Opm Form C PDF Details

The U.S. Office of Personnel Management (OPM) Form C, officially known as the Qualifications and Availability Form C 51562, serves as a critical component for candidates seeking federal employment. Approved by the OMB with a designation No. 3206-0040, and last updated in June 1996, this comprehensive form demands meticulous attention to detail across its six pages. Applicants are required to provide a wealth of information, ranging from basic biographic data and work information to more detailed inquiries about employment availability, citizenship status, and even veteran preference claims. Additionally, the form delves into aspects such as languages spoken, grade levels being applied for, and specific job preferences, making it a pivotal part of the federal employment application process. Not only does the Form C facilitate a structured way for applicants to present their qualifications and availability, but it also ensures that hiring agencies have a consistent basis for evaluating potential candidates. Completing the form accurately is vital; any omitted information can halt the application process, making it indispensable for candidates to follow the provided instructions carefully. The emphasis on printing responses and using black ink, alongside specific instructions for entering various types of information, underscores the form's importance in the meticulous federal hiring landscape.

QuestionAnswer
Form NameOpm Form C
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other nameshow to opm form c, qualifications formc, availability c, instructor qualifications form c

Form Preview Example

U.S. Office of Personnel Management

Qualifications and Availability Form C

51562

Form Approved

OMB No. 3206-0040

OPM FORM 1203-FX

June 1996

Please fill in the following items on each page of this application form. If this information is not included, we cannot process your application. You must return all 6 pages.

Social Security Number

Vacancy Identification Number

- -

Follow the Instructions on the Supplemental Qualifications Statement (SQS)

-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.

Shade circle like this:

Not like this:

1. Print Title of Job Applying For:

2.

Biographic Data

 

MI

 

 

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

Street Address (House Number, Street, Apt. No. where you want to receive mail)

City

State

Use Standard State Postal Codes. If you live outside the USA, print "OV" in State and fill in Country, leaving zip code blank.

Zip Code

Country

 

 

-

 

 

 

Telephone Number

Contact Time

 

 

 

 

Day

Night

Either

Use numbers only - no punctuation. Include area code if within United States.

3. E-Mail Address (see Instructions in SQS before completing)

Notify me by E-Mail:

Yes No

Page 1 of 6

51562

Please fill in the following items on each page of this application form. If this information is not included, we cannot process your application. You must return all 6 pages.

Social Security Number

Vacancy Identification Number

-

-

4. Work Information ( If Applicable )

Place of Employment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work City

 

Work State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use Standard State Postal Codes. If you

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

work outside the USA, print "OV" in State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and fill in Country, leaving zip code blank.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Zip Code

 

 

 

 

Work Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Telephone Number

 

 

 

 

 

Extension

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use numbers only - no punctuation. Include area code if within United States.

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 nights/month?

 

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?

 

Yes

No

 

7.

Background Information

 

(see Instructions in SQS before completing)

 

 

Y N

Y N

 

Question 1.

 

Question 4.

 

Question 2.

 

Question 5.

 

Question 3.

 

Question 6.

8.

Other Information

 

 

(see Instructions in SQS before completing)

 

A. Gender

Male

Female

B.Date of Birth (MM/DD/YYYY)

/ /

Page 2 of 6

51562

Please fill in the following items on each page of this application form. If this information is not included, we cannot process your application. You must return all 6 pages.

Social Security Number

Vacancy Identification Number

-

-

9. Languages

 

 

 

 

 

 

 

 

 

 

 

 

10. Lowest Grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Miscellaneous Information

12. Special Knowledge

 

 

 

 

 

 

 

 

 

 

 

 

13.Test Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

Veteran Preference Claim

 

 

 

 

When entering dates in the following fields,

 

 

 

 

please use the format: MM/DD/YYYY

 

 

 

 

 

 

 

 

 

 

No Preference Claimed

 

 

 

 

15. Dates of Active Duty - Military Service

 

 

 

 

 

 

 

 

