78 Application Federal Details

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The following are some information about form ao 78. It's a good idea that you read this info before you start fiddling with the file.

QuestionAnswer
Form NameForm Ao 78
Form Length5 pages
Fillable?Yes
Fillable fields137
Avg. time to fill out28 min 43 sec
Other namesao78 application for judicial employment, proforma, ao 78 application form, ao 78 application for federal employment

Form Preview Example

AO 78 (10/09)

 

FEDERAL JUDICIAL BRANCH

 

APPLICATION FOR EMPLOYMENT

 

If you need additional space, continue under “Remarks” listing item number

 

 

 

1. Name (Last, First, Middle Initial)

 

2. Phone Number

3.Present Address (Street, City, State, Zip)

4.Email Address

5. Other Names Previously Used for Employment Purposes

6. Date of Birth (complete only for law enforcement positions)

GENERAL

7.Are you a U.S. Citizen?

8.a. Were you ever a federal civilian employee?

YES

YES

NO

If no, give the Country of your citizenship

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

If yes, give highest civilian grade:

/

 

/

 

 

 

 

 

 

 

 

 

 

 

 

Pay Plan

Grade

Step

b.Are you receiving a federal civilian annuity payment?

c.Are you receiving federal severance pay?

d.Have you received a federal separation incentive payment in the past 5 years?

YES

YES

YES

NO

 

 

NO

If yes, give former agency contact/telephone:

 

 

 

 

 

NO

If yes, state mo/yr received and former agency contact/telephone:

9.Do you have any relatives who are Judges, Officers or employees of the United States Courts?

YES

NO If yes, give their names, positions, and relationships to you.

10. Have you ever served on active duty with the military?

YES

NO (If selected, you will need to provide your DD-214 (copy 4), Certificate of Release or Discharge from Active Duty, so that your service may be verified and credited)

BACKGROUND INFORMATION

For questions 11, 12, and 13, your answers should include convictions resulting from a plea of nolo contendere (no contest), but omit (1) traffic fines of $300 or less, (2) any violation of law committed before your 16th birthday, (3) any violation of law committed before your 18th birthday if finally decided in juvenile court or under a Youth Offender law, (4) any conviction set aside under the Federal Youth Corrections Act or similar state law, and (5) any conviction for which the record was expunged under Federal or state law.

11.During the last 10 years, have you been convicted, imprisoned, on probation, or on parole? (Include felonies, firearms or explosives

violations, misdemeanors, and all other offenses)

12.Have you been convicted by a military court-martial in the past

10years?

13.Are you now under charges for any violation of law?

14.During the last 10 years, have you been fired from any job for any reason, did you quit after being told that you would be fired, did you leave any job by mutual agreement because of specific problems, or were you debarred from Federal employment by the Office of Personnel Management or any other Federal agency?

YES

YES

YES

YES

NO

If yes, provide in Section 19 the date, explanation of violation, place of

 

occurrence, and name/address of police dept or court.

NO

If yes, provide in Section 19 the date, explanation of violation, place of

 

occurrence, and name/address of military authority or court.

NO

If yes, provide in Section 19 the date, explanation of violation, place of

 

occurrence, and name/address of police dept or court.

NO

If yes, provide in Section 19 the date, explanation of problem, reason for

 

leaving, and employer’s name/address.

15.Are you delinquent on any Federal debt? (Include delinquencies arising from Federal taxes, loans, overpayment of benefits, and other debts to the U.S. Government, plus defaults of Federally guaranteed or insured loans (e.g., student loan, home mortgage loan)).

YES

NO If yes, provide in Section 19 the type, length, and amount of delinquency/default, and steps being taken to correct the error/repay the debt.

EDUCATION

16. a. Do you have a high school diploma or G.E.D. equivalent?

 

 

YES

 

 

NO If yes, Date of Completion

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2 of 5

b.Name and location of colleges or universities attended (including law schools)

Dates Attended

Credit Hours

Quarter Semester

Degree

Date Received

Grade Point

Average and/or

scholastic standing

16.c. Other schools or training attended (list name/location of school, dates attended, subject studied, certificates received, and other pertinent data):

JOB RELATED SKILLS, AWARDS, SPECIAL ACCOMPLISHMENTS

17.List any skills (e.g., language, computer, keyboarding speed), honors, awards, or special accomplishments (e.g., memberships in professional/honor societies, leadership activities, performance awards) that you believe are relevant to your ability to perform the job:

APPLICANTS FOR LEGAL POSITIONS

18. a. Are you admitted to the Bar?

YES

NO If yes, list the Bar(s) to which admitted and date(s) of admission. If no, skip to

18b.

Is your Bar membership

b.What was your scholastic standing in law school?

c.Were you a member of an editorial board of law review or a moot court participant?

ACTIVE

UPPER ½

YES

No

INACTIVE

 

UPPER A

UPPER ¼

19.REMARKS (Use this space for continuation of answers. List the item number being explained.)

Page 3 of 5

WORK EXPERIENCE

(Start with your present position and work back 10 years. Include any military service. Use additional page if necessary.)

