Application For The 2015 Summer Hire Program Page 2
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1
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3PARENTAL CONSENT TO WORK VERIFICATION
IF UNDER AGE 18, YOUR SPONSOR MUST COMPLETE AND SIGN THIS SECTION
YOUR APPLICATION WILL NOT BE ACCEPTED WITHOUT SPONSOR/PARENTAL CONSENT
1.
SPONSOR CONSENT
Sponsor Status: Must be covered under the Status of Forces Agreement (SOFA)
Active Duty Military
DoD Civilian (Includes GS, NAF, DoDDS Teachers, and Army & Air Force Exchange Service (AAFES Sponsors)
I, ___________________________________________________ authorize my dependent child, ______________________________,
to work in the MCIPAC Okinawa Summer Hire Program in Okinawa, Japan. I further consent to local base checks to determine
suitability for summer hire employment. The local check will be conducted by the Marine Corps Installations (MCIPAC) Inspector’s
Office. Academic Standing will be verified by school’s Counseling Office. Final suitability determination will be conducted by the
Director/Deputy CHRO.
Working Conditions: My child has my permission to perform the following duties:
Clerical Jobs Only (usually in an office setting)
Labor Jobs Only (Non-skilled, Non-hazardous work such as cutting grass, painting, some lifting)
Both are acceptable
At which locations are you willing to allow your dependent child to work? Show ‘1’ for first choice, ‘2’ for second choice and ‘3’ for
third choice. Transportation to the work location is the responsibility of the employee/parent.
Camp Foster – Lester – ____ Camps Hansen – Schwab
_____
____ Kadena Air Base
____ White Beach
____ Camp Kinser
____ MCAS Futenma
____ Camps Courtney – McTureous
________________________________________________________________
Sponsors Signature & Date
Please use the below checklist and ensure the application package contains all required forms listed below. All
forms must be completed.
Summer Hire Program Application
Form I-9, Employment Eligibility Verification
Copy of Sponsor’s Orders/Area Clearance (with students name listed as a dependent)
Copy of Signed Social Security Card for applicant
Copy of Dependent ID card for applicant
Copy of your U.S. Passport/Visa with Photo and SOFA Stamp
SF-181, Ethnicity and Race Identification
SF-256, Self-Identification of Handicap
Form 1192, Fast Start Direct Deposit (Applicant must have a bank account at the time of application submission)
W-4 Tax Form (current tax year)
Form 306 Declaration of Federal Employment (Make sure to sign/date line 17a only)
Form 144 Statement of Prior Federal Service
Education, Military Reserve, and Language Questionnaire
Statement of Understanding
Condition of Employment Statement
Proof of enrollment from college/university (Required, if applicable)
College transcripts for GS-03 positions (Required, if applicable)
st
nd
rd
College students: Indicate 1
, 2
and 3
preference for work location.
____ MCAS Futenma
____ Camps Hansen – Schwab
____ Camp Foster
____ Camp Kinser
____ Camps Courtney – McTureous
____ Kadena Air Base
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