BLANK FORM -

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP80-01826R001000130013-7
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 14, 2016
• Document Release Date: November 4, 2002
• Sequence Number: 13
• Content Type: FORM

Approved Fo ase 2002/11/20: CIA-RDP80-0182100013OO1.
Hofer
Nome ..nated Applied To].
GS 7 9 11 12 Prom
Clearance
Vet: Comp
Medical
O,/S
Spec
Ed:
S h
Maj
Dog
19
.,---
.m,.-
Sch
Maj
Deg
...,
19
---?
Sch
ma j
Ile g
1 9
Language
Business,, etc
:,xaer3 ence
Age
Dep
Training 81 C - Other
Available
Replacement
Career Service ., The Program _,1Mcess Placement
Final AwIreeimat;
r
~W-- -
Clie - MP -- 17 I ORtG CLASS PAGES RE. CL - SS u
NEXT REV AUTH: HR 10-
Approved For Release 2002/1 /2mV:, 100o1
Security 1Jarnaang
STAT