Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Department Of State Page 11

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Block 18.
Availability: Check all the days you are available to work as part of a regularly scheduled work week.
A regularly scheduled work week is the official work week set by the supervisor based upon the
assigned duties and responsibilities of the position. Following are three examples of regularly
scheduled work weeks:
a. Monday through Friday, 8:00 a.m. until 5:00 p.m.
b. Monday through Thursday, 8:00 a.m. until 12:00 p.m. and Friday, 8:00 a.m. until 5:00 p.m.
c. Saturday through Wednesday, 7:30 a.m. until 4:30 p.m.
Block 19.
Relatives: Check the appropriate box. If you check "Yes," then list all relatives or members of your
household who currently work for the U.S. Government . Relatives and members of household
include father, mother, husband, wife, unmarried partner of the opposite or same sex, son, daughter,
brother, sister, uncle, aunt, first cousin, nephew, niece, father-in-law, mother-in-law, son-in-law,
daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter,
stepbrother, stepsister, half brother, and half sister.
U.S. CITIZEN ELIGIBLE FAMILY MEMBER AND U.S. VETERANS HIRING PREFERENCE
Block 20.
Preference in Hiring: Check the appropriate box: You may only check one box.
U.S. Citizen Eligible Family Members (USEFM): For purposes of receiving a preference in hiring for a qualified
position, a USEFM is an individual who meets the following criteria:
1. U.S. citizen; and
2. The spouse or domestic partner of the sponsoring employee, or a child of the sponsoring
employee who is unmarried and at least 18 years old; and
3. Listed on the travel orders of a sponsoring employee, i.e., a direct-hire Foreign Service, Civil
Service, or uniformed service member who is permanently assigned to or stationed abroad at a U.S.
mission, or at an office of the American Institute in Taiwan, and who is under Chief of Mission
authority, and either:
a. Resides at the sponsoring employee's post of assignment abroad or, as appropriate, at an
office of the American Institute in Taiwan; or
b. Resides at an involuntary separate maintenance allowance (ISMA) location, authorized
under 3 FAM 3232.2. If residing at an ISMA location, the individual will not be listed on the
sponsoring officer's travel orders but will have a form SF-1190 processed authorizing ISMA.
Other family members or dependents on direct-hire Foreign Service, Civil Service, or uniformed services
member's travel orders are not USEFMs or AEFMs for purposes of 3 FAM 8200.
If you claim status as a U.S. Citizen EFM, Mission HR may need to verify your status and eligibility. Mission HR's
decision on eligibility for the preference as a USEFM is final.
DS-174
Instruction Page 4 of 8

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