Optional Application For Federal Employment Form - U.s. Office Of Personnel Management Page 3
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OPTIONAL APPLICATION FOR FEDERAL EMPLOYMENT - OF 612
OMB No. 3206-0219
Section A - Applicant Information
Use Standard State Postal Codes (abbreviations). If outside the united States of America, and you do not have a military address,
type or print "OV" in the State field (Block 6c) and fill in the Country field (Block 6e) below, leaving the Zip Code field (Block 6d) blank.
1. Job title in announcement
2. Grade(s) applying for
3. Announcement number
4a. Last name
4b. First and middle names
5. Social Security Number
6a. Mailing address
7. Phone numbers (include area code
if within the United States of America)
7a. Daytime
6b. City
6c. State
6d. Zip Code
7b. Evening
6e. Country (if not within the United States of America)
8. E-mail address (if available)
Section B - Work Experience
Describe your paid and non-paid work experience related to the job for which you are applying. Do not attach job description.
1. Job title (if Federal, include series and grade)
2. From (mm/yyyy)
3. To (mm/yyyy)
4. Salary
per
5. Hours per week
$
6. Employer's name and address
7. Supervisor's name and phone number
7a. Name
7b. Phone
8. May we contact your current supervisor?
Yes
No
If we need to contact your current supervisor before making an offer, we will contact you first.
9. Describe your duties, accomplishments and related skills (if you need to attach additional pages, include your name, address, and job
announcement number)
Section C - Additional Work Experience
1. Job title (if Federal, include series and grade)
2. From (mm/yyyy)
3. To (mm/yyyy)
4. Salary
per
5. Hours per week
$
6. Employer's name and address
7. Supervisor's name and phone number
7a. Name
7b. Phone
8. May we contact your current supervisor?
Yes
No
If we need to contact your current supervisor before making an offer, we will contact you first.
9. Describe your duties, accomplishments and related skills (if you need to attach additional pages, include your name, address, and job
announcement number)
U.S. Office of Personnel Management
NSN 7540-01-351-9178
OF 612
Previous edition usable
50612-101
Revised June 2006
Page 3 of 4
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