Da Form 3433 - Optional Application For Nonappropriated Fund Employement

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OPTIONAL APPLICATION FOR NONAPPROPRIATED FUND EMPLOYMENT
For use of this form, see AR 215-3; the proponent agency is DCS, G1.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Title 5, USC 301, Title 42, USC 410, and Title 10, USC sections 121 and 3013.
AUTHORITY:
To determine how well your education and work skills fit you for a job, and for personnel actions after employment, such as
PRINCIPAL PURPOSE:
promotion, transfer, and pay and leave entitlements. We also need information on matters such as citizenship and military
service to see whether you are affected by laws we must follow in deciding who may be employed.
We must have your social security number (SSN) to keep your records straight because other people may have the same
ROUTINE USES:
name and birth date. The SSN has been used to keep records since 1943, when Executive Order 9397 asked agencies to
do so. We may also use your SSN to make requests for information about you from employers, schools, banks, and other
who know you, but only where allowed by law. The information we collect by using your SSN will be used for employment
purposes, and also for studies and statistics that will not identify you. We may give information from your records to
appropriated federal agencies such as the Department of Labor and the Equal Employment Opportunity Commission, to
resolve and/or adjudicate matters falling within their jurisdiction. Records may also be disclosed to labor organizations in
response to requests for names of employees and identifying information. Information we have about you may also be given
to federal, state, and local agencies for checking on law violations or other lawful purposes.
Your responses to the collection of this information are voluntary, but we cannot determine your qualifications, which is the
DISCLOSURE:
first step toward getting the job, if you do not answer these questions.
You may apply for Army Nonappropriated Fund (NAF) positions with a resume, this Optional Application for NAF
Employment or other written format. If your resume or application does not provide all the information requested
on this form and in the job vacancy announcement, you may lose consideration for a job. If essential to attach
additional pages, include your name and social security number on each page. If selected for a position, prior to
your appointment, you will be required to certify the accuracy of all information in your application and complete
the Supplemental Employment Application Form.
1. NAME
2a. SSN
3. JOB ANNOUNCEMENT/TITLE
4. ADDRESS
2b. DOB (YYYYMMDD)
5. WORK PHONE
6. HOME PHONE
7. FAX TELEPHONE NUMBER
8. E-MAIL ADDRESS
9. DO YOU CLAIM SPOUSE EMPLOYMENT OR ISM
10. ARE YOU INVOLUNTARILY SEPARATED MILITARY MEMBER?
12. MILITARY
PREFERENCE? (Applicant must identify SEP/ISM
RANK
YES
NO
preference claim and attach proof of eligibility. Former
military members must provide copy of DD Form 214.)
11. ARE YOU CURRENTLY IN THE MILITARY SERVICE?
YES
NO
YES
NO
13. SKILLS
DA FORM 3433, JAN 2002, IS OBSOLETE.
DA FORM 3433, AUG 2002
APD LC v2.00ES

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