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Questionnaire For Military Spouse Preference

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QUESTIONNAIRE FOR MILITARY SPOUSE PREFERENCE

THIS FORM MUST BE COMPLETED AND ATTACHED TO YOUR APPLICATION.

This questionnaire is for the purpose of determining your eligibility for Military Spouse Preference (MSP)

during your sponsor’s present tour. Please respond to the questions listed below and submit with each

application.

PART I

Are you the spouse of an active duty military member? ( ) Yes ( ) No

If your answer is No, please complete Part III. If your answer is Yes, please complete Parts II and III and

attach a copy of your sponsor’s permanent change of station (PCS) orders to the overseas command, or other

appropriate documentation, to support military spouse preference eligibility.

PART II

A. When did you arrive at your sponsor’s current duty station? Date: __________________

B. Are you presently employed, or have you previously been employed at your sponsor’s current duty station

or within the commuting area? ( ) Yes ( ) No

If your answer is yes, please attach a copy of your appointment record (SF 50 or equivalent form) and

complete the following items:

1. Who employed you?

_____ CPO

_____ DoDDS

_____ NAF (includes AAFES & other NAF instrumentalities)

_____ OTHER, please specify _________________________

2. List the title and pay grade/band of your position(s). State how long the appointment(s) is/was scheduled to

last.

Position Title________________________________ Grade/band ___________________________

____ Permanent ____ Temporary for 1 year or more _____ less than 1 year

Position Title ________________________________ Grade/band ___________________________

____ Permanent ____ Temporary for 1 year or more ______ less than 1 year

C. Did you ever decline a definite job offer made to you by CPO, DoDDS, or NAF (includes AAFES and other

NAF instrumentalities)? ( ) Yes ( ) No

D. What is your DEROS (Date of Estimated Return from Overseas)? ___________________

PART III

Name (please print) _____________________________________________________________

Signature: _________________________________________Date: _______________________

_______________________________________________________________________________

TO BE COMPLETED BY THE DoDDS PERSONNEL FIELD OFFICE

Eligible for MSP: ( ) Yes ( ) No

Reason:

__________________________________ ________________________

Signature of HR Representative Date

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Questionnaire For Military Spouse Preference

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