Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Mission Page 3

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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. Citizen EFM and also a U.S. Veteran
Yes, I am a U.S. Veteran
Yes, I am a U.S. Citizen EFM
No, I am neither U.S. Citizen EFM, nor a
U.S. Veteran
If claiming eligibility for US 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. Graduated School
Dates Attended
Graduate?
Degree/Diploma
Name of School, City, State
(mm-dd-yyyy)
Or Country
     
Yes
     
From
  
-    -    
No
To
  
-    -    
Undergraduate College/University
Dates Attended
Graduate?
Degree/Diploma
Name of School, City, State
(mm-dd-yyyy)
Or Country
     
Yes
     
From
  
-    -    
No
To
  
-    -    
High School / GDE or Country
Dates Attended
Graduate?
If no, highest grade
Equivalent
(mm-dd-yyyy)
level completed
Name of School, City, State
DS-174
Page ! 3
12-2009

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