Form Ao 78 PDF 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.

Question	Answer
Form Name	Form Ao 78
Form Length	5 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 15 sec
Other names	78 application pdf, ao 78 form, proforma, 78 application federal

Form Preview Example

AO 78 (12/21)

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?

YES

NO	If no, give the Country of your citizenship

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

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?

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

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

YES

NO	If yes, give highest civilian grade:		/		/
		Pay Plan		Grade		Step
NO
NO	If yes, give former agency contact/telephone:


NO	If yes, state mo/yr received and former agency contact/telephone:

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

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

verified and credited)

11.During the last 5 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?

12.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)).

BACKGROUND INFORMATION

YES	NO	If yes, provide in Section 17 the date, explanation of problem, reason for
YES	NO
		leaving, and employer’s name/address.
		leaving, and employer’s name/address.

YES	NO	If yes, provide in Section 17 the type, length, and amount of
		delinquency/default, and steps being taken to correct the error/repay the debt.

Page 2 of 5

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

EDUCATION

YES

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

14.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

15.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

16. 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 ⅓

UPPER ¼

17.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.)

Dates of Employment (mm/dd/yyyy)		Number of hours	Exact Title of Your Position
		Number of hours
		worked per week:
		worked per week:
From:	To:

Salary or Earnings		Pay Plan/Grade	Place of Employment
Salary or Earnings		(If in federal Service)	Place of Employment
		(If in federal Service)
Starting $	Per		City

Final $	Per		State

Name and Title of Immediate Supervisor			Name and Address of Employer (firm, organization, etc.)
Business Telephone: (Area Code and Phone Number)

Reason for Leaving

Description of Work

Dates of Employment (mm/dd/yyyy)		Number of hours	Exact Title of Your Position
Dates of Employment (mm/dd/yyyy)		worked per week:	Exact Title of Your Position
		worked per week:
From:	To:

Salary or Earnings		Pay Plan/Grade	Place of Employment
Salary or Earnings		(If in federal Service)	Place of Employment
		(If in federal Service)
Starting $	Per		City
Final $	Per		State

Name and Title of Immediate Supervisor			Name and Address of Employer (firm, organization, etc.)
Business Telephone: (Area Code and Phone Number)

Reason for Leaving

Description of Work

Page 4 of 5

Dates of Employment (mm/dd/yyyy)		Number of hours	Exact Title of Your Position
Dates of Employment (mm/dd/yyyy)		worked per week:	Exact Title of Your Position
		worked per week:
From:	To:

Salary or Earnings		Pay Plan/Grade	Place of Employment
Salary or Earnings		(If in federal Service)	Place of Employment
		(If in federal Service)
Starting $	Per		City
Final $	Per		State

Name and Title of Immediate Supervisor			Name and Address of Employer (firm, organization, etc.)
Business Telephone: (Area Code and Phone Number)

Reason for Leaving

Description of Work

Dates of Employment (mm/dd/yyyy)		Number of hours	Exact Title of Your Position
Dates of Employment (mm/dd/yyyy)		worked per week:	Exact Title of Your Position
		worked per week:
From:	To:

Salary or Earnings		Pay Plan/Grade	Place of Employment
Salary or Earnings		(If in federal Service)	Place of Employment
		(If in federal Service)
Starting $	Per		City

Final $	Per		State

Name and Title of Immediate Supervisor			Name and Address of Employer (firm, organization, etc.)
Business Telephone: (Area Code and Phone Number)

Reason for Leaving

Description of Work

Page 5 of 5

OPTIONAL BACKGROUND INFORMATION – RESPOND ONLY IF REQUIRED BY THE VACANCY ANNOUNCEMENT

Answer questions 18, 19, and 20, only if required by the vacancy announcement. 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.

18.During the last 7 years, have you been convicted, imprisoned, on probation, or on parole? (Include felonies, firearms or explosives violations, misdemeanors, and all other offenses)

YES

NO	If yes, provide in Section 21 the date, explanation of violation, place of
	occurrence, and name/address of police dept or court.

19.Have you been convicted by a military court-martial in the past 7 years?

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

YES

If yes, provide in Section 21 the date, explanation of violation, place of occurrence, and name/address of military authority or court.

If yes, provide in Section 21 the date, explanation of violation, place of occurrence, and name/address of police dept or court.

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

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 Online for Free

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Step 1: The initial step would be to press the orange "Get Form Now" button.

Step 2: Now, you are on the form editing page. You may add text, edit current data, highlight certain words or phrases, insert crosses or checks, add images, sign the template, erase needless fields, etc.

If you want to fill out the ao 78 form PDF, provide the content for each of the sections:

You need to type in the appropriate data in the employees of the United States, Have you ever served on active, YES, If selected you will need to, During the last years have you, Are you delinquent on any Federal, BACKGROUND INFORMATION, YES, If yes provide in Section the, YES, and If yes provide in Section the field.

Remember to emphasize the vital data from the a Do you have a high school, EDUCATION, YES, b Name and location of colleges or, attended including law schools, Credit Hours, Grade Point, Dates Attended, Degree, Date Received, Average andor, Quarter, Semester, scholastic standing, and c Other schools or training area.

The List any skills eg language, activities performance awards that, a Are you admitted to the Bar, YES, If yes list the Bars to which, APPLICANTS FOR LEGAL POSITIONS, Is your Bar membership, ACTIVE, INACTIVE, b What was your scholastic, UPPER, UPPER, UPPER, c Were you a member of an, and YES section will be the place to add the rights and responsibilities of either side.

ao78 List any skills eg language, activities performance awards that, a Are you admitted to the Bar, YES, If yes list the Bars to which, APPLICANTS FOR LEGAL POSITIONS, Is your Bar membership, ACTIVE, INACTIVE, b What was your scholastic, UPPER, UPPER, UPPER, c Were you a member of an, and YES blanks to fill out

Finish by checking the following areas and filling them out accordingly: Dates of Employment mmddyyyy, From, Salary or Earnings, Starting, Final, Per, Per, Number of hours worked per week, Exact Title of Your Position, Pay PlanGrade If in federal Service, Place of Employment, City, State, Name and Title of Immediate, and Name and Address of Employer firm.

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