SUPPLEMENTAL QUESTIONNAIRE TO ACCOMPANY

FORM OF-612, OPTIONAL APPLICATION FOR FEDERAL EMPLOYMENT

PREFERENCE

Do You Claim Preference as Military Spouse:    YES          NO

(To be eligible for military spouse preference (MSP), applicant must be married to a military member prior to receipt of PCS orders for this base. A copy of PCS orders must accompany application as proof of preference eligibility.)

AVAILABILITY FOR WORK
     
Are you available to work: YES NO
35-40 HRS/WK    
20-34 HRS/WK    
Less Than 20 HRS     
Weekends or Shifts