QUALIFICATION UPDATE - COLLINS, CHARLES P.

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
0001426171
Release Decision: 
RIPPUB
Original Classification: 
U
Document Page Count: 
9
Document Creation Date: 
June 22, 2015
Document Release Date: 
March 20, 2008
Sequence Number: 
Case Number: 
F-2007-01041
Publication Date: 
June 22, 1967
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(b) (2) (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 444j, "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 (Last-First-Middle) COLLINS, Charles P. DATE OF BIRTH 12/28/16 SECTION II EDUCATION HIGH SCHOOL LAST HIGH SCHOOL ATTENDED ADDRESS (City,State,Country) YEARS ATTENDED (From-To) GRADUATE Q YES ^ NO COLL EGE OR UNIVERSITY STUDY TY SUBJECT YEARS ATTENDED DEGREE YEAR NO. SEM/QTR. NAME AND LOCATION OF COLLEGE OR UNIVERSI MAJOR MINOR FROM--TO-- RECEIVED RECEIVE D HRS.(Spec-Fy) 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, COMM#RCI AL AND SPECI ALLZED- SCHOOLS NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHS OTHER NON- AGENCY EDUCATION OR TRAINING NOT INDICATED ABOV E NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHS SECTION III MARITAL STATUS 1. PRESENT STATUS (Single,Warried,Widowed,Separated,Divorced,Annulled,Remarried) SPECIFY: 2. NAME OF SPOUSE (Last) (First) ("fiddle) (Maiden) 3. DATE OF BIRTH 4. PLACE OF BIRTH (City,State,Country) DATE: DEC 2007 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 ADD 1. 0 DELETE ADD 2 U DELETE FORM 4144n SEJET 2- 68 'T ew ( n SECTION V -~- GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL NAME O 1: f;~ F r;'O A ' KNOWLEDGE ACQUIRED BY- -CHECK M F REGION OR COUNTRY TYPE OF SPECIALIZED KNOWLEDGE DATES OP TRAW,FfL +' OR RESIDENCE TE ACE - O, I 0C V OF STUDY Rest' JENCE T RAVEL STUDV WORK ASS IAN. MENT . Y 9 1 26 2? SECTION VI TYPING AND STENOGRAPHIC SKI_ 1. TYPING (WPM) 2.SHORTHAND(WPM) '3. INDICATE SHORTHAND SYSTEM USED--CHECK (X) APPROPRIATE ITEM. GREGG SPEEDWRITING STENOTYPE ^ El ^ SPECRIFY: SECTION VII SPECIAL QUALdFICATIONS 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 E] 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 ORGANI? , ^ ARMY D MARINE CORPS ri COAST GUARD ^ NATIONAL GUARD ZATION TO WHICH YOU BELONG El NAVY E] 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 ^ STANDBY(active) STAND BY(inactive) RETIRED F1 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 " S I D E N T AG E NC V? SP ONS O RED SECTION IX PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS NAME AND CHAPTER Street Cit State Countr ) ADDRESS (Nu-ber DATE OF MEMBERSHIP , , , y, y FROM TO 2. 3- SECTION X REMARKS DATE SIGNATURE OF EMPLOYEE SE ET (When filled In) I .moo oml n ~ ^~o 0 ~ C= cb C= mm, cm rx -- C' o ti om rry m m 7U2 m m (- z m~ 3 = c o a zm r m:z D n Am D A 3 I - ra p p r m T r- 0! 0 O o i ? a 3 2 o n Ln m o m d? n z o~ 0 im 0 ) V 0 9 m m~ z m y 0 z 0 A ? ~-d < 0 Z D Z 0000 m A n n W w -Z. M V X X X X >0 X D D < 2 N p E 1 O ? < 0 . ~ a El) O r N y ' c N m y m DO O.'* flU(.UI . ~ m Z: t. C?; a'(4 . B \ o m '- \ > \ \ .... o L- C: ii Ol PODO- - P n O -ti 0 0 - UI+o 11 0 1 C-) m V o 0 0 0 z O mi V F+F'Y D O i f/1 0 .-.m s~ i 0 P Ul UI VI n -C co 0~ , I!! U-lDGP: 0 ~c ca rcc 0 m = b0 Om ? n n 9 a o-e 6 o z z 11 ml W z o rao ~-.