Ps Form 2591 - Application For Employment Form Page 2
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1
2
3
4Name (First, MI, Last)
Social Security No.
Date
C. Work History
(Start with your present position and go back for 10 years or to your 16th birthday, whichever is later. You may include volunteer work. Account for
periods of unemployment in separate blocks in order. Include military service. Use blank sheets if you need more space. Include your name, SSN,
and date on each sheet.)
May the US Postal Service ask your present employer about your character, qualifications, and employment record? A "No" will not affect your
consideration for employment opportunities.
Yes
No
Dates of Employment (Month & Year)
Grade If Postal, Federal Service or Military
Starting Salary/Earnings
Present
$
From
To
per
1.
Exact Position Title
Average Hours per Week
Number and Kind of Employees Supervised
Present Salary/Earnings
$
per
Name of Employer and Complete Mailing Address
Kind of Business (Manufacturing, etc.)
Place of Employment (City & State)
Name of Supervisor
Telephone No. (If known)
(
)
Reason for Wanting to Leave
Description of Duties, Responsibilities, and Accomplishments
Dates of Employment (Month & Year)
Grade If Postal, Federal Service or Military
Starting Salary/Earnings
$
From
To
per
2.
Exact Position Title
Average Hours per Week
Number and Kind of Employees Supervised
Present Salary/Earnings
$
per
Name of Employer and Complete Mailing Address
Kind of Business (Manufacturing, etc.)
Place of Employment (City & State)
Name of Supervisor
Telephone No. (If known)
(
)
Reason for Leaving
Description of Duties, Responsibilities, and Accomplishments
Dates of Employment (Month & Year)
Grade If Postal, Federal Service or Military
Starting Salary/Earnings
$
From
To
per
3.
Exact Position Title
Average Hours per Week
Number and Kind of Employees Supervised
Present Salary/Earnings
$
per
Name of Employer and Complete Mailing Address
Kind of Business (Manufacturing, etc.)
Place of Employment (City & State)
Name of Supervisor
Telephone No. (If known)
(
)
Reason for Leaving
Description of Duties, Responsibilities, and Accomplishments
2591
PS Form
, March 1999 (Page 2 of 4)
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Parent category: Business