UNITED STATES Application for Employment

POSTAL SERVICE
The US Postal Service is an Equal Opportunity Employer

A. General Information
1. Name (First, MI, Last) 2. Primary Phone 3. Business Phone
Ms. Mariah Leanne Meyers 248-710-5860
4. Mailing Address (No., Street, City, State, Zip Code) 5. Mobile Phone 6. Preferred Phone
East Ypsilanti Street Primary Phone
26
Pontiac, MI, 48340 7. Place of Birth (City & State or City & Country)
Dearborn, MI
8. Position Applied For 9. Job Posting 10. E-Mail
PSE MAIL PROCESSING CLERK - PONTIAC MI NB11492398 PSE MAIL PROCESSING mlmdigitalarts@gmail.com
CLERK - PONTIAC MI
NC11416572

B. Education History
1. Are you a High School Graduate?

2. Education Type: Education Level:

Educational Institution:
Field of Education:
Start Date: Open End Date: Open Highest Level Completed: No
Subject: Grade:
Description:

3. Summary of Accomplishments:
Name ( First, MI, Last): Ms. Mariah Leanne Meyers Date: 07/13/2023

C. Work History
( Start with your present position and go back for 5 years or to your 16th birthday, whichever is later. You may include volunteer work.
Account for periods of unemployment in separate blocks in order. Include military service.)

May we contact your present employer about your character, qualifications, and employment record? Yes
A "No" will not affect your consideration for employment.
Dates of Employment (Month & Year) Grade If Postal, Federal Service or
1. Open - Open Military

Job Title Average Hours per Week No. and Type of Employees Supervised

The Name of Employer and Complete Mailing Address Kind of Business (Manufacturing, etc.)

Name of Supervisor Telephone No.

Description of Duties, Responsibilities and Accomplishments

Description:
Name ( First, MI, Last): Ms. Mariah Leanne Meyers Date: 07/13/2023

D. Veteran Preference (Answer all parts. If a part does not apply, answer "No".)
Yes No
1. Have you ever served on active duty in the United States Armed Forces? (Exclude tours of active duty X
for training as a reservist).

2. Have you ever been discharged from the armed forces under conditions other than Honorable (i.e, X
Dishonorable, Other than Honorable, Undesirable, Bad Conduct, General Discharge, Under Honorable
Conditions)? You may omit any such discharge changed to Honorable by a Discharge Review Board or
similar authority.

3. Do you claim 5-point preference based on active duty in the armed forces? X

4. Do you claim a 10-point preference? X

5. Do you claim Sole Survivorship preference? X

6. List for All Military Service: ( N/A if not applicable)

Date (From - To) Rank at Discharge, Lost Time Branch of Service Type of Discharge
N/A Rank N/A N/A N/A
Lost Time 000000
Supporting Documentation
Name ( First, MI, Last): Ms. Mariah Leanne Meyers Date: 07/13/2023

THE LAW (39 U.S. CODE 1002) PROHIBITS POLITICAL AND CERTAIN OTHER RECOMMENDATIONS FOR
APPOINTMENTS, PROMOTIONS, ASSIGNMENTS, TRANSFERS, OR DESIGNATIONS OF PERSONS IN THE POSTAL
SERVICE. Statements relating solely to character and residence are permitted, but every other kind of statement or recommendation is
prohibited unless it either is requested by the Postal Service and consists solely of an evaluation of the work performance, ability,
aptitude, and general qualifications of an individual or is requested by a government representative investigating the individual’s loyalty,
suitability, and character. Anyone who requests or solicits a prohibited statement or recommendation is subject to disqualification from
the Postal Service and anyone in the Postal Service who accepts such a statement may be suspended or removed from office.

Privacy Act Statement: Your information will be used to facilitate communication between the Postal Service and individual
employees, including current and former employees, new hires, and applicants to share relevant information and topics about the Postal
Service, and to request and gather voluntary feedback. Your information will also be used to provide notification to individuals about
training or learning assignments and requirements, both prior to and after effective date of employment or placement. Collection is
authorized by 39 U.S.C. 401, 310, 1001, 1005, and 1206. Supplying your information is voluntary, but if not provided, we may not be
able to send information and messaging to you, request your feedback, and provide you with notification about training or learning
assignments and requirements.

