
28
Strategic Services Unit
06
FBI
29
Foreign Service, State Dept.
07
Criminal Investigation Div.
30
Central Intelligence Group
21
Office of Naval Intelligence
Armed Forces Security Agency
22
Office of War Information
Coordinator of Information
23
Army G-2
Office of Facts & Figures
20
Office of Strategic Services
Board of Economic Warfare
Federal Communications Comm.
SEC. III. FOREIGN LANGUAGES
List below the foreign languages in which you have some competence. Be sure to
include uncommon modern languages. Check ( X) your competence and how acquired.
COMP
ETE
NCE
HOW ACQ
UIRED
y
p
0
0
4
a;
4-4
4.4
'
o
4)
1
U
LANGUAGE
,
d
d .-j
d
W 1
v q
^,,
wz
ww
C4
H
ZU
a
Ua
"4'
-9~
404
04
tz 7.
J
uage that has signi
d 'Fluent' for a lan
k
h
fican
t dif
ference in spoken
g
e
ec
If you have c
and written form (e. g., Arabic), explain your competence herein
**Specialized Language Competence: Describe ability to do specialized language work
involving vocabularies and terminology in the scientific, engineering, telecommuni-
cations, and military fields. List the language with the type of speciality.
Securit ation 4
 C B6 RE 9EL
S ecurit mation
SEC. IV. AREA KNOWLEDGE
1. List below any foreign countries or regions of which you have knowledge
Country or Region
Dates of
Residence, Study
Manner in Which Knowledge
Was Aqui.red (check (X) one)
Etc.
Residence
Travel
Study
2. Specialized Knowledge of Area
gained as a result of residence, travel or study. Study can mean either
academic study, or study of a foreign country resulting from an intelligence,
military, commercial or professional work assignment.
List specalized knowledge of foreign country such as knowledge of terrain,
coasts and harbors, utilities, railroads, industries, political parties, etc. ,
gained as a result of study or work assignment. Include name of employer
or organization.
Country
Type of Knowledge
SEC. V. TYPING AND STENOGRAPHIC SKILLS (PRESENT UTILIZATION)
Skill
Per Cent of
Time Used
Not Used
WPM (Approximate
Proficiency)
Prefer Assignment
Using Skill Oftener
Typing
1.
2.
1. Yes 2 . No
horthand
1.
2.
1. Yes 2. No
horthand System: 1. Manual 2. Machine 3. Speedwriting.
SEC. VI. LICENSES, HOBBIES, SPECIAL QUALIFICATIONS
I. Licenses: List any licenses or certi-
fication such as teachers, pilot, marine,
etc.
2. Hobbies: List any hobbies such
as sailing, skiing, writing, or
other special qualifications.
SEC. VII. PROFESSIONAL AND ACADEMIC HONORS
List any professional or academic associations or honorary societies in which
you hold membership.
 Securit ation
SEC. VIII. PUBLICATIONS
List below the type of writing (non-fiction: professional or scientific articles,
general interest subjects, current events, etc; fiction: novels, short stories, etc.
of any published materials of which you were author or co-author.
SEC. IX. INVENTIONS
Device
Patented
(1) Yes 2 No
1 Yes 2 No
1 Yes 2 No
SEC. X. CIA TESTS
Describe below the type of tests which you have taken in CIA:
Type of Test
Date Taken
SEC. XI. PHYSICAL HANDICAPS
List any physical handicaps you may have.
SEC. XII. OVERSEAS ASSIGNMENT
Are you willing to accept periodic tour of duty overseas?
(1) 2 year Tour .- 7 d r r_..,_ 1'2 1 A,
SEC. XIII. WORK ASSIGNMENT
In view of your total experience and education, for what assignment in CIA do
you think you are best qualified?
'7 .
Describe any devices you have invented as to type of work for which intended
and whether patented.
smeft
Securit ation
 SEC. XIV. MILITARY STATUS
1. Present Draft Status
Have you registered under the Selective Service Act of 1948 ? ,?Yes No.
If yes, indicate your present draft classification
2. Present Reserve or National Guard Status
Do you now have Reserve or National Guard Status V/1"Yes . No.
If yes, complete the following.
1. National Guard
2. Air National Guard
3. Active Reserve Status (member of organized unit)
4. v--Inactive Reserve Status
Service ( rt F- er^I t p, Grade C-I'Y` Location ?--?'-
R.eserve Unit with which currently affiliated'
--
Service Mobilization Assignment, if any
Location of Service Records, if known
SEC. XV. CIA TRAINING
List the-training courses or subjects you have taken while in the CIA.
Course or Subject
(from) Dates (to) Hour s
SEC. X VI. REMARKS
Use this space to indicate any other qualifications you may have which you do
not describe above.
E..
Security rmation