APPLICATION GENERAL INFORMATION FORM

This form must be filled out and submitted with your application.
Failure to submit this form will result in your application being
considered ineligible. A separate form and application must be bmitted for each position for which you are applying.

1. Name: _________________________________________________

2. Are you a U.S. Citizen? ______ yes ______ no

3. List the position title, career path, occupational series,
and pay band you are interested in applying for:

Title of Position: ____________________________________

Career Path, Series, Pay Band (eg., ZP-1320-IV):

_______________________________________________________

4. Do you claim veteran’s preference? ______ yes ______ no

If yes, ________ 5pt or ________ 10pt

5. Will you accept part-time (i.e., 16 to 32 hours per week)
employment?

_____ yes _____ no

6. Will accept temporary employment? _____ yes _____ no

______ Less than 45 days ______ 4 to 6 months

______ 45 to 120 days ______ 6 months to one year

7. Will you accept term employment (i.e., an appointment for a
period of more that 1 year but not more than 4 years)?

_____ yes _____ no

8. Are you a CTAP or ICTAP applicant?

_____ yes _____ no