We do not disclose your information to third parties without your consent, except to facilitate the transaction, to act on your behalf or
request, or as legally required. Authorized disclosures include the following standard routine uses: in relevant legal proceedings; to law
enforcement when the Postal Service or requesting agency becomes aware of a violation of law; to a congressional office at your request;
to entities or individuals under contract or agreement with the Postal Service; to government agencies and other entities authorized to
perform audits; to labor organizations as required by law; to a federal, state, local or foreign government agency when necessary in
connection with decisions by the requesting agency or by the Postal Service; to the Equal Employment Opportunity Commission when
requested; to the Merit Systems Protection Board or Office of the Special Counsel for the purpose of litigation. For more information
regarding our privacy policies, visit www.usps.com/privacypolicy.
Name ( First, MI, Last): Ms. Mariah Leanne Meyers Date: 07/13/2023

E. Other Information

Yes No
1. Are you one of the following: a United States Citizen, a lawful permanent resident alien, a citizen
X
of American Samoa or any other territory owing allegiance to the United States?
2. Have you been awarded a contract with or do you work for a contractor of the US Postal Service?
X
3. Are you a male born after December 31, 1959? (Males born after December 31, 1959 must be
X
registered with the Selective Service System.)

If yes, please indicate Selective Service number:

If you answer "Yes" to question 4 and/or 5, give 4. Have you ever been fired from any job for any
X
details in Section F below. Give the name, address reason?
(including ZIP Code) of employer, approximate 5. Have you ever quit a job after being notified
X
date, and reasons in each case. that you would be fired?
6. Do you receive or have you applied for retirement pay, pension, or other retirement pay based on
X
military, postal, federal civilian, or District of Columbia Government service?

(If yes, give details in Section F below. Do not provide information related to health or medical issues
such as, specifying that retirement pay was for disability.)
7a. Are you a current United States Postal Service employee?
X
If you answer "Yes," please indicate Employee Identification Number:
7b. Are you a former United States Postal Service employee not now employed by the Postal
X
Service?

If you answer "Yes," please indicate Employee Identification Number:

7c. Are you a current or former federal employee (not including military or Postal Service)?
X
If you answer "Yes," give in Section F, name of employing agency(cies), position title(s), and date(s)
employed.
8. Does the Postal Service employ any relatives of yours by blood or by marriage? Postal officials
X
may not appoint any of their relatives or recommend them for appointment in the Postal Service. Any
relative who is appointed in violation of this restriction can not be paid. Thus it is necessary to have
information about your relatives who are working for the USPS. These include: mother, father,
daughter, son, sister, brother, aunt, uncle, first cousin, niece, nephew, wife, husband, mother-in-law,
father-in-law, daughter-in-law, son-in-law, sister-in-law, brother-in-law, stepfather, stepmother,
stepdaughter, stepson, stepsister, stepbrother, half sister, half brother, granddaughter, grandfather,
grandmother, grandson.

If you answer "Yes" to question 8, give details in section F for such relatives:
(1) Full name; (2) Present address and ZIP Code; (3) Relationship; (4) Position title; (5) Name and
location of postal installation where employed.
9. Are you a current user of ANY illegal drugs, which includes drugs whose use is illegal unless they
X
have been prescribed by a physician? (Note: The Postal Service applies federal law to determine
whether drug use is illegal, even if a state or local law permits such use. Under federal law, marijuana
use is illegal, even if prescribed by a physician.)
F. Use this Space for Detailed Answers
Name ( First, MI, Last): Ms. Mariah Leanne Meyers Date: 07/13/2023

G. Certification
I certify that all of the statements made in Applicant Name Date/Time of Electronic Signature
this application are true, complete, and MS. MARIAH LEANNE MEYERS 07/13/2023 / 02:57:43
correct to the best of my knowledge and
belief and are in good faith.

A false or dishonest answer to any question in this application may be grounds for not employing you or for dismissing you after you
begin work, and may be punishable by fine or imprisonment. (US Code, Title 18, Sec. 1001). All information you give will be
considered in reviewing your application and is subject to investigation.
Name ( First, MI, Last): MS. MARIAH LEANNE MEYERS Date: 07/13/2023

Attachments
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Driving Violations
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Accident History
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References
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Assessments
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