Da Form 3433 - Optional Application For Nonappropriated Fund Employment Template
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2OPTIONAL 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
AUTHORITY:
Title 5, USC 301, Title 42, USC 410, and Title 10, USC sections 121 and 3013
PRINCIPAL PURPOSE: To determine how well your education and work skills fit you for a job, and for personnel actions after
employment, such as 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.
ROUTINE USES:
We must have your social security number (SSN) to keep your records straight because other people may have the
same 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
a 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.
DISCLOSURE:
Your responses to the collection of this information are voluntary, but we cannot determine your qualifications,
which is the 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 (YYYY-MM-DD)
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
11. ARE YOU CURRENTLYIN THE MILITARY SERVICE?
military members must provide copy of DD Form 214.)
YES
NO
YES
NO
13. SKILLS
USAPA VI .OOES
DA FORM 3433, AUG 2002
DA FORM 3433, JAN 2002, IS OBSOLETE.
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