Intake Form

American GI Forum Veteran Employment Initiative


 

Last Name:..
First Name:. .......Middle Initial: (NMI, enter: no)
Telephone number:...................................
E-mail address:......................
Street/Mail Address:...............
City, State Zipcode:................

Citizenship

Are you a citizen of the United States:................ Yes No

Some Federal appointments do not require U.S.
citizenship so long as one is lawfully admitted to the U.S.
Accordingly, you may be required to submit proof of
identity and lawful admission to work in the U.S. if you are not a 

U.S. citizen at the time you are appointed a federal position.

 


Veteran Information

Have you served in Active Military service of the USA ?........Yes No
If yes, enter dates of military service (month/year) :
Entry Date .....................End Date

Please indicate up to four employment/career interests from the lists in priority order:
1.)    2.)
3.)    4.)


Employment Interest (check all that apply)

PFT = Permanent Full-Time     TFT = Temporary Full-Time
PPT = Permanent Part-Time     VOL = Volunteer Work

Have you served under a permanent federal appointment? ...Yes No

If yes, enter title, series and highest grade attained

Enter your geographic availability by state (s).......
List any software experience you have:

List any technical skills you have:

List any other languages you speak besides English:

Upon pressing the SUBMIT button shown below, I hereby authorize the use of this
information for the purposes of obtaining employment.

 

A.G. Lerma.
Copyright © 2004 [American GI Forum]. All rights reserved.
Revised: July 14, 2005