[124-10271-10003_multirif.pdf — page 52]
## 4. AVAILABILITY OF APPLICANTa. Have you previously submitted an application for employment with the FederalBureau of Investigation?☐ No ☐ Yes Date ____________ Place ____________b. Are you willing to proceed to Washington, D. C., or other duty station, at your ownexpense?☐ Yes ☐ Noc. Will you accept a lesser position if no vacancy exists or you fail to qualify for theposition sought?☐ Yes ☐ Nod. Are you interested in appointment as Fingerprint Clerk GS 3 at Washington, D. C.?☐ Yes ☐ No You must understand that regardless of preference, appointmentmay be as Fingerprint Clerk GS 3 or Clerk GS 2 since assignments must be based onqualifications of appointees and vacancies.e. If appointed to a clerical position, I am willing to serve a minimum period of oneyear.☐ Yes ☐ Nof. If appointed as a Special Agent or Radio Maintenance Technician, are you willingand prepared to accept assignment or transfer to any part of the United States orPuerto Rico for either temporary or permanent duration? ☐ Yes ☐ Nog. If appointed as a Special Agent, I agree to serve a minimum period of threeyears and completely understand that I must be available for assignment where-ever my services are needed. ☐ Yes ☐ Noh. Earliest date available for employment. ____________i. How much notice of reporting date do you need? ____________## 5. EDUCATIONa.| Name of School  | Location | Dates                           | Course Pursued | Degrees or Diplomas || --------------- | -------- | ------------------------------- | -------------- | ------------------- || High Schools    |          | From Mo. Day Yr. To Mo. Day Yr. |                |                     || Colleges        |          |                                 |                |                     || Graduate School |          |                                 |                |                     || Miscellaneous   |          |                                 |                |                     |b. Were you ever dismissed from a school, or was any disciplinary action including scholastic probation ever taken against you during your scholastic career?☐ No ☐ Yesc. List awards, honors, citations, positions held in school organizations, athletic endeavors, and any other special recognition you received while attending school.| School | Date | Type of Action || ------ | ---- | -------------- ||        |      |                |d. List any special abilities, interests, sports or hobbies with degree of proficiency.e. Indicate your proficiency in each phase of each foreign language listed as "slight" "good," "fluent."| Name of Language | Speak | Understand | Read | Write || ---------------- | ----- | ---------- | ---- | ----- ||                  |       |            |      |       ||                  |       |            |      |       ||                  |       |            |      |       |f. Are you a member of the bar?☐ No ☐ Yes Date(s) ____________ State(s) ____________g. Are you a certified public accountant?☐ No ☐ Yes Date(s) ____________ State(s) ____________h. Are you a licensed automobile operator?☐ No ☐ Yes State(s) ____________ Driver's License # ____________## 6. EMPLOYMENTList chronologically all employments, including.summer and part-time employments while attending school. All time must be accounted for. If unemployed for a period, indicate, setting forth dates of unemployment.| Name and Address of Employer   | Dates                           | Salary | Position and Kind of Work | Name of Supervisor | Reason for Leaving || ------------------------------ | ------------------------------- | ------ | ------------------------- | ------------------ | ------------------ || a. Name  Address  City & State | From Mo. Day Yr. To Mo. Day Yr. |        |                           |                    |                    ||                                |                                 |        |                           |                    |                    ||                                |                                 |        |                           |                    |                    |