Describe what you did when you were in this
companies employ, what did you most and least enjoy about this job.
Work Experience
Employer's Name
Street Address
City
State
Postal Code
Phone
Supervisor's Name
Describe what you did when you were in this
companies employ, what did you most and least enjoy about this job.
Work Experience
Employer's Name
Street Address
City
State
Postal Code
Phone
Supervisor's Name
Describe what you did when you were in this
companies employ, what did you most and least enjoy about this job.
Highest Level of Learning
HS/GED
Associate
Bachelor
Last Place of Learning
Street Address
City
State
Postal Code
Phone
Course of Study
Wage
per
hr.
Have you ever been convicted of a felony? yes
no
Personal References
Name
Name
Phone
Phone
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 for firing me after I begin work, and
may be punishable by fine or imprisonment. I understand that
any information I give may be investigated.
I
Agree
You may get a FRONT
PAGE ERROR when you complete the application and hit the
Submit Request button. All your
information has been sent. We will respond with a reply once
we receive your application.
PRIVACY ACT AND PUBLIC BURDEN STATEMENTS
BackStreeT and other Federal agencies rate applicants
for Employment 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, felony status, 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, telephone, email, and ZIP Codes will slow processing.