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.
1 Job title in announcement
2 Grade(s) applying for
3 Announcement number
4 Last name
First and middle names
5 Social Security Number
6 Mailing address
City
State
ZIP Code
7 Phone numbers (include area code)
Daytime (
)
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.
1)
Job title (if Federal, include series and grade)
From (MM/YY)
To (MM/YY)
Salary
$
per
Hours per week
Employer’s name and address
Supervisor’s name and phone number
(
)
Describe your duties and accomplishments
2)
Job title (if Federal, include series and grade)
From (MM/YY)
To (MM/YY)
Salary
$
per
Hours per week
Employer’s name and address
Supervisor’s name and phone number
(
)
Describe your duties and accomplishments
Optional Form 612 (September 1994) (EG)
U.S. Office of Personnel Management
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 v