Dodea Form 5010, Dodds Application For Overseas Employment

Download a blank fillable Dodea Form 5010, Dodds Application For Overseas Employment in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Dodea Form 5010, Dodds Application For Overseas Employment with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

OMB No. 0704-0370

DEPARTMENT OF DEFENSE DEPENDENTS SCHOOLS (DoDDS)

OMB approval expires

APPLICATION FOR OVERSEAS EMPLOYMENT

Jul 31, 2011

The public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering

and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,

including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 1155 Defense

Pentagon, Washington, DC 20301-1155 (0704-0370). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with

a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO:

DEPARTMENT OF DEFENSE DEPENDENTS SCHOOLS, HUMAN RESOURCES CENTER

4040 NORTH FAIRFAX DRIVE, ARLINGTON, VA 22203-1634

PRIVACY ACT STATEMENT

AUTHORITY: 20 USC Sections 902, 903, and E.O. 9397.

PRINCIPAL PURPOSE: Used to screen applicant for educational qualification and employment eligibility. Disclosures of germane information within

the Department of Defense is authorized upon a demonstrated "need to know" to perform official duty, including, but not limited to DoD attorneys

rendering advice and assistance; DoD law enforcement or security activities for investigative purposes.

ROUTINE USE(S): Routine disclosures of relevant and necessary information is authorized to agencies outside of the DoD by DoD Privacy Act

Systems Notices, which may be found at , including, but not limited to: (1) to the Office of Personnel

Management to verify or establish the selected applicant's pay and leave, benefits, retirement deduction, and for any other of OPM's legally authorized

government-wide personnel management functions and studies; (2) the appropriate Federal, State or local law enforcement agency in connection with

possible violation of law, whether civil, criminal or regulatory; (3) a Federal, State or local agency maintaining civil, criminal, relevant enforcement or

other pertinent information, such as current licenses, or to a Federal agency, concerning an investigation of an employee, the letting of a contract, or

the issuance of a license, grant or other benefit by the requesting agency, the hiring or retention of an employee or the issuance of a security

clearance; (4) in response to an inquiry from a Congressional office made at the request of the individual to whom the data in this form concerns; (5) to

the Office of Management and Budget in connection with the review of private relief legislation; (6) to foreign law enforcement, security, investigatory,

or administrative authorities in compliance with international agreements and arrangements; (7) to State and local taxing authorities for which an

employee or military member is or was subject to tax; (8) to any component of the Department of Justice for the purpose of representing the

Department of Defense, or any officer, employee or member of the Department in pending or potential litigation to which the record is pertinent; (9) to a

domestic or foreign entity for the purpose of counterintelligence activities authorized by U.S. Law or Executive Order or for the purpose of enforcing

laws which protect the national security of the United States; and (10) to the Merit Systems Protection Board, the General Services Administration, and

the National Archives and Records Administration for uses consistent with their respective statutory duties.

DISCLOSURE: Your disclosure of the information requested on this form is voluntary. However, your failure to disclose requested information may

delay or prevent your being considered for employment.

1. SOCIAL SECURITY NUMBER

2. BIRTH DATE (YYYYMMDD)

3. U.S. CITIZEN? (Must be a U.S. citizen)

YES

4. NAME (Last, First, Middle)

5. E-MAIL ADDRESS

6. LOCAL ADDRESS (Street, Apartment Number, City, State, ZIP Code)

7. PERMANENT ADDRESS (If different)

8. HOME TELEPHONE NUMBER