Opm Form 1203 Fx PDF Details

The U.S. Office of Personnel Management (OPM) Form 1203-FX, also known as the Occupational Questionnaire, is a crucial document for anyone applying for federal employment. Approved under OMB No. 3206-0040, this form serves as a primary tool for applicants to provide essential biographical, employment, and eligibility information directly related to job openings managed by the OPM. It's structured to streamline the process of assessing qualifications, work experience, and job-related skills. Applicants are required to meticulously fill out various sections, from personal data and work information to employment availability and detailed questions about their background that pertain to the position being applied for. This ensures a comprehensive evaluation of their suitability for the role. Furthermore, the form includes specific instructions for correctly entering information, such as using block style for characters and avoiding writing outside the designated boxes, to facilitate accurate processing. It’s noteworthy that the form mandates the submission of pages 1 through 6 for the application to be considered complete. Additionally, the OPM Form 1203-FX includes sections for indicating veteran status, claiming veterans' preference points, and specifying job preferences, exemplifying the federal government's commitment to supporting veterans and ensuring a fair recruitment process. As such, understanding and accurately completing the OPM 1203-FX form is a vital step in navigating the federal employment application process.

QuestionAnswer
Form NameOpm Form 1203 Fx
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other names1203 online, gov occupational form, 1203 fx form, pdf forms opm pdf

Form Preview Example

U.S. Office of Personnel Management

Form Approved

OMB No. 3206-0040

Occupational Questionnaire - OPM Form 1203-FX

3933

Pllease fill in the followiing items on each page of this application form. To reevviiew the Prrivacy Acct and Public Buurrden Statements, plleeaase reefer to the coovveer page of this foorrm. If this informaattion is noot includedd, we cannoot prrooccess yoour appplication. You must reeturn pages 1 thrrough 6.

Sociial seeccuurriitty nuumber

Vacannccy iiddeennttiiffiiccaattiion number

- -

Follow the instructions on the vacancy announcement.

-For optimum accuracy, it is recommended that characters be written block style following the examples below.

-Do not write on or outside the boxes.

-Do not use special characters. Use only the characters shown.

-PRINT your responses in the boxes and/or blacken in the appropriate ovals.

-Use black ink. Do not staple this form.

-You may obtain an electronic copy of this form at http://www.opm.gov/forms.

 

Shade circle like this:

 

Not like this:

1.

Print title of job applying for

2.

Biographic data

A. First name

B. Middle initial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. Last name

D. Street address (house number, street, apartment number, where you want to receive mail)

 

 

 

 

 

 

E. City

 

 

 

 

 

 

Use Standard State Postal Codes

 

 

 

 

 

 

 

F. State (abbreviations). If outside the United States of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

America, and you do not have a military

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

address, print "OV" in State and fill in Country,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

leaving Zip Code blank.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G. Zip code

 

 

+ 4 (optional)

 

 

 

 

 

H. Country

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I. Telephone number

 

 

 

 

 

 

 

 

 

J. Contact time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Day

 

Night

Either

Use numbers only - no punctuation or spaces. Include area code if within the United States of America.

3. E-Mail address (print your complete e-mail address) A. Notify me by e-mail:

Yes No B.

 

U.S. Offffiicce of Perssonnell Management

Page 1 of 6

OPPM Foorrm 122003-FX

 

 

 

 

Previous Edition Usable

 

Revised September 2013v tem

 

 

 

 

3933

Please fill in the following items on each page of this application form. To review the Privacy Act and Public Burden Statements, please refer to the cover page of this form. If this information is not included, we cannot process your application. You must return pages 1 through 6.

 

 

 

 

Social security number

 

 

 

 

 

 

 

 

 

 

 

 

Vacancy identification number

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Work information (if applicable)

 

 

A. Place of employment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. Work address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. Work city

 

 

 

 

 

 

 

 

Use Standard State Postal Codes

 

 

 

 

 

D. Work state (abbreviations). If outside the United States of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

America, and you do not have a military

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

address, print "OV" in State and fill in Country,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

leaving Zip Code blank.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E. Work zip code

 

+ 4 (optional)

 

 

 

F. Work country

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G. Work telephone number

 

Extension (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use numbers only - no punctuation or spaces. Include area code if within the United States of America.

5. Employment availability - Are you available for

A. Full-time employment

Y N

-40 hours per week?

B. Part-time employment of

-16 or fewer hrs/week?

-17 to 24 hrs/week?

- 25 to 32 hrs/week?

C. Temporary employment lasting

- less than 1 month? - 1 to 4 months?

- 5 to 12 months?

D. Jobs requiring travel away from home for

- 1 to 5 nights/month? - 6 to 10 nights/month?

- 11 plus

E. Other employment questions (see instructions)

Y N

Y N

Question 1.

Question 4.

Question 2.

Question 5.

Question 3.

Question 6.

6. Citizenship

Are you a citizen of the United States of America?

Yes No

7. Background information

(see vacancy announcement instructions)

Y N

Y N

Question 1.

Question 4.

Question 2.

Question 5.

Question 3.

Question 6.

8. Other information

(see vacancy announcement instructions)

A. Gender

Male

Female

B.Date of birth (mm/dd/yyyy)

/ /

 

U.S. Office of Personnel Management

Page 2 of 6

OPM Form 1203-FX

 

 

 

 

Revised September 2013

 

 

 

 

3933

Please fill in the following items on each page of this application form. To review the Privacy Act and Public Burden Statements, please refer to the cover page of this form. If this information is not included, we cannot process your application. You must return pages 1 through 6.