~ Cy7 Coo rIIJ b z om ; o n U n : . + fil ? ? c ,~ " T r z n M 0 L , zm x - m.Z S Mm DA t A n - ',. ra o r o m 0 0 6 ? o Z m a 2 ? ? m n m o ? m z 2 m A o? Z C) o v 0 z > ~m V i Z 0 v 0 O m 0 z A D o 0 o c) e ? i X X K mxxx p n o mr i ~ ~ ? o K D -. a C O in A'o o Z N m - m;ar-t C,_ D' 00 PP- ' 0 n o I O v a UI \'\ \\? O 3 f) O_ Of' m! Vr(r _ o ms n f/1 x -.m All) - o u v a g PPt+N ' O, v QJUiCO! O _ O E C. C + AG m rp H I-~ la,. rm y NSE Filled In) SECTION III EDUCATION (copra) HIGH SCHOOL LAST HIGH SCHOOL ATTENDED ADDRESS (City, State, Country) YEARS ATTENDED (From-To) GRADUATE Q YES NO COLLEGE OR UNIVERSITY STUDY SUBJECT YEARS ATTENDED DEGREE YEAR NO. SEM / QTR. NAME AND LOCATION OF COLLEGE OR UNIVERSITY MAJOR MINOR FROM - - TO - - RECEIVED RECEIVED HRS. (Specify) 2 15. IF A GRADUATE DEGREE HAS BEEN NOTED ABOVE WHICH REO'U ED SUBMISSION OF A WRITTEN THESIS, INDICATE THE TITLE OF THE THESIS AND BRIEFLY DESCRIBE ITS CONTENT, tot: t, S TRADE, COMMERCIAL AND SPECIALIZED SCHOOLS NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHS 2. 3. OTHER NON-AGENCY EDUCATION OR TRAINING NOT INDICATED ABOVE NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHS 2. 4. 5. AGENCY-SPONSORED EDUCATION Specify which, if any, of the education shown in Section III was Agency sponsored. NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO NO. OF MONTHS 2. 3. 4, 5. 2- SECTION VII MILITARY SERVICE CURRENT DRAFT STATUS 1. ARE YOU REGISTERED FOR THE DRAFT? YES ^ NO 2. SELECTIVE SERVICE CLASSIFICATION 3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS 4. IF DEFERRED, GIVE REASON MILITARY SERVICE RECORD (Active Duty Only) 1. MILITARY ORGANIZATION (Army, Navy, etc. - specify) 2. BRANCH OR CORPS 3. DATES OF SERVICE (e.tended active duty) FROMTO 4. STATUS (Regular, Reserve, etc. - specify) 5. RANK, GRADE OR RATE (at separation if past service) 6. SERIAL, SERVICE OR FILE NUMBER 7 CHECK TYPE OF [] HONORABLE DISCHARGE r7 RETIREMENT FOR SERVICE E] UNDUE HARDSHIPS ^ SEPARATION RELEASE TO INACTIVE DUTY F-1 RETIREMENT FOR COMBAT DISABILITY F7 OTHER (Specify) ^ RETIREMENT FOR AGE ^ RETIREMENT FOR PHYSICAL DISABILITY 8. BRIEF DESCRIPTION OF MILITARY DUTIES (record the duties and skills which best describe your work or function in the military service). MILITARY RESERVE, NATIONAL GUARD STATUS CHECK RESERVE OR GUARD ORGANI- ^ ARMY ^ MARINE CORPS ^ NATIONAL GUARD ZATION TO WHICH YOU BELONG ^ COAST GUARD ^ NAVY ^ AIR FORCE ^ AIR NATIONAL GUARD 1. CURRENT RANK, GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK 3. EXPIRATION DATE OF CURRENT RESERVE OBLIGATION 4. CHECK CURRENT RESERVE CATEGORY READY RESERVE El STANDBY (active) STANDBY (inactive) RETIRED DISCHARGED 5. BRIEF DESCRIPTION OF MILITARY RESERVE DUTIES (record the duties and skills which best describe your work or function in the. military service), 6. IF YOU ARE CURRENTLY ASSIGNED TO A RESERVE OR NATIONAL GUARD TRAINING UNIT, IDENTIFY THE UNIT AND ITS ADDRESS. MILITARY SCHOOLS COMPLETED (Active Duty, Reserve Status or as Civilian) NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION DATE COMPLETED RESIDENT CORRESPONDENCE I AGENCY-SPONSORED RESIDENT CORRESPONDENCE 2. AGENCY-SPONSORED RESIDENT CORRESPONDENCE 3. AGENCY-SPONSORED RESIDENT CORRESPONDENCE 4 AGENCY-SPONSORED RESIDENT CORRESPONDENCE 5 AGENCY-SPONSORED I 7ET - S ndF017 (W en Filled