Optional Form 612 - Optional Application For Federal Employment - U.s. Office Of Personnel Management

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Form Approved
OMB No. 3206-0219
OPTIONAL APPLICATION FOR FEDERAL EMPLOYMENT - OF 612
You may apply for most jobs with a resume, this form, or other written format. If your resume or application does not provide all the
information requested on this form and in the job vacancy announcement, you may lose consideration for a job.
1
2
3
Job title in announcement
Grade(s) applying for
Announcement number
4
5
Last name
First and middle names
Social Security Number
6
7
Mailing address
Phone numbers (include area code)
Daytime (
)
City
State
ZIP Code
Evening (
)
WORK EXPERIENCE
8
Describe your paid and nonpaid work experience related to the job for which you are applying. Do not attach job descriptions.
Job title (if Federal, include series and grade)
1)
From
To
Salary
per
Hours per week
(MM/YY)
(MM/YY)
$
Employer’s name and address
Supervisor’s name and phone number
(
)
Describe your duties and accomplishments
Job title (if Federal, include series and grade)
2)
From
To
Salary
per
Hours per week
(MM/YY)
(MM/YY)
$
Employer’s name and address
Supervisor’s name and phone number
(
)
Describe your duties and accomplishments
Optional Form 612 (September 1994) (EG)
GENERAL INFORMATION
U.S. Office of Personnel Management
You may apply for most Federal jobs with a resume, the attached Optional Application for Federal Employment or other written format. If your resume or application does not
provide all the information requested on this form and in the job vacancy announcement, you may lose consideration for a job. Type or print clearly in dark ink. Help speed the
selection process by keeping your application brief and sending only the requested information. If essential to attach additional pages, include your name and Social Security
Number on each page.
For information on Federal employment, including job lists, alternative formats for persons with disabilities, and veterans’ preference, call the U.S. Office of Personnel
Management at 912-757-3000, TDD 912-744-2299, by computer modem 912-757-3100, or via the Internet at
If you served on active duty in the United States Military and were separated under honorable conditions, you may be eligible for veterans’ preference. To receive
preference if your service began after October 15, 1976, you must have a Campaign Badge, Expeditionary Medal, or a service-connected disability. Veterans’ preference
is not a factor for Senior Executive Service jobs or when competition is limited to status candidates (current or former career or career-conditional Federal employees).
Most Federal jobs require United States citizenship and also that males over age 18 born after December 31, 1959, have registered with the Selective Service System or
have an exemption.
The law prohibits public officials from appointing, promoting, or recommending their relatives.
Federal annuitants (military and civilian) may have their salaries or annuities reduced. All employees must pay any valid delinquent debts or the agency may garnish their
salary.
Send your application to the office announcing the vacancy. If you have questions, contact that office.
THE FEDERAL GOVERNMENT IS AN EQUAL OPPORTUNITY EMPLOYER
Designed using Adobe Acrobat, USOPM, April 1998

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