QUALIFICATIONS UPDATE - MILLS, MONTRELL EUGENE
Document Type:
Keywords:
Collection:
Document Number (FOIA) /ESDN (CREST):
0001309044
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 19, 1971
File:
Attachment | Size |
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DOC_0001309044.pdf | 123.56 KB |
Body:
SET (When filled In) (b) (3)_,. QUALIFICATIONS UPDATE 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 signed and dated form should be returned through administrative channels to the File Room, Office ce of Personnel, Room II 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 (Leaf-First-Middle) DATE OFBIRTH SD Mills., Montrell E. 31 Jan.1924 11 EDUCATION- HIGH SCHOOL LAST HIGH SCHOOL ATTENDED ADDRESS (City,State,Country) YEARS ATTEND ED (From-To). 1 GRADUATE 0-O NO COLLEGE OR UNIVERSITY STUDY NAME AND LOCATION OF COLLEGE OR UNIVERSITY SUBJECT YEARS ATTENDED DEGREE YEAR I NO. SEM/QTR. MAJOR MINOR FROM--TO-- RECEIVED RECEIVE D HRS.(S0&d1fy) 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 ADDRESSOF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHS OTHER NON-AGENCY EDUCATION OR TRAINING NOT INDICATED ABOVE NAME ANDADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHS 2. SECTION III MARITAL STATUS I. PRESENT STATUS (Single,Married,Widowed,Separated.Divorced,Annulled,Remarried) SPECIFY: 2. NAME OF SPOUSE (Last) (First) (Middle) -(Maiden) S. DATE OF BIRTH 4. PLACE OF BIRTH (City,Stete.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 DEPENbENTS, OTHER THAN SPOUSE NAME RELATIONSHIP DATE AND PLACE OF BIRTH CITIZENSHIP PERMANENT ADDRESS 0 ADD I. 0 DELETE ADD 2. DELETE FORM 444n USE PREVIOUS 10-68 EDITIONS APPROVED FOR RELEAS ET DATE: NOV 2007 SEAT (When jfi~lled in) SECTION V GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL NAME OF REGION u y W ` KNOWLEDGE ACQUIRED BY--CHECK (X) OR COUNTRY TYPE OF SPECIAL IZFBF I L ~ F E['t ( , 1 KNOWLEDGE 'Jf OR RESIDENCE DATE & PLACE OF STUDY REST T DENCE RAVEL STUDY AS WORK GN. MENT FF8 2. SECTION VI TYPING@1S* APHIC SKILLS 1. TYPING (WPM) 2.SHORTHAND(WPM ) 3. INDICATE SHORTHAND SYSTEM USED--CHECK (X) APPROPRIATE ITEM. OTHER D GREGG 0 SPEEDWRITING 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 ^ NO 2. NEW CLASSIFICATION - - - 3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS 4. IF DEFERRED. GIVE REASON MILITARY RESERVE, NATIONAL GUARD STATUS CHECK ZATION RESEWHICH RYGUARDLONGANI- ARMY E] MARINE CORPS ^ COAST GUARD ^ NATIONAL GUARD ^ NAVY ^ AIR FORCE ^ AIR NATIONAL GUARD I- 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 ^ STAN DBY(active) 0 STANDBY(inactive) ^ RETIRED E] 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 RESIDENT AGENCY. SPONSORED SECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS NAME AND CHAPTER Street ADDRESS (Number Cit State Count DATE OF MEMBERSHIP , , y, , ry) FROM TO I. 2. 3. SECTION X REMARKS DATE ^~ j i l7~ SIGNATURE F EMPLO EE