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UNITED STATES CIVIL SERVICE COMMISSION, WASHINGTON, D.C.
APPLICATION FORM 8
January 1939
Ann. No. App'n No.
Applicant must fill ALL blanks in this column (typewriter or ink)
Name of examination Airway Junior Traffic Controller
Optional subject (If any provided) ---
Place of examination (City) New York, N.Y.
Legal or voting resident (Give State) New York
(The address given below will be treated as the applicant's post-office address until notice, in writing, of any change is received.) Print plainly, in ink (or typewrite) your name in full (one given name, additional initials, if any, and surname in full). If a woman, prefix "Miss" or "Mrs.,", and if married, use your own given name, as "Mrs. Mary L. Doe."
(Name) Micheal Allen Gitt
(R.D. or street address) 1569 Hone Ave
(City or post office) Bronx, N.Y.
Date of Birth May, 13, 1908
Age on last birthday 32
APPLICANT WILL NOT FILL THE FOLLOWING
Exam. date ____________
Approved by ____________
Admit'd exam ____________
Notif'd rating ____________
Date reg ___________
[[table]]
O.
S.
G.
R.
E.
&
X.
P.
&
D.
A.
V.
[[checkboxes]]
Apportioned.
Nonapportioned.
An Indian.
Mat'l filed.
Mat'l ret'd.
Mat'l att'd.
Over age if no pref.
Mil. serv. but no proof
[[/end of checkboxes]]
Preference:
Allowed-
[[checkboxes]]
Pref.
Disability.
Widow.
Wife.
Disallowed.
Closed.
[[/end of checkboxes]
[[checkboxes]]
Army.
Navy
Marine C.
C. G.
No proof grad.
Note fam.
[[/end of checkboxes]]
Appl.Div.Rec.
READ THIS BEFORE FILLING OUT YOUR APPLICATION
Before filling out this application, consult the announcement of the examination and study carefully the minimum requirements specified therein. Applications from persons who do not meet these requirements will be canceled.
Any false statement in this application, which is under oath, or alteration of a certificate, or the presentation to the Commission of a paper containing such false statement or alteration, is a violation of the law and is punishable as such.
ANY OF THE FOLLOWING WILL DELAY AND MAY NULLIFY YOUR OPPORTUNITY FOR APPOINTMENT: (1) Failure to answer properly all questions; (2) If you are foreign born, failure to furnish with application proof of United States citizenship; (3) Failure to furnish thesis or other material, or photograph, with application, if called for in examination announcement; (4) Failure to furnish in or with application of all the information required under question relating to arrest, etc.; (5) Failure to have jurat (or oath) on page 4 properly executed; (6) Failure to have "Officer's Certificate of Residence" on page 4 properly executed, if called for in the examination announcement. Avoid reference to religion, politics, or fraternal orders. Answers should be typewritten if practicable; if not, they must be in ink.
In case of emergency, necessitating immediate certification, the Commission reserves the right to certify eligibles for appointment who have complied with all the requirements in the application blank. It is, therefore, highly important that your application be completely and correctly filled out before it is sent to the Commission.
[[Column 1 questions]]
1. Are you a citizen of the United States .......... Yes
Yes or No
Naturalized citizens must submit naturalization certificate;
other foreign born, documentary proof of citizenship.
2. Where were you born? (a) New York, N.Y.
(State or Territory, if American born)
(b)_________________
(Country, if foreign born)
(c) Check in the appropriate space --
Male [x] Single []
Female [] Married [x]
3. What is the date of your birth? May, 13, 1908
(Month) (Day) (Year)
Applicants who attain eligibility and are selected for
appointment must furnish proof of date of birth to the
appointing officer at the time of reporting for duty. Applicants
should not submit such proof to the Civil Service
Commission. An extension of time, not to exceed six
months after appointment, may be granted upon satisfactory
evidence that additional time is necessary. Notices
of rating sent to eligibles will contain further information.
4. What is your height, without shoes? 5 feet 10 inches.
5. What is your weight, without overcoat or hat? 170 pounds.
6. Have you any physical defect or disease or disability whatsoever? No
Yes or No
If answer is "Yes," give full particulars. Concealment
of a disease of a disability of a physical defect of any
nature may result in cancelation of your application and
debarment for examinations. Wise an additional sheet of
paper, if necessary.
7. Are any members of your family or relatives (either blood
or by marriage) in any part of the Government service
whatsoever? No
Yes or No
If answer is "Yes," give name, address, and branch of service of each such relative.
8. What is the lowest entrance salary you will accept? $2000
Registers may be used for allied positions at salaries
other than that specified in the announcement. You will
not be certified to positions paying less than the amount
given in the answer.
9. Will you accept appointment anywhere in the United States? Yes
Yes or No
If answer is "No," state acceptable localities.
[[Begin column two]]
10. Will you accept temporary appointment for six months? Yes
Yes or No
Answer all three parts For three months? Yes
of this question Yes or No
For one month? Yes
Yes or No
11. Have you ever been discharged or forced to resign from any
position? No
Yes or No
If answer is "Yes," state when and where employed and give the name
and address of your employer and the reason for your discharge or forced
resignation in each case.
12. Within the past 12 months, have you used intoxicating
beverages? Yes
Yes or No
Habitually? No
Yes or No
To excess? No
Yes or No
13. Are you now, or have you been in the past, addicted to the
use of habit-forming drugs? No
Yes or No
If answer is "Yes," give full particulars.
14. (a) Where you ever in the U.S. military or naval service? No
Yes or No
(b) Where all discharges granted under honorable conditions?
Yes or No
(c) Do you claim military preference? No
Yes or No
If you claim military preference, you should obtain Form
14 and submit it with the evidence required therein.
READ CAREFULLY.--An answer to the following
question concealing either trivial or serious offenses may
cause rejection of application and debarment from
examinations.
15. Have you ever been arrested, or summoned into court as a
defendant, or indicted, or convicted, or fined, or imprisoned,
or placed on probation, or has any case against you
been filed, or have you ever been ordered to deposit
collateral for alleged breach or violation of any law or police
regulation or ordinance whatsoever? Yes
4 Minor Traffic Violations N. Y,C Yes or No
If so, list all the cases without and exception whatsoever on a sheet
attached, giving each case (1) the date, (2) your age at the time, (3) the
place where the alleged offense or violation occurred, (4) the name and
location of the court, (5) the nature of the offense or violation, (6) the
penalty, if any, imposed, or other disposition. The above question
includes arrest by military or naval authorities and disciplinary action
imposed by courts martial, as well as in civil cases. If appointed, your
fingerprints will be taken.
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