Form Bc-170b - U.s. Census Employment Inquiry Page 2
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5How do I complete the BC-170B, Census Employment
What is the test like?
Inquiry?
Each applicant interested in Census Bureau employment must
1. Print clearly using a black or blue pen. We
take a written test. One such test is called the Field Employee
cannot accept your form if it is not legible.
Selection Aid. It consists of 28 questions designed to measure
Print neatly in uppercase. For example
the knowledge, skills, and abilities, required to perform a
variety of census jobs. You will have 30 minutes to complete
2. Follow the instructions provided with every item. If you do not
the multiple choice test. Provided here are some sample
answer all questions fully and correctly, you may delay the
questions to help better prepare you for the test. You may also
processing of your application.
request a practice test to help prepare for the test.
3. Enter one letter or number within each white block or complete
The test is physically accessible to people with disabilities.
the information on the line provided.
Requests for reasonable accommodations for persons with
Here are a few explanatory notes for some of the items:
disabilities (such as sign language interpretation) should be
directed to the contact office and phone number on the front of
Page 3
this form.
Section A – Applicant Personal Data
Sample Questions
3. Enter your street address followed by your city, county, and
state. Enter the state postal abbreviation for the state in which
Review the numbers in Column A to those in Column B. Then
you live, for example, MS for Mississippi.
answer the question below.
7. Enter your telephone number(s) and Mark (X) box(es)
Column A
Column B
H – home, W – work, or C – cell
75823
85537
87537
73358
9. Enter your Date of Birth. For example, enter July 6, 1952 as
82537
87537
85537
82357
73358
75823
follows:
Month
Day
Year
Which number in Column A has no match?
(A) 82537
(C) 97537
(B) 85537
(D) None of the above
ANSWER A
Page 4
Multiply the numbers below:
Section C – Application Data
1.5 x 6.3
15. Enter an (X) in the yes or no response box for: Are you
(A) .945
(C) 94.5
willing to work in the field? If you enter "yes" in the response
(B) 9.45
(D) 945
ANSWER B
box, you will be considered for positions in the field. These
Can I receive veterans’ preference?
positions include working primarily outside the office
environment.
If you served on active duty in the United States military and
were separated under honorable conditions, you may be
16. Enter an (X) in the yes or no response box for: Are you
eligible for veterans’ preference. To receive 5-point veterans’
willing to work in the office? If you enter "yes" in the
preference, applicants must bring a copy of a completed
response box, you will be considered for positions in the
DD-214, Certificate of Release or Discharge from Active Duty,
office. These positions include working primarily within the
to the testing site. To receive 10-point veterans’ preference,
office environment.
applicants must also bring a completed SF-15, Application for
By entering a yes for both office and field positions, you
Veterans’ Preference, with the appropriate documentation as
will be considered for positions in both those areas.
shown on the reverse of the SF-15.
Identification you need to bring to the testing site
EMPLOYMENT ELIGIBILITY VERIFICATION – The following types of documentation can be used to prove identity and eligibility
requirements for employment. Provide one document from List A or one document from List B and from List C to meet Form I-9 requirements.
LIST A – Documents that Establish
LIST B – Documents that Establish
LIST C – Documents that Establish
Both Identity and Employment
Identity
Employment Eligibility
Eligibility
OR
1. Driver’s license or ID card issued by a state
AND
1. Social Security Account Number card
1. U.S. Passport or Passport Card
or outlying possession of the United States
other than one that specifies on the
provided it contains a photograph or
face that the issuance of the card
2. Permanent Resident Card or Alien
Registration Receipt Card (Form I-551)
information such as name, date of birth,
does not authorize employment in the
gender, height, eye color, and address
United States
3. Foreign passport that contains a temporary
2. ID card issued by federal, state, or local
2. Certificate of Birth Abroad issued by
I-551 stamp or temporary I-551 printed
government agencies or entities, provided it
the Department of State
notation on a machine-readable immigrant
(Form FS-545)
contains a photograph or information such
visa
as name, date of birth, gender, height, eye
3. Certification of Report of Birth issued
4. Employment Authorization Document
color, and address
that contains a photograph (Form I-766)
by the Department of State
(Form DS-1350)
3. School ID card with a photograph
5. In the case of a nonimmigrant alien
4. Voter’s registration card
4. Original or certified copy of birth
authorized to work for a specific
certificate issued by a state, county,
employer incident to status, a foreign
5. U.S. Military card or draft record
municipal authority, or territory of the
passport with Form I-94 or Form I-94A
6. Military dependent’s ID card
United States bearing an official seal
bearing the same name as the passport
and containing an endorsement of the
7. U.S. Coast Guard Merchant Mariner Card
5. Native American tribal document
alien’s nonimmigrant status, as long as
8. Native American tribal document
6. U.S. Citizen ID Card (Form I-197)
the period of endorsement has not yet
9. Driver’s license issued by a Canadian
expired and the proposed employment is
7. Identification Card for Use of Resident
government authority
not in conflict with any restrictions or
Citizen in the United States
(Form I-179)
limitations identified on the form.
For persons under age 18 who are
6. Passport from the Federated States of
8. Employment authorization document
unable to present a document listed
Micronesia (FSM) or the Republic of the
issued by the Department of
above:
Marshall Islands (RMI) with Form I-94 or
Homeland Security
10. School record or report card
Form I-94A indicating nonimmigrant
admission under the Compact of Free
11. Clinic, doctor, or hospital record
Association Between the United States
12. Day care or nursery school record
and the FSM or RMI
FORM BC-170B (11-27-2012)
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