5 Points Preference Claimed

 

 

 

Skip if No Veteran Preference Claimed in Block 14

 

 

 

 

 

 

 

 

 

 

10 Point Preference - You must submit a

 

From:

 

/

/

 

 

 

completed Standard Form 15.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 Points Preference Claimed

 

 

 

To:

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( award of a Purple Heart or noncompensable

 

 

 

 

 

 

 

service-connected disability )

 

 

 

 

16. Availability Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 Points Compensable Disability Preference Claimed

 

/

 

/

 

 

 

( disability rating of less than 30% )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 Points Other

 

 

 

 

 

17. Service Computation Date

 

 

 

 

 

 

 

 

/

 

/

 

 

 

( wife, widow, husband, widower, mother

 

 

 

 

 

 

 

preference claimed )

 

 

 

 

 

18. Other Date

 

 

 

 

10 Points Compensable Disability Preference Claimed

 

 

 

 

 

/

 

/

 

 

 

( disability rating of 30% or more )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19. Job Preference

 

 

 

 

 

 

 

 

 

 

 

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

 

Page

3 of 6

 

 

 

 

 

 

 

 

 

 

 

51562

Please fill in the following items on each page of this application form. If this information is not included, we cannot process your application. You must return all 6 pages.

Social Security Number

Vacancy Identification Number

-

-

20.

 

Occupational Specialties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

 

 

 

 

 

 

3

 

 

4

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

7

 

 

 

 

 

 

8

 

 

9

 

10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21.

 

Geographic Availability

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 Instructions in SQS before completing)

Years:

 

 

Months:

 

 

 

 

24.Personal Background Information

(see Instructions in SQS before completing)

1

11

2

12

3

13

4

14

5

15

6

16

7

17

8

18

9

19

10

20

Page 4 of 6

25. Occupational Questions

51562

Please fill in the following items on each page of this application form. If this information is not included, we cannot process your application. You must return all 6 pages.

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.

Page 5 of 6

25. Occupational Questions (continued)

51562

Please fill in the following items on each page of this application form. If this information is not included, we cannot process your application. You must return all 6 pages.

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.

179.

120.

150.

180.

Page 6 of 6

The following Privacy Act and Public Reporting Burden statements are for informational purposes only. Please do not return this page with your application package.

Privacy Act

The Office of Personnel Management is authorized to rate applicants for Federal jobs under sections 1302, 3301, and 3304 of title 5 of the U.S. Code. Section 1104 of title 5 allows the Office of Personnel Management to authorize other Federal Agencies to rate applicants for Federal jobs. We need the information you put on this form to see how well your education and work skills qualify you for a Federal job. We also need information on matters such as citizenship and military service to see whether you are affected by laws we must follow in deciding who may be employed by the Federal Government.

We must have your Social Security Number (SSN) to identify your records because other people may have the same name and birthdate. The Office of Personnel Management may also use your SSN to make requests for information about you from employers, schools, banks, and others who know you, but only as allowed by law or Presidential directive. The information we collect by using your SSN will be used for employment purposes and also for studies and statistics that will not identify you.

Information we have about you may also be given to Federal, State and local agencies for checking on law violations or for other lawful purposes. We may send your name and address to State and local Government agencies, Congressional and other public offices, and public international organizations, if they request names of people to consider for employment. We may also notify your school placement office if you are selected for a Federal job.

Giving us your SSN or any of the other information is voluntary. However, we cannot process your application, which is the first step toward getting a job, if you do not give us the information we request.

Public Reporting Burden

The public reporting burden of information is estimated to vary from 20 minutes to 45 minutes to complete this form including time for reviewing instructions, gathering the data needed, and completing and reviewing entries. The average time to complete this form is 30 minutes. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: U.S. Office of Personnel Management, Office of the Chief Information Officer, 1900 E Street, NW, CHP 500, Washington, DC 20415; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Paperwork Reduction Project 3206-0040, Washington, DC 20503.

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