Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Mission Page 5
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12Level I = Basic Knowledge
Level IV = Fluent
Level II = Limited Knowledge
Level V = Professional Translator / Interpreter
Level III = Good Working Knowledge
Language
Speak
Read
Write
Primary Language?
Yes
N
o
Yes
N
o
Yes
N
o
Yes
N
o
WORK EXPERIENCE
Include all work experience, paid and voluntary. Start with your present or most recent work experience. When describing
work, list specific duties/responsibilities and accomplishments. Include supervisory responsibilities and the number of
employees supervised. Go into as much detail as possible for work experience that directly relates to the advertised
position. Include all periods of unemployment and the reason. (Use additional pages, as required)
25a. Job Title (If U.S. Government, include the Series and Grade)
Salary per Year in U.S. Dollars or Local Currency
From
- -
To
- -
(mm-dd-yyyy)
(mm-dd-yyyy)
Employer’s Name and Address
Supervisor’s Name and Contact Information
Name
Phone Number
E-mail Address
May HR contact your current supervisor?
Yes
No
DS-174
Page ! 5
12-2009
ADVERTISEMENT
0 votes
Related Articles
Related forms
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. Department Of State
Legal
Form R-1069 - Application For Certification As A Paper Or Wood Products Manufacturing Facility To Qualify For The Sales Tax Exclusion For Electric Power Or Energy, Or Natural Gas
Financial
Form 1 - Application For, And Amendments To Application For, Registration As A National Securities Exchange Or Exemption From Registration - 1999
Legal
Form Tp-115 - Application For Registration As An Aviation Fuel Business Or As A Residual Petroleum Product Business
Financial
Related Categories
Parent category: Legal