Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Department Of State Page 2

Download a blank fillable Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Department Of State in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Department Of State with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

18. What days are you available to work as part of a regularly scheduled work week? (Check all that apply)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
19. Do any of your relatives or members of your household work for the United States Government?
Yes
No
If yes, provide the details below. If you need more space, use an additional sheet of paper. (See Instructions for
Completing the DS-174 for the definition of relatives and members of household.)
Name
Relationship
Agency, Position, and Location
U.S. CITIZEN ELIGIBLE FAMILY MEMBER (USEFM) AND U.S. VETERANS HIRING PREFERENCE
20. Are you claiming preference in hiring under U.S. law, including the Foreign Service Act of 1980, based upon your
status as either a U.S. Citizen Eligible Family Member (USEFM) or U. S. Veteran? See Instructions for Completing the
DS-174 for additional information about the USEFM and U.S. Veterans hiring preference. (Check only one)
Yes, I am a U.S. Veteran
Yes, I am a U.S. Citizen EFM and also a U.S. Veteran
No, I am neither a U.S. Citizen, nor a U.S. Veteran
Yes, I am a U.S. Citizen EFM
If claiming eligibility for U.S. Veteran preference, you must attach a copy of your most recent DD-214, Certificate of
Release or Discharge from Active Duty. If claiming conditional eligibility for U.S. Veterans preference, you must submit
proof of conditional eligibility.
EDUCATION
21. Graduate School
Dates Attended
Graduate?
Degree/Diploma
Major Subject
Name of School, City, State
(mm-dd-yyyy)
or Country
Yes
From
No
To
Undergraduate College/University
Dates Attended
Graduate?
Degree/Diploma
Major Subject
Name of School, City, State
(mm-dd-yyyy)
or Country
Yes
From
No
To
High School/GED or Country
Dates Attended
Graduate?
If no, highest grade level completed
Equivalent
(mm-dd-yyyy)
Name of School, City, State
Yes
From
or Country
No
To
Other, e.g Technical/Vocational School
Dates Attended
Graduate?
Certificate/
Major Subject
Name of School, City, State
Diploma
(mm-dd-yyyy)
or Country
Yes
From
No
To
DS-174
Page 2 of 7

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal