***GENERAL INFORMATION***

You may apply for most Federal jobs with a resume, the attached
*Optional Application for Federal Employment* or other written format.
If your resume or application does not provide all the information
requested on this form and in the job vacancy announcement, you may lose
consideration for a job. Type or print clearly in dark ink. Help speed
the selection process by keeping your application brief and sending only
the requested information. If essential to attach additional pages,
include your name and Social Security Number on each page.

• For information on Federal employment, including job lists,
alternative formats for persons with disabilities, and veterans'
preference, call the U.S. Office of Personnel Management at
**912-757-3000, TDD 912-744-2299**, by computer modem **912-757-3100**,
or via the Internet (Telnet only) at FJOB.MAIL.OPM.GOV.

• If you served on active duty in the United States Military and were
separated under honorable conditions, you may be eligible for veterans'
preference. To receive preference if your service began after October
15, 1976, you must have a Campaign Badge, Expeditionary Medal, or a
service-connected disability. Veterans' preference is not a factor for
Senior Executive Service jobs or when competition is limited to status
candidates (current or former career or career-conditional Federal
employees.)

• Most Federal jobs require United States citizenship and also that
males over age 18 born after December 31, 1959, have registered with the
Selective Service System or have an exemption.

• The law prohibits public officials from appointing, promoting, or
recommending their relatives.

• Federal annuitants (military and civilian) may have their salaries or
annuities reduced. All employees must pay any valid delinquent debts or
the agency may garnish their salary.

• Send you application to the office announcing the vacancy. If you have
questions, contact that office.

**THE FEDERAL GOVERNMENT IS AN EQUAL OPPORTUNITY EMPLOYER**

***PRIVACY ACT AND PUBLIC BURDEN STATEMENTS***

• The Office of Personnel Management and other Federal agencies rate
applicants for Federal jobs under the authority of sections 1104, 1302,
3301, 3304, 3320, 3361, 3393, and 3394 of title 5 of the United States
Code. We need the information requested in this form and in the
associated vacancy announcements to evaluate your qualifications. Other
laws require us to ask about citizenship, military service, etc.

• We request your Social Security Number (SSN) under the authority of
Executive Order 9397 in order to keep your records straight; other
people may have the same name. As allowed by law or Presidential
directive, we use your SSN to seek information about you from employers,
schools, banks, and others who know you. Your SSN may also be used in
studies and computer matching with other Government files, for example,
files on unpaid student loans.

• If you do not give us your SSN or any other information requested, we
cannot process your application, which is the first step in getting a
job. Also, incomplete addresses and ZIP Codes will slow processing.

• We may give information from your records to: training facilities;
organizations deciding claims for retirement, insurance, unemployment or
health benefits; officials in litigation or administrative proceedings
where the Government is a party; law enforcement agencies concerning
violations of law or regulation; Federal agencies for statistical
reports and studies; officials of labor organizations recognized by law
in connection with representing employees; Federal agencies or other
sources requesting information for Federal agencies in connection with
hiring or retaining, security clearances, security or suitability
investigations, classifying jobs, contracting, or issuing licenses,
grants, or other benefits; public and private organizations including
news media that grant or publicize employee recognition and awards; and
the Merit Systems Protection Board, the Office of Special Counsel, the
Equal Employment Opportunity Commission, the Federal Labor Relations
Authority, the National Archives, the Federal Acquisition Institute, and
congressional offices in connection with their official functions.

• We may also give information from your records to: prospective
nonfederal employers concerning tenure of employment, civil service
status, length of service, and date and nature of action for separation
as shown on personnel action forms of specifically identified
individuals; requesting organizations or individuals concerning the home
address and other relevant information on those who might have
contracted an illness or been exposed to a health hazard; authorized
Federal and nonfederal agencies for use in computer matching; spouses or
dependent children asking whether the employee has changed from
self-and-family to self-only health benefits enrollment; individuals
working on a contract, service, grant, cooperative agreement or job for
the Federal Government; non-agency members of an agency\'s performance
or other panel; and agency- appointed representatives of employees
concerning information issued to the employee about fitness-for-duty or
agency-filed disability retirement procedures.

• We estimate the public reporting burden for this collection will vary
from 20 to 240 minutes with an average of 40 minutes per response,
including time for reviewing instructions, searching existing data
sources, gathering data, and completing and reviewing the information.
You may send comments regarding the burden estimate or any other aspect
of the collection of information, including suggestions for reducing
this burden, to U.S. Office of Personnel Management, Reports and Forms
Management Officer, Washington, DC 20415-0001.

• Send your application to the agency announcing the vacancy.

Form Approved

OMB No. 3206-0219

**OPTIONAL APPLICATION FOR FEDERAL EMPLOYMENT - OF 612**

You may apply for most jobs with a resume, this form, or other written
format. If your resume or application does not provide all the
information requested on this form and in the job vacancy announcement,
you may lose consideration for a job.

  ------- ------------ ---------------------- -------- ------------ ------- -------------- ------------ ------- -- -- ------------ ---------- ---------------
          ----------                                                                       ----------                 ----------              

  **4**   Last name                           First                                                     **5**         Social                  
                                              and                                                                     Security                
                                              middle                                                                  Number                  
                                              names                                                                                           

                       ----------                      ----------                                                                  ------ -   
                                                       ----------                                                                  ---- -     
                                                                                                                                   --------   

  **6**   Mailing                                                                                       **7**         Phone                   
          address                                                                                                     numbers                 
                                                                                                                      (include                
                                                                                                                      area code)              

          ----------                                                                                                  Daytime                 
                                                                                                                      (------)                
                                                                                                                      ------                  
                                                                                                                      --------                

          City                                                      State   ZIP Code                                                          

          ----------                                                ----    ---------- -                              Evening                 (------) ------
                                                                            --------                                                          --------
  ------- ------------ ---------------------- -------- ------------ ------- -------------- ------------ ------- -- -- ------------ ---------- ---------------

WORK EXPERIENCE

  ---------- --------------- ----------------- ---------- ---------- -------------- -------- -------------- ------------ ----- ------------ ------------ ------------ -------------------
  **8**      Describe your                                                                                                                                            
             paid and                                                                                                                                                 
             nonpaid work                                                                                                                                             
             experience                                                                                                                                               
             related to the                                                                                                                                           
             job for which                                                                                                                                            
             you are                                                                                                                                                  
             applying. Do                                                                                                                                             
             **not** attach                                                                                                                                           
             job                                                                                                                                                      
             descriptions.                                                                                                                                            

                             Job title (if                                                                                                                            
                             Federal, include                                                                                                                         
                             series and grade)                                                                                                                        

  **^1)^**                   ----------                                                                                                                               

                             From (MM/YY)      To (MM/YY)                           Salary                  per                             Hours per                 
                                                                                                                                            week                      

                             ---- --------     ----                  \$----------                           ----------                      ----------                
                                               --------                                                                                                               

                             Employer's name                                                                                                                          Supervisor's name
                             and address                                                                                                                              and phone number

                             ----------                                                                                                                               ----------

                             ----------                                                                                                                               (------) ------
                                                                                                                                                                      --------

                             Describe your                                                                                                                            
                             duties and                                                                                                                               
                             accomplishments                                                                                                                          

                             ----------                                                                                                                               

                             Job title (if                                                                                                                            
                             Federal, include                                                                                                                         
                             series and grade)                                                                                                                        

  **^2)^**                   ----------                                                                                                                               

                             From (MM/YY)                 To (MM/YY)                         Salary                      per                             Hours per    
                                                                                                                                                         week         

                             ---- --------                ----                               \$----------                      ----------                ----------   
                                                          --------                                                                                                    

                             Employer's name                                                                                                                          Supervisor's name
                             and address                                                                                                                              and phone number

                             ----------                                                                                                                               ----------

                             ----------                                                                                                                               (------) ------
                                                                                                                                                                      --------

                             Describe your                                                                                                                            
                             duties and                                                                                                                               
                             accomplishments                                                                                                                          

                             ----------                                                                                                                               
  ---------- --------------- ----------------- ---------- ---------- -------------- -------- -------------- ------------ ----- ------------ ------------ ------------ -------------------

  ------- --------- -------------- -------- ----------------------------------------------
  **9**             May we contact          
                    your current            
                    supervisor?             

          **YES**                  **NO** è If we need to contact your current supervisor
                                            before making an offer, we will contact you
                                            first.
  ------- --------- -------------- -------- ----------------------------------------------

***EDUCATION***

  -------- ---------------- -------- ------------ --------------- -------------- ------------ --------------
  **10**   Mark highest     **Some   **HS/GED**   **Associate**   **Bachelor**   **Master**   **Doctoral**
           level completed. HS**                                                              

  -------- ---------------- -------- ------------ --------------- -------------- ------------ --------------

  ---------------- ------------ -------------- ------- -------------- ------------ ------------ ---------------- ------------ ------ ------ ---------- ------------
  **11**                        Last high                                                                                                              
                                school (HS) or                                                                                                         
                                GED school.                                                                                                            
                                Give the                                                                                                               
                                school's name,                                                                                                         
                                city, State,                                                                                                           
                                ZIP Code (if                                                                                                           
                                known), and                                                                                                            
                                year diploma                                                                                                           
                                or GED                                                                                                                 
                                received.                                                                                                              

                   ----------                                                                                                                          

  **12**                        Colleges and                                                                                                           
                                universities                                                                                                           
                                attended. Do                                                                                                           
                                **not** attach                                                                                                         
                                a copy of your                                                                                                         
                                transcript                                                                                                             
                                unless                                                                                                                 
                                requested.                                                                                                             

                   Name                                               Total                     Major(s)         Degree -            Year              
                                                                      Credits                                                                          
                                                                      Earned                                                                           

  **^1)^**         ----------                                         Semester     Quarter                                    (if           Received   
                                                                                                                              any)                     

                   City                        State   ZIP Code                                 ----------       ----------                            ----------

                   ----------                  ----    ---------- -   ----------   ----------   ----------       ----------                            ----------
                                                       --------                                                                                        

                                                                                                                                                       

  **^2^****^)^**   ----------                                                                                                                          

                                                                                                ----------       ----------                            ----------

                   ----------                  ----    ---------- -   ----------   ----------   ----------       ----------                            ----------
                                                       --------                                                                                        

                                                                                                                                                       

  **^3)^**         ----------                                                                                                                          

                                                                                                ----------       ----------                            ----------

                   ----------                  ----    ---------- -   ----------   ----------   ----------       ----------                            ----------
                                                       --------                                                                                        
  ---------------- ------------ -------------- ------- -------------- ------------ ------------ ---------------- ------------ ------ ------ ---------- ------------

***OTHER QUALIFICATIONS***

  ------------ --------------------------------------------------------------------
  **13**       **Job-related** training courses (give title and year).
               **Job-related** skills (other languages, computer software/hardware,
               tools, machinery, typing speed, etc. **Job-related** certificates
               and licenses (current only). **Job-related** honors, awards, and
               special accomplishments(publications, memberships in
               professional/honor societies, leadership activities, public
               speaking, and performance awards.) Give dates, but do **not** send
               documents unless requested.

  ----------   
  ------------ --------------------------------------------------------------------

***GENERAL***

  -------- -------------------- -- --- -------- -------- --------- -- -- -- --------- --------- -------- -- ---------- -- -- -- -- --- --- --- ---------- ------------ -------- -------------- -- --- -------------- ------------ -------- ------------ ------------ ------- -- ---------- ----------
  **14**   Are you a U.S.                                **YES**                                **NO**                                     è                                    Give the                                                   ----------                                      
           citizen?                                                                                                                                                             country of                                                                                                 
                                                                                                                                                                                your                                                                                                       
                                                                                                                                                                                citizenship.                                                                                               

  **15**   Do you claim                                  **NO**                       **YES**                                          è                               Mark                                                                                                                
           veterans'                                                                                                                                                   your                                                                                                                
           preference?                                                                                                                                                 claim of                                                                                                            
                                                                                                                                                                       5 or 10                                                                                                             
                                                                                                                                                                       points                                                                                                              
                                                                                                                                                                       below.                                                                                                              

           **5 points**            è   Attach                                                               **10                                                                                  è   Attach an                                                                            
                                       your DD                                                              points**                                                                                  *Application                                                                         
                                       214 or                                                                                                                                                         for 10-Point                                                                         
                                       other                                                                                                                                                          Veterans'                                                                            
                                       proof.                                                                                                                                                         Preference*                                                                          
                                                                                                                                                                                                      (SF 15) and                                                                          
                                                                                                                                                                                                      proof                                                                                
                                                                                                                                                                                                      required.                                                                            

  **16**   Were you ever a                                                                                                                                                                                                        Series                             Grade      From       To (MM/YY)
           Federal civilian                                                                                                                                                                                                                                                     (MM/YY)    
           employee?                                                                                                                                                                                                                                                                       

                                                         **NO**                       **YES**                                          è       For                                                                   ----------                         ----------              ----       ----
                                                                                                                                               highest                                                                                                                          --------   --------
                                                                                                                                               civilian                                                                                                                                    
                                                                                                                                               grade                                                                                                                                       
                                                                                                                                               give:                                                                                                                                       

  **17**   Are you eligible for                                                                                                                                                                                                                                                            
           reinstatement based                                                                                                                                                                                                                                                             
           on career or                                                                                                                                                                                                                                                                    
           career-conditional                                                                                                                                                                                                                                                              
           Federal status?                                                                                                                                                                                                                                                                 

                                                **NO**                      **YES**                                                è                      If                                                                                                                               
                                                                                                                                                          requested,                                                                                                                       
                                                                                                                                                          attach SF 50                                                                                                                     
                                                                                                                                                          proof.                                                                                                                           
  -------- -------------------- -- --- -------- -------- --------- -- -- -- --------- --------- -------- -- ---------- -- -- -- -- --- --- --- ---------- ------------ -------- -------------- -- --- -------------- ------------ -------- ------------ ------------ ------- -- ---------- ----------

***APPLICANT CERTIFICATION***

  -------- --------------------------------------------------------------------
  **18**   **I** **certify** that, to the best of my knowledge and belief, all
           of the information on and attached to this application is true,
           correct, complete and made in good faith. **I understand** that
           false or fraudulent information on or attached to this application
           may be grounds for not hiring me or firing me after I begin work,
           and may be punishable by fine or imprisonment. **I understand** that
           any information I give may be investigated.

  -------- --------------------------------------------------------------------

  --------------- ----------------------------------- ----------- --------------
  **SIGNATURE**   ----------                          **DATE      ----------
                                                      SIGNED**    

  --------------- ----------------------------------- ----------- --------------