260 



MEMOIRS NATIONAL ACADEMY OF SCIENCES. 



[Vol. XV, 



INDIVIDUAL EXAMINATION 



SERIES GROUP EXAM. NO 



EXAM I NER 



NAME •. _ AGE. 



COMPANY.- BATTALION REGIMENT DIVISION.... 



PREVIOUS OCCUPATION WEEKLY WAGES- 

 EDUCATION: GRADE REACHED HIGH OR PREP. SCHOOL. _... COLLEGE- 



GROUP I (A TO G) 



Cube Construction 



(a) Middle layer' of three cubes 



(b) Upper layer of three cubes 



(c) Two-inch cube (paint hidden). __ 



(d) Three-inch cube (paint hidden). . 



(e) Three-inch cube (paint visible). _ 

 Remarks ( ) 



Moves 



Plan 



Time 



Score 



Weighted 

 Score 



B Clock Test Series 



(a) Telling time by clock. _ 



Interchanging hands (clock visible).. 



Ditto (clock not visible) 



Ditto (clock not visible) 



(b) 

 (c) 

 (d) 



(e) Ditto (clock not visible) 



.Remarks ( ) _ 



Response 



Right 



Wrong 



Time 



Score 



Weighted 

 Score 



C Cube Imitation (Knox) 



(a) 1-2-3-4 _ 



(b) 1-2-3-4-3 



(c) 1-3-2-4 _ 



(d) 2-3-1-1 _.. 



(e) 1-4-3-2-1 



(f) 1-3-1-2-1 _ 



(g) 1-3-2-4-1-3 



(h) 1-4-3-1-2-4- _ 



(i) 1-4-2-3-4-1 _ 



(j) 2-3-1-2-4-2 



Remarks ( ) 



Response 1 



Response 2 



Right 



Wrong 



Score 



Weighted 

 Score 



Maze (Porteus) 



(a) Maze 10. 



(b) Maze 11 



(c) Maze 12 



(d) Maze 13 



Remarks ( ) 



Errors 



Time: 

 Adj. Trac. 



Total 



Score 



Weighted 

 Score 



Form Board (Dearborn No. 3) 



(a) Problem A, 3 moves „ 



(b) Problem B, 5 moves.. 



(c) Problem C, 8 moves 



(d) Problem D, 9 moves 



Remarks ( ) 



Moves 



Time 



Score 



Weighted 

 Score 



Fig. 56.— Individual Examination Blank (first page). 



