APPLICATION FOR KADENA VACANCY …

1 KADENA AB Form 1EJ, 20090413 APPLICATION FOR KADENA VACANCY ANNOUNCEMENTA nnouncement name and duty location applying for**Last NameFirst NameCurrent Position Title & GradeSupervisor's NameSupervisor's Phone Current Organization & LocationMLCIHAMCWork PhoneHome PhoneCell PhoneE-mail AddressPermanentOtherSpecify:NTE:*BWTPER SONAL STATEMENT1 Apr 1970 Month - YearFROMTOA ssociateGraduateYESNOS choolAddressMonth - YearFROMTOG raduateYESNOS choolMajor FieldAddressMonth - YearFROMTOG raduateYESNOS choolAddress - Type of Contract*Type of EmploymentDATE OF BIRTHC urrent AddressEducationName and Location (City and Province) of High SchoolSchool Name:Graduate:Location:Graduate (Month/Year):YESNOP osition title, JD No.

2 , and grade applying forMajor FieldMajor FieldSchoolAddressMajor FieldSIGNATURE OF EMPLOYEEYESNOAre you a family memberof a SOFA status personnel?of law? If so, state complete circumstances. If not, state none. in the command where this position is located, or reaches the Civilian Personnel Office prior to the closing date/time. I understand that falsification of any item herein may result in the immediatetermination of my employment or disapproval of my APPLICATION . I place my signature in certification that the information contained herein is the truth to the best ofmy knowledge and of ApplyingGraduateYESNOM onth - YearFROMTOL imited/SeasonalUniversity/CollegeTechnic al/Vocational/Language (ESL)

3 SchoolType of DegreeType of DegreeBachelorMastersDoctoralAssociateBa chelorMastersDoctoralPage 1 of 4 PagesHave you ever been arrested, indicted or convicted for any violationList your family member/relatives who are employedI have read the qualifications required for this position and believe that I meet these requirements. I also understand that it is my responsibility to ensure that my (This form is subject to the Privacy Act of 1974)Language ProficiencyEnglish ProficiencyTOEFLTOEICI have a Native Command of EnglishMon/YrMon/YrTyping/Computer Related SkillsOther English Skills/CertificatesSTEP(LAD)/ English Typing.

4 WPM (Number of Words Per Minute /Certifications related to computer/computer softwareAttach copies of cerfiticates if you are applying for the position which copies of cerfiticates if you are applying for the position which related Skill CertificationsTraining CoursesAwardsRemarks - This block may be used as a continuation for Education, Listing of the employed family members, Licenses, Awards, 2 of 4 PagesKADENA AB Form 1EJ, 20090413 EMPLOYMENT HISTORYTo determine qualifications, state the description of your / YearFROMTOJob TitleReason forLeaving2 EmployerLocationMonth / YearFROMTOJob TitleReason forLeaving3 EmployerLocationMonth / YearFROMTOJob TitleReason forLeavingDutiesDutiesDutiesPage 3 of 4 PagesPresentKADENA AB Form 1EJ, 20090413 KADENA AB Form 1EJ, 20090413To determine qualifications, state the description of your / YearFROMTOJob TitleReason forLeavingDuties5 EmployerLocationMonth / YearFROMTOJob TitleReason forLeavingDutiesPage 4 of 4 PagesPRIVACY ACT STATEMENTAUTHORITY.)

5 10 8013, Secretary of the Air Force: powers and duties; delegation by, and 9397 (SSN). PURPOSE(S): Used for Interviewing. ROUTINE USES: Used as an APPLICATION form filled by current USFJ employees to apply for positions under the internal recruitment program. DISCLOSURE: Voluntary. However, failure to do so may delay or prevent action on the / YearFROMTOJob TitleReason forLeavingDuties