 

 

 

 

 

Social security number

 

 

 

 

 

 

 

 

 

 

 

 

Vacancy identification number

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. Languages (see vacancy announcement instructions)

 

 

 

 

 

 

 

 

 

10. Lowest grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Miscellaneous information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Special knowledge

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Test location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.Veterans' preference

When entering dates in the following fields,

please use the format: mm/dd/yyyy

 

 

 

No Preference Claimed

15. Dates of active duty - military service

 

 

(skip if no veterans' preference is claimed in block 14)

 

Sole Survivorship Preference Claimed

From:

 

 

 

 

 

/

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5 Points Preference Claimed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

10 Point Preference - You must submit a completed Standard Form

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15, Application for 10-Point Veterans' Preference.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. Availability date

 

 

 

 

 

 

 

 

 

 

 

 

 

10 Points Preference Claimed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(award of a Purple Heart or service-connected disability of less

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

than 10%)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 Points Compensable Disability Preference Claimed

17. Service computation date

 

(disability rating of at least 10% and less than 30%)

 

 

 

 

 

/

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

10 Points Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(spouse, widow, widower, mother preference claimed)

18. Other date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 Points Compensable Disability Preference Claimed

 

 

 

 

 

/

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(disability rating of 30% or more)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19. Job preference (see vacancy announcement instructions)

1

6

11

16

21

26

31

36

41

46

51

56

61

66

2

7

12

17

22

27

32

37

42

47

52

57

62

67

3

8

13

18

23

28

33

38

43

48

53

58

63

68

4

9

14

19

24

29

34

39

44

49

54

59

64

69

5

10

15

20

25

30

35

40

45

50

55

60

65

70

 

U.S. Office of Personnel Management

Page 3 of 6

OPM Form 1203-FX

 

 

 

 

Revised September 2013

 

 

 

 

3933

Please fill in the following items on each page of this application form. To review the Privacy Act and Public Burden Statements, please refer to the cover page of this form. If this information is not included, we cannot process your application. You must return pages 1 through 6.

Social security number

Vacancy identification number

- -

20. Occupational specialties (see vacancy announcement instructions)

1

 

2

 

3

 

4

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

7

 

8

 

9

 

10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21. Geographic availability (see vacancy announcement instructions)

1

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22. Indicate if you are requesting consideration for either the

Career Transition Assistance Plan (CTAP) Interagency Career Transition Assistance Plan (ICTAP)

23. Job related experience

(see vacancy announcement instructions)

Years:

 

 

Months:

 

 

 

 

24. Personal background information

(see vacancy announcement instructions)

1

11

2

12

3

13

4

14

5

15

6

16

7

17

8

18

9

19

10

20

 

U.S. Office of Personnel Management

Page 4 of 6

OPM Form 1203-FX

 

 

 

 

Revised September 2013

 

 

 

 

 

 

 

 

 

 

 

 

25. Occupational questions (see vacancy announcement instructions)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3933

 

 

 

 

 

 

 

 

 

 

 

Please fill in the following items on each page of this application form. To review the Privacy Act and Public Burden Statements, please refer to the cover page of this form. If this information is not included, we cannot process your application. You must return pages 1 through 6.

Social security number

-

Vacancy identification number

-

A B C D E F G H I

A B C D E F G H I

A B C D E F G H I

1.

31.

61.

2.

32.

62.

3.

33.

63.

4.

34.

64.

5.

35.

65.

6.

36.

66.

7.

37.

67.

8.

38.

68.

9.

39.

69.

10.

40.

70.

A B C D E F G H I

A B C D E F G H I

A B C D E F G H I

11.

41.

71.

12.

42.

72.

13.

43.

73.

14.

44.

74.

15.

45.

75.

16.

46.

76.

17.

47.

77.

18.

48.

78.

19.

49.

79.

20.

50.

80.

A B C D E F G H I

A B C D E F G H I

A B C D E F G H I

21.

51.

 

81.

22.

52.

 

82.

23.

53.

 

83.

24.

54.

 

84.

25.

55.

 

85.

26.

56.

 

86.

27.

57.

 

87.

28.

58.

 

88.

29.

59.

 

89.

30.

60.

 

90.

U.S. Office of Personnel Management

Page 5 of 6

OPM Form 1203-FX

 

 

 

Revised September 2013

3933

25. Occupational questions (continued)

Please fill in the following items on each page of this application form. To review the Privacy Act and Public Burden Statements, please refer to the cover page of this form. If this information is not included, we cannot process your application. You must return pages 1 through 6.

Social security number

-

Vacancy identification number

-

A B C D E F G H I

A B C D E F G H I

A B C D E F G H I

91.

121.

151.

92.

122.

152.

93.

123.

153.

94.

124.

154.

95.

125.

155.

96.

126.

156.

97.

127.

157.

98.

128.

158.

99.

129.

159.

100.

130.

160.

A B C D E F G H I

A B C D E F G H I

A B C D E F G H I

101.

131.

161.

102.

132.

162.

103.

133.

163.

104.

134.

164.

105.

135.

165.

106.

136.

166.

107.

137.

167.

108.

138.

168.

109.

139.

169.

110.

140.

170.

A B C D E F G H I

A B C D E F G H I

A B C D E F G H I

111.

141.

171.

112.

142.

172.

113.

143.

173.

114.

144.

174.

115.

145.

175.

116.

146.

176.

117.

147.

177.

118.

148.

178.

119.

149.

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120.

150.

180.

You have now completed the OPM Form 1203-FX. When submitting, do not include the cover page. Only submit pages numbered 1 through 6.

 

U.S. Office of Personnel Management

Page 6 of 6

OPM Form 1203-FX

 

 

 

 

Revised September 2013

 

 

 

 

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