In) SECTION IV GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL KNOWLEDGE ACQUIRED BY - - CHECK (X) NAME OF REGION OR COUNTRY TYPE OF SPECIALIZED KNOWLEDGE DATES OF TRAVEL OR RESIDENCE DATE & PLACE OF STUDY RE51- DENCE TRAVEL STUDY WORK ASSIGN- MENT SECTION V TYPING AND STENOGRAPHIC SKILLS 1. TYPING (WPM) 2. SHORTHAND (WPM) 3. INDICATE SHORTHAND SYSTEM USED - - CHECK (X) APPROPRIATE ITEM: GREGG SPEEDWRITING Q CTHERSTENOTYPE 0 SPECIFY: 4. INDICATE OTHER BUSINESS MACHINES WITH WHICH YOU HAVE HAD OPERATING EXPERIENCE OR TRAINING (comptometer, mimeograph, cord punch, etc.) SECTION VI SPECIAL QUALIFICATIONS 1. LIST ALL HOBBIES AND SPORTS IN WHICH YOU ARE ACTIVE OR HAVE ACTIVELY PARTICIPATED. INDICATE YOUR PROFICIENCY IN EACH. 2. EXCLUDING BUSINESS EQUIPMENT OR MACHINES WHICH YOU MAY HAVE LISTED IN ITEM 4, SECTION V, LIST ANY SPECIAL SKILLS YOU POSSESS RELATING TO OTHER EQUIPMENT AND MACHINES SUCH AS OPERATION OF RADIO TRANSMITTERS findicote CW speed, sending & receiving) OFFSET PRESS, TURRET LATHE, EDP AND OTHER SCIENTIFIC & PROFESSIONAL DEVICES. 3. ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED OR CERTIFIED MEMBER OF ANY TRADE OR PROFESSION SUCH AS PILOT, YES ELECTRICIAN, RADIO OPERATOR, TEACHER, LAWYER, CPA, MEDICAL TECHNICIAN, PSYCHOLOGIST, PHYSICIAN, ETC.? 00. ^ NO 4. IF YOU HAVE ANSWERED 'YES" TO ITEM 3 ABOVE, INDICATE KIND OF LICENSE OR CERTIFICATION AND THE ISSUING STATE. MUNICIPALITY, ETC. (Provide license registry number if known) 5. FIRST LICENSE/ CERTIFICATE (year of issue) -6. LATEST LICENSE/ CERTIFICATE (year of issue) 7. LIST ANY SIGNIFICANT PUBLISHED MATERIALS OF WHICH YOU ARE THE AUTHOR (do NOT submit copies unless requested). INDICATE THE TITLE, PUBLICATION DATE, AND TYPE OF WRITING (non-fiction or scientific articles, general interest subjects, novels, short stories, etc.) 8. INDICATE ANY DEVICES WHICH YOU HAVE INVENTED AND STATE WHETHER OR NOT THEY ARE PATENTED. 9. PUBLIC SPEAKING AND PUBLIC RELATIONS EXPERIENCE. 3- SE~T !5 - 3. DIRECTORATE-OFFICE OR DIVISION, ,BRANCH 5 ESiR'ET (W Fiffed In) 1 INCLUSIVE DATES (From-To-by month & year) 2. LOCATION fCountry, City) 3. DIRECTORATE-OFFICE OR DIVISION, BRANCH 4. TITLE OF JOB 5. GRADES HELD IN JOB 6. DESCRIPTION OF DUTIES 1. INCLUSIVE DATES From- To- by month & year) 2. LOCATION (Country, City) 3. DIRECTORATE-OFFICE OR DIVISION, BRANCH 4. TITLE OF JOB S. GRADES HELD IN JOB 6. DESCRIPTION OF DUTIES 1. INCLUSIVE DATES (From-To-by month & year) 2. LOCATION (Country, City) 3. DIRECTORATE-OFFICE OR DIVISION, BRANCH 4. TITLE OF JOB 5, GRADES HELD IN JOB SECTION IX MARITAL STATUS I. PRESENT STATUS (Single, Married, Widowed, Separated, Divorced, Annulled, Remarried) SPECIFY: t ? ! li-~e le / t' 2. NAME OF SPOUSE (LosJt (First) (Middle) (Mai en) Ar -1) 3. DATE OF BIRTH 4. PLACE OF BBIIRRT (City, Se, County) '1 r 5. OCCUPATION 6. PRESENT EMPLOYER 7. CITIZENSHIP ti .S 8. FORMER CITIZENSHIP(S) COUNTRY(IES) 9. DATE U. S. CITIZENSHIP ACQUIRED SECTION X DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE NAME RELATIONSHIP DATE AND PLACE OF BIRTH CITIZENSHIP PERMANENT ADDRESS S J*G5 1~" c . t'3 SECTION XI PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS DATE OF MEMBERSHIP NAME AND CHAPTER ADDRESS (Number, Street, City, State, Country) FROM TO DATE // 612 SIGNATURE OF EMPLOYEE 7,