Note—This document is to be bound and preserved as a permanent record. Please fill it out completely, accurately, and neatly, either in ink or by Show moreNote—This document is to be bound and preserved as a permanent record. Please fill it out completely, accurately, and neatly, either in ink or by typewriter. Leave blank space where nothing is to be entered. 1532512115111 Huiutraitg SERVICE RECORD Compiled by The Wesleyan Alumni Council, to be printed in book form, originals to be filed in The W'esleyan Library as a permanent memorial of the- deeds of Wesleyan men in the service of the United States {or Allied governments during the World War. This questionnaire should be completed so far as possible and sent at once, with photographs and additional notes and letters, to The Wesleyan Alumni Council, Middletown, Conn. Name in full 4/ / (family name) / (first name) (middle names) Date of birth éa-fitM/A 02 y . .. Mm) (dc(3’) I I (year) Place of birth )xé'¢(t7’)’)V1/’L1_ /, W, I'M”. ’ 0W1] ' coun y S a e C0111] Ty Name of father/ 5.! i7 Z" Birthplace . . 7777 a - .- try Maiden name of motherflfl Birthplace ,,,,,,,,,,, ’70“: 37 ‘ fl »' ' country Relatives who are W'esleyan meiii, and class if?” I 2' 7/ If? “N ‘ fl I g (2/ 1- v “If; .. ,. ,g r. ., .... .. Prepared for college at :35 , 2*; "gee/w" " If r'fi ff" 1- {a V4,}: (preparatory school) Entered colle e / ; raduated (or left)... (i.’¢:T’./’fl’=:; Z‘Z,<{..&fl / / . g . g i / I (date) (date) Fraternity 1/ ; Class Sovieties Academic degrees... . .. .. . .. .. , , . .. . (degree) ' (institution) (date) Honors and distinctions after graduation . . ., .. , , ,. .......................... .. it) ' ",1 .1?” ,. . /l ,// ,n' . Married/“C0 to "fl-44‘4U' /i¢‘ 5‘ “3/ I", if? / of...........¢;..;€‘fl. ..)Zj’fi2<....g§%n .( [fa (maid‘en name) (date) Children I born (name) (date) j ' . ‘“‘ rap/,1 . 4 2/2174"! “’ , . Occupation before entry into service ,, . .. . , employer ...... ., ’ ' ' - y . 4' ‘_ / .. v _/”/ Resrdence before entry into the serwce 1 / 7 3"" 14g 7 C J - H ,,,,,,,,,,,,, n ’ (street/number) (toyn) (county , ) . . . , “"39. -. ,,/'..’ V, . // Present address , ‘ ’7 }’ — , 7’ ' “L” ’ t (street number) / (town) ‘/ (county) (state) Permanent address ........................................................ _. NOTE—Write additional information on separate sheet of same size. WAR RECORD Entered service on V/JZ/ / (date) (place) , (ff/(W444; (rank) k 4- in the ........ _________ __ 44’) section of / (infantry, artillery, aviation, etc.) - (regular Army, National Guard, Home Guard, N nal Army, Navy, Naval Reserve, Marine Corps, or Allied Army) or in the (name civilian organization, such as Red C? Y. M. C. A.. etc.) ,, Assigned originally to LW 17f (company) (regiment) (division) ( or) a t (ship) (place) Trained or stationed before going to Europe: — School, camp, station, ship From (date) to (date) WW/ /o’:. //?/,7 W /o’; /,¢//7 (’11-. /J;////7 ' V 46, 47/; 44M ,r-flhaa/flfl’m- % as 47/7 W77 4”? a / .- i W cm»? 24%;”va -/; / fl , 42,1/ of ~ Transferred to:— l / / 6 f / / /7// Company Regiment Division Ship Date New Location Promoted: —— From (rank) ,2 AMA/r” ~:2Za4% W40 to (mm/J 12’ fl“ 7/ Z / // . y” / / fl / Embarked from on (port) (ship) and arrived at (date) (foreign port) (date) Proceeded from to (date) From to (date) From to (date) Trained or stationed abroad:— Country I Place From (date) to (date) NOTE—Write additional information on separate sheet of same size. WAR RECORD First went into action 1 (date) (place) Participated in the following engagements, and in what capacity Cited, decorated, or otherwise honored for distinguished services (give circumstantial accounts of exploits, includ- ing dates and places where performed, also by whom and in what manner the honors were bestowed): Killed inaction, killed by accident, died of wounds, died of disease, wounded, gassed, shell-shocked, taken prisoner: Nature of casualty Place Date Under medical care: — Name of hospital Location From (date) to (date) Permanently disabled (through loss of limb, eyesight, etc.) (specify disability) Arrived at on (American port) . (ship) (date) r (from) Located at engaged in till (name place in U. S.) (kind of duty) (date) Located at engaged in till (name flaming-Mfg A (kind of duty) ' 1 (date) Discharged from service at /O:7 (place) V( te) / as a ,/ O y l " ’h' ____ .. (rank) ‘ '9', 7 (unit) ’/ 4/ RETURN TO CIVIL LIF r, «~15 I! Occupation after the war (-71“ "F4114. ’” If a change of occupation was occasioned by reason of disability acquired in the service, describe the process of re-education and readjustment, and indicate the agencies or individuals chiefly instrumental in furnishing the new occupation. NOTE—Write additional information on separate sheet of same size. ADDITIONAL INFORMATION What was your attitude toward military service in general and toward your call in particular? ......................................................... ., I /l J V. p , 11/1 I a; f. 5/7 I h/ , ' 7-1.2? / ['7 V‘, i I m ,4 (7 I, , 74 ," fay A}. -’ I if , \Vhat were the mental and physical effects of your army experience on yourself? “ will! it A- " ./’ :fi’f'zvc f7" J 5214?» r' "i132? 71 V45 pry» ",If 2/ / I, What elements of your college life and work were most valuable to you in service? \Vhat is your present feeling regarding universal military training, etc. P, 7/ z/vz/ 7"” I a 2/7 / K. l/'___‘ “I, ’ .l V a, I p v // if I. 1/ I If you took part in the fighting, what impressions were made upon you by this experience? Photographs—If possible, enclose one taken before entering the service and one taken afterwards in uniform, both signed and dated—also interesting snapshots taken in camps or overseas, Additional data, I, A ._ 2 r Signed at f” V.» 7* / /On [lg/y 1‘ ” K ‘ ,4, / ///71 (place) ate) 7 __ 7] If); y a, (,1; A, 1,, A ' (/33, p '/ 7 7/ " ~' as «Z ‘ t,» ' ’ ' (full name) (rank) (branch of service) The information contained in this record, unless otherwise indicated, was obtained from the following persons 01‘ SOUI‘CES ' NOTE—Write additional information on separate sheet of same size. Show less
