Fillable Application For Federal Employment-Sf 171 (Page 2 of 4) in pdf

WORK EXPERIENCE If you have no work experience, write "NONE" in A below and go to 25 on page 3.

YES

May we ask your present employer about your character, qualifications, and work record? A "NO" will not affect our review of your

qualifications. If you answer "NO" and we need to contact your present employer before we can offer you a job, we will contact you first. . .

READ WORK EXPERIENCE IN THE INSTRUCTIONS BEFORE YOU BEGIN.

INCLUDE MILITARY SERVICE--You should complete all parts of the experience

block just as you would for a non-military job, including all supervisory experience.

Describe your current or most recent job in Block A and work backwards,

Describe each major change of duties or responsibilities in a separate experience

describing each job you held during the past 10 years. If you were

unemployed for longer than 3 months within the past 10 years, list the

block.

dates and your address(es) in an experience block.

IF YOU NEED MORE SPACE TO DESCRIBE A JOB--Use sheets of paper the

same size as this page (be sure to include all information we ask for in A and B

You may sum up in one block work that you did more than 10 years ago.

below). On each sheet show your name, Social Security Number, and the

But if that work is related to the type of job you are applying for, describe

each related job in a separate block.

announcement number or job title.

INCLUDE VOLUNTEER WORK (non-paid work) --If the work (or a part of

IF YOU NEED MORE EXPERIENCE BLOCKS, use the SF 171-A or a sheet of

paper.

the work) is like the job you are applying for, complete all parts of the

experience block just as you would for a paying job. You may receive credit

for work experience with religious, community, welfare, service, and other

IF YOU NEED TO UPDATE (ADD MORE RECENT JOBS), use the SF 172 or a

Name and address of employer's organization (include ZIP Code, if known)

Dates employed (give month, day and year)

Average number of

Number of employees

hours per week

you supervise

From:

To:

Salary or earnings

Your reason for wanting to leave

Starting $

per

Ending $

per

Your immediate supervisor

Exact title of your job

If Federal employment (civilian or military) list series, grade

Name

Telephone No.

or rank, and, if promoted in this job, the date of your last

promotion

Description of work: Describe your specific duties, responsibilities and accomplishments in this job, including the job title(s) of any employees you supervise. If you describe

more than one type of work (for example, carpentry and painting, or personnel and budget), write the approximate percentage of time you spent doing each.

For Agency Use (skill codes, etc.)