Fillable Sf 171 Form - Application For Federal Employment (Page 2 of 4) in pdf

Bureau of Indian Affairs Water Resources Technician Training Program Spring / Summer for American Indians and Alaska Natives

WORK EXPERIENCE If you have no work experience, write "NONE" in A below and go to 25 on page 3.

YES NO

May we ask your present employer about your character, qualifications, and work record? A "NO" will not affect our review of your

qualifications. If you answer "NO" and we need to contact your present employer before we can offer you a job, we will contact you first.

READ WORK EXPERIENCE IN THE INSTRUCTIONS BEFORE YOU BEGIN.

INCLUDE MILITARY SERVICE -- You should complete all parts of the experience block just

as you would for a non-military job, including all supervisory experience. Describe each

Describe your current or most recent job in Block A and work backwards, describing

major change of duties or responsibilities in a separate experience block.

each job you held during the past 10 years. If you were unemployed for longer than 3

months within the past 10 years, list the dates and your address(es) in an experience block.

IF YOU NEED MORE SPACE TO DESCRIBE A JOB -- Use sheets of paper the same size as

You may sum up in one block work that you did more than 10 years ago. But, if that

this page (be sure to include all information we ask for in A and B below). On each

work is related to the type of job you are applying for, describe each related job in a

sheet show your name, Social Security Number, and the announcement number or job

separate block.

title.

INCLUDE VOLUNTEER WORK. (non-paid work) -- If the work (or a part of the work) is

IF YOU NEED MORE EXPERIENCE BLOCKS, use the SF 171-A or a sheet of paper.

like the job you are applying for, complete all parts of the experience block just as

you would for a paying job. You may receive credit for work experience with religious,

IF YOU NEED TO UPDATE (ADD MORE RECENT JOBS), use the SF 172 or a sheet of

community, welfare, service, and other organizations.

paper as described above.

Dates employed

Average number of

Number of employees

Name and address of employer's organization (include ZIP Code, if known)

(give month, day and year)

hours per week

you supervise

From:

To:

Salary or earnings

Your reason for leaving

per

Starting

per

Ending

Your immediate supervisor

Exact title of your job

If Federal employment (civilian or military) list series, grade or

Area CodeTelephone No.

rank, and, if promoted in this job, the date of your last promotion

Name

Description of work: Describe your specific duties, responsibilities and accomplishments in this job, including the job title(s) of any employees you supervise. If you

describe more than one type of work (for example, carpentry and painting, or personnel and budget), write the approximate percentage of time you spent doing each.

For Agency Use (skill codes, etc.)