Army of the United States Separation Qualification Record Save this form. It will not be replaced if lost This record of job assignments and special training received in the Army is furnished to the soldier when he leaves the service. In its preparation, information is taken from available Army records and supplemented by personal interview. The information about civilian education and work experience is based on the individual's own statements. The veteran may present this document to former employers, perspective employers, representatives of schools or colleges, or use it in any other way that may prove beneficial to him.
1. LAST NAME-FIRST NAME-MIDDLE INITIAL. Stevens Conway
2. ARMY SERIAL NO. 33 862 446
3. GRADE Tec 5
4. SOCIAL SECURITY NO. 225-14-3281
5. PERMANENT MAILING ADDRESS (Street, City, County, State) Box 184 Kellers, Va. (Accomack County)
6. DATE OF ENTRY INTO ACTIVE SERVICE 12 Dec 1944
7. DATE OF SEPARATION 17 Nov 1946
8. DATE OF BIRTH 11 Jun 1921
9. PLACE OF SEPARATION Separation Center Ft. Bragg, N.C.
MILITARY OCCUPATIONAL ASSIGNMENTS 10. MONTHS 4, 14
11. GRADE Pvt, Tec 5
12. MILITARY OCCUPATIONAL SPECIALTY Infantry Basic Training (521), Medical Technician (409)
SUMMARY OF MILITARY OCCUPATIONS 13. TITLE-DESCRIPTION-RELATED CIVILIAN OCCUPATION Medical Technician: Assisted medical officers in operating a dispensary for immediate examination of reported illness. Took and recorded temperature and respiration rate. Issued medicines to patients authorized by medical officer. Made blood tests. Made up requests for hospitalization.
This form supersedes WD AGO Form 100, 15 July 1944, which will not be used. WG AGO FORM 100 JUL 1545