A

Dates of Employment (mm/dd/yyyy)

From:To:

Number of hours worked per week:

Exact Title of Your Position

 

 

 

 

 

 

 

 

 

Salary or Earnings

 

 

 

Pay Plan/Grade

Place of Employment

 

 

 

(If in federal Service)

 

 

 

 

 

 

 

 

Starting $

Per

 

City

 

 

 

 

 

 

 

 

 

 

Final $

Per

 

State

 

 

 

 

 

 

 

 

 

 

 

 

Name and Address of Employer (firm, organization, etc.)

 

Name and Title of Immediate Supervisor

 

 

 

 

 

 

 

 

 

Business Telephone: (Area Code and Phone Number)

Reason for Leaving

Description of Work

B

Dates of Employment (mm/dd/yyyy)

From:To:

Number of hours worked per week:

Exact Title of Your Position

 

 

 

 

 

 

 

 

 

Salary or Earnings

 

 

 

Pay Plan/Grade

Place of Employment

 

 

 

(If in federal Service)

 

 

 

 

 

 

 

 

Starting $

Per

 

City

 

 

 

 

 

 

 

 

 

 

Final $

Per

 

State

 

 

 

 

 

 

 

 

 

 

 

 

Name and Address of Employer (firm, organization, etc.)

 

Name and Title of Immediate Supervisor

 

 

 

 

 

 

 

 

 

Business Telephone: (Area Code and Phone Number)

Reason for Leaving

Description of Work

Page 4 of 5

C

Dates of Employment (mm/dd/yyyy)

Number of hours

Exact Title of Your Position

worked per week:

 

 

 

 

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary or Earnings

 

 

 

Pay Plan/Grade

Place of Employment

 

 

 

(If in federal Service)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Starting $

Per

 

City

 

 

 

 

 

 

 

 

 

Final $

Per

 

State

 

 

 

 

 

 

 

 

 

 

 

 

Name and Address of Employer (firm, organization, etc.)

 

Name and Title of Immediate Supervisor

 

 

 

 

 

 

 

 

 

Business Telephone: (Area Code and Phone Number)

Reason for Leaving

Description of Work

D

Dates of Employment (mm/dd/yyyy)

From:To:

Number of hours worked per week:

Exact Title of Your Position

 

 

 

 

 

 

 

 

 

Salary or Earnings

 

 

 

Pay Plan/Grade

Place of Employment

 

 

 

(If in federal Service)

 

 

 

 

 

 

 

 

Starting $

Per

 

City

 

 

 

 

 

 

 

 

 

 

Final $

Per

 

State

 

 

 

 

 

 

 

 

 

 

 

 

Name and Address of Employer (firm, organization, etc.)

 

Name and Title of Immediate Supervisor

 

 

 

 

 

 

 

 

 

Business Telephone: (Area Code and Phone Number)

Reason for Leaving

Description of Work

Page 5 of 5

APPLICANT CERTIFICATION

I certify that, to the best of my knowledge and belief, all of the information on and attached to this application is true, correct, complete and made in good faith. I understand that false or fraudulent information on or attached to this application may be grounds for not hiring me, or firing me after I begin work, and may be punishable by fine or imprisonment. I understand that any information I give may be investigated.

SIGNATURE

 

DATE SIGNED

 

 

 

How to Edit Form Ao 78

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Step 1: In order to start, click the orange button "Get Form Now".

Step 2: Now you will be on your document edit page. You can include, change, highlight, check, cross, include or remove areas or text.

Complete all of the following parts to fill in the document:

entering details in ao 78 application form step 1

Enter the demanded information in ’ YES ’ NO If yes, employees of the United States, ’ YES ’ NO (If selected, Release or Discharge from Active, BACKGROUND INFORMATION, For questions 11, ’ YES ’ NO If yes, occurrence, ’ YES ’ NO If yes, occurrence, ’ YES ’ NO If yes, occurrence, ’ YES ’ NO If yes, leaving, and ’ YES ’ NO If yes area.

ao 78 application form ’ YES ’ NO If yes, employees of the United States, ’ YES ’ NO (If selected, Release or Discharge from Active, BACKGROUND INFORMATION, For questions 11, ’ YES ’ NO If yes, occurrence, ’ YES ’ NO If yes, occurrence, ’ YES ’ NO If yes, occurrence, ’ YES ’ NO If yes, leaving, and ’ YES ’ NO If yes fields to complete

You will be asked for specific essential particulars if you would like prepare the ’ YES ’ NO If yes, and EDUCATION field.

Filling out ao 78 application form step 3

You'll need to identify the rights and obligations of all parties in box Dates Attended, Quarter, Semester, Degree, Date Received, Average and/or, scholastic standing, and JOB RELATED SKILLS.

Entering details in ao 78 application form step 4

Complete the form by looking at these areas: ’ YES ’ NO If yes, 18b, Is your Bar membership, ’ ACTIVE ’ INACTIVE ’ UPPER a ’, and ’ UPPER ¼.

ao 78 application form ’ YES ’ NO If yes, 18b, Is your Bar membership, ’ ACTIVE ’ INACTIVE ’ UPPER a ’, and ’ UPPER ¼ blanks to fill out

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