Inquiry As To Availability - Office Of Personnel Management printable pdf download

OPTIONAL FORM 5 (Rev. 3/82)

Return this

1. Agency Name and Address (

Number, Street, City, State & ZIP Code)

5005-108

f o r m t o

Office of Personnel Management

FPM Chapter 332

INQUIRY AS TO AVAILABILITY

2. Certificate Number

3. Position Title

4. Salary/Wage

5. Duty Location

6. Type of Appointment

Career Conditional

Career

(Please correct address, if different from above.)

Temporary For:

Failure to reply to this inquiry will result in the removal of your name from the competitor inventory used to fill this job.

This office is considering you along with other eligibles for the position indicated above. Please fill out the "Availability Statement" below, indicating whether you would accept the

position if offered, and return this form to this office. Appointment would be subject to the requirements for employment described on the reverse of this form. To be considered for

this job, your reply must be received by the date indicated below.

If this box is checked, it means your application is not available for review at this time because it is being used elsewhere. If you wish to be considered for this position,

complete the enclosed opplication form(s) and return the form(s) with this inquiry. Be sure you have signed the application form(s).

THIS IS A LETTER OF INQUIRY ONLY, IT IS NOT AN OFFER OF APPOINTMENT. If you are selected, you will be notified and given further information.

Other Pertinent Job Information:

9. Date Signed

)

8. Signature of Appointing Official

(Month, Day, Year

7. Your Reply Must Be Received By:

10. AVAILABILITY STATEMENT

The information you give below regarding your availability for employment will be sent to the office which maintains the competitor inventory used to fill this position. If you do not

wish to be considered for this job, you must give the conditions under which you will be available for future employment consideration or your name will be removed from the

inventory.

I am available for the above position. If selected, I can report for duty within

days after notification.

I do not wish to be considered for the above position for the following reason(s):

(year, month, day, or hour) or be at least grade

Grade/Pay—The position must pay at least $

1 .

per

Location—I am available for work only in

(date--month, day, year).

I will not be available until

I do not wish to be considered for vacancies with this agency.