Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Department Of State Page 5

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

25d. Job Title (If U.S. Government, include the Series and Grade)
Hours per Week
Salary per Year in U.S. Dollars or
Local Currency
From
To
(mm-dd-yyyy)
(mm-dd-yyyy)
Supervisor's Name and Contact Information
Employer's Name and Address
Name
Phone Number
E-mail Address
Describe your major duties/responsibilities and accomplishments.
Reason(s) for leaving. (Do not Write "N/A" or Not Applicable)
REFERENCES
26. List three personal references who are not relatives or former supervisors who have knowledge of your work performance.
Mission HR will obtain your permission before contacting any reference.
Telephone
Name
Address
Occupation
SIGNATURE AND CERTIFICATION
27. I certify that, to the best of my knowledge and belief, all of the information on and attached to this application is true,
correct, complete, and made in good faith. I understand that false or fraudulent information on or attached to this application
may be grounds for not hiring me, or for termination/dismissal after I begin work, and may be punishable by fine or
imprisonment according to this country's law or U.S. law. I understand that any information I voluntarily provide on or attached
to this application may be investigated.
Signature
Date
(mm-dd-yyyy)
DS-174
Page 5 of 7

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Department Of State Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Department Of State Legal
Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Mission Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Mission Legal
Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member Legal
Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member Legal
Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member Legal
Form Ds-2029 - Application For Consular Report Of Birth Abroad Of A Citizen Of The United States Of America - U.s. Department Of State Form Ds-2029 - Application For Consular Report Of Birth Abroad Of A Citizen Of The United States Of America - U.s. Department Of State Legal
Form Ds-5535 - Supplemental Questions For Visa Applicants - U.s. Department Of State Form Ds-5535 - Supplemental Questions For Visa Applicants - U.s. Department Of State Legal
Form Ds-3072 - Repatriation / Emergency Medical And Dietary Assistance Loan Application - U.s. Department Of State Form Ds-3072 - Repatriation / Emergency Medical And Dietary Assistance Loan Application - U.s. Department Of State Legal
Form Ds-1663 - Report Of Mishap - U.s. Department Of State Form Ds-1663 - Report Of Mishap - U.s. Department Of State Legal
Form Ds-3025 - Vaccination Documentation Worksheet - U.s. Department Of State Form Ds-3025 - Vaccination Documentation Worksheet - U.s. Department Of State Legal

Related Categories

Parent category: Legal
Download
Go
Page of 15