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EMPLOYMENT AVAILABILITY STATEMENT FOR AIR RESERVE TECHNICIAN POSITIONS
(This form is subject to the Privacy Act of 1974 - Read Privacy Act Statement on OF 612 before completing this form)
Instructions to Applicant: Please complete all items in sections. Do not complete sections II and III.
SECTION I.
(TO BE COMPLETED BY APPLICANT 
 )
1. POSITION FOR WHICH YOU ARE APPLYING
(Please includeannouncement number)
 
2. SERIES
 
3. SSN
 
-
 
-
 
4. LOWEST GRADE/PAY BAND YOUWILL ACCEPT:5. ARE YOU A US CITIZEN? YES NO7. ACTIVE DUTY SERVICE (Do not list active duty for training in the Reserveor National Guard.)6. ARE YOU AVAILABLE FOR:
1.
Full time employment. Yes No
2.
Temporary employment (less than 1 month) Yes No
3.
Temporary employment (1-4 months) Yes No
4.
Temporary employment (5-12 months) Yes NoFrom:(MM/DD/YYYY)
 
To:(MM/DD/YYYY)
 
BRANCH OFSERVICE
 
AFSC/MOS
 
8. GEOGRAPHIC AVAILABILITY.
Refer to the Geographic Availability Code Listing
(on page 2) to determine locations where you are willing towork.
FIRST NAMEMILAST NAME
 
MAILING ADDRESS
 
CITYSTATEZIP CODE
 
-
 
TT
TELEPHONE NUMBER TELEPHONE CONTACT TIME
(
 
)
 
-
 
DAY NIGHT EITHER 
Typing: Yes/No If Yes, how many WPM?
 
Email:
9
. Do you claim Veterans Preference?
YES NO If yes, mark your claim of 5 or 10 points. 5pt 10pt
***For 5 point attach member 4 copy DD214 or other proof. For 10 point attach SF-15, member 4 copy of DD214 and VA Letter***
10
. I understand that I must be willing and able to become an active member of the Air Force Reserve.
(ARTs are required to trainone weekend a month and during an annual two-week active duty tour; and, in the event of mobilization, are subject to being called toactive duty in their assigned military position.)
9. SIGNATURE OF APPLICANT : 11. DATE
SECTION II
.
(
FOR OFFICIAL USE ONLY 
)
. SERIES OCC
SECTION III. (
FOR OFFICIAL USE ONLY 
).
CDTOSP GRA RATING OSP GRA RATING OSP GRA RATING 
GEOGRAPHIC AVAILABILITY CODE LISTING
Please read these instructions carefully. Failure to follow them could cause you to miss chances for employment. Select the code to
 
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