Ps Form 2591 – Fill Out and Use This PDF

Application for Employment

The U.S. Postal Service is an Equal Opportunity Employer

(Shaded Areas for Postal Service Use Only)

A. General Information

7.Place of Birth (City and State or City and Country)

B. Educational History

1. Name and Location of Last High School Attended (City and State)	2. Are you a high school graduate? Answer “Yes” if you expect to graduate
	within the next 9 months, or you have an oficial equivalency certiicate of
	graduation.
	Yes - Month and Year:
	No - Highest Grade Completed:
3. Name and Location of College or University (City, State, and ZIP Code, if known.	Dates Attended			Type of Degree
If you expect to graduate within the next 9 months, give the month and year you					Year of Degree
	From		To	(BA, etc.)
expect the degree.)

4.Major Field of Study at Highest Level of College Work

5.Other Schools or Training (For example, trade, vocational, armed forces, or business. Give for each: Name, City, State, and ZIP Code, if known, of school; dates attended; subjects studied; number of classroom hours of instruction per week; certiicates; and any other pertinent information.)

6.Summary of Accomplishments (For example, honors, awards, and fellowships received. Include special qualiications and skills, such as licenses; skills with machines, patents or interventions; publications-do not submit copies unless requested; public speaking; memberships in professional or scientiic societies; typing or shorthand speed, etc.)

PS FORM 2591, NOVEMBER 2016, (Page 1 of 4) PSN 7530-01-000-9733

C. Work History

(Start with your present position and go back for 5 years or to your 16th birthday, whichever is later. You may include volunteer work. Account for periods of unemployment in separate blocks in order. Include military service. Use blank sheets if you need more space. Include your name and date on each sheet.)

	Dates of Employment (Month and Year)		Grade (Only if postal, federal service, or	Present Salary/Earnings
	From	To	military)	$	per
1.
	Exact Position Title		Average Hours per Week	Number and Kind of Employees Supervised
Employer’s Name and Complete Mailing Address			Type of Business (Manufacturing, etc.)

Reason for Leaving

Description of Duties, Responsibilities, and Accomplishments

	Dates of Employment (Month and Year)		Grade (Only if postal, federal service, or	Present Salary/Earnings
	From	To	military)	$	per
2.
	Exact Position Title		Average Hours per Week	Number and Kind of Employees Supervised
Employer’s Name and Complete Mailing Address			Type of Business (Manufacturing, etc.)

Reason for Leaving

Description of Duties, Responsibilities, and Accomplishments

	Dates of Employment (Month and Year)		Grade (Only if postal, federal service, or	Present Salary/Earnings
	From	To	military)	$	per
3.
	Exact Position Title		Average Hours per Week	Number and Kind of Employees Supervised
Employer’s Name and Complete Mailing Address			Type of Business (Manufacturing, etc.)

Reason for Leaving

Description of Duties, Responsibilities, and Accomplishments

PS FORM 2591, NOVEMBER 2016, (Page 2 of 4) PSN 7530-01-000-9733

Name (First, MI, Last)				Date
	Dates of Employment (Month and Year)		Grade (Only if postal, federal service, or	Present Salary/Earnings
	From	To	military)	$	per
4.
	Exact Position Title		Average Hours per Week	Number and Kind of Employees Supervised
Employer’s Name and Complete Mailing Address			Type of Business (Manufacturing, etc.)

Reason for Leaving

Description of Duties, Responsibilities, and Accomplishments

D. Veteran Preference (Answer all parts. If a part does not apply, answer “No”.)

YES

NO

1.Have you ever served on active duty in the U.S. military service? (Exclude tours of active duty for training as a reservist or guardsman.)

2.Have you ever been discharged from the armed service under other than honorable conditions (i.e., Dishonorable, Other than Honorable, Undesirable, Bad Conduct, General Discharge, Under Honorable conditions)? You may omit any such discharge changed to honorable by a Discharge Review Board or similar authority. (If “Yes,” give details in Section F.)

3.Do you claim 5-point preference based on active duty in the armed forces? (If “Yes,” you will be required to provide records to support your claim.)

4.Do you claim a 10-point preference? If “Yes,” check the type of preference claimed below and attach Standard Form 15, Claim for 10-Point Veteran Preference, together with proof required by that form.

Compensable Disability	Compensable Disability	Non-Compensable
(Less than 30%)	(30% or more)	Disability (includes Receipt
		of the Purple Heart)
Wife/Husband	Widow/Widower	Mother

5.Do you claim Sole Survivorship preference? (A sole survivor veteran means a person who was discharged or released from a period of active duty after August 29, 2008, by reason of a sole survivorship discharge as that term is deined by law in 10 U.S.C. 1174 (i).) (If “Yes,” you will be required to provide records to support your claim.) Note: You may not claim both a 5-point or 10-point preference and Sole Survivorship preference.

6.List All Military Service: (Enter N/A if not applicable)

THE LAW (39 U.S. CODE 1002) PROHIBITS POLITICAL AND CERTAIN OTHER RECOMMENDATIONS FOR APPOINTMENTS, PROMOTIONS, ASSIGNMENTS, TRANSFERS, OR DESIGNATIONS OF PERSONS IN THE POSTAL SERVICE. Statements relating solely to character and residence are permitted, but every other kind of statement or recommendation is prohibited unless it either is requested by the Postal Service and consists solely of an evaluation of the work performance, ability, aptitude, and general qualiications of an individual or is requested by a government representative investigating the individual’s loyalty, suitability, and character. Anyone who requests or solicits a prohibited statement or recommendation is subject to disqualiication from the Postal Service and anyone in the Postal Service who accepts such a statement may be suspended or removed from ofice.

Privacy Act Statement: Your information will be used to determine your qualiication and suitability for USPS employment. Collection is authorized by 39 USC 401, 410, 1001, 1005

and 1206. Providing the information is voluntary, but if not provided, you may not receive full consideration. We may disclose your information as follows: in relevant legal proceedings; to law enforcement when the USPS or requesting agency becomes aware of a violation of law; to a congressional ofice at your request; to entities or individuals under contract with USPS; to entities authorized to perform audits; to labor organizations as required by law; to federal, state, local or foreign government agencies regarding personnel matters; to the Equal Employment Opportunity Commission; and to the Merit Systems Protection Board or Ofice of Special Counsel. For information regarding our privacy policies visit www.usps.com/ privacypolicy.

PS FORM 2591, NOVEMBER 2016, (Page 3 of 4) PSN 7530-01-000-9733

E. Other Information

YES

NO

1.Are you one of the following: a United States citizen, a lawful permanent resident alien, or a citizen of American Samoa or any other territory owing allegiance to the United States?

2.Have you been awarded a contract with or do you work for a contractor of the U.S. Postal Service?

3.Are you a male born after December 31, 1959? (Males born after December 31, 1959, must be registered with the Selective Service System.)

If yes, provide your Selective Service number:

4. Have you ever been ired from any job for any reason?

5. Have you ever quit a job after being notiied that you would be ired?

6.Do you receive or have you applied for retirement pay, pension, or other retirement pay based upon military, postal, federal civilian service, or District of Columbia Government Service? (If “Yes,” give details in Section F.)

7a. Are you a current United States Postal Service Employee? If “Yes,” provide your Employee Identiication Number:

7b. Are you a former United States Postal Service Employee?

If “Yes,” provide your Employee Identiication Number:

7c. Are you a current or former Federal Employee (not including military or Postal Service)?

If “Yes,” provide the name of employing agency(ies), position title(s), and date(s) employed in Section F.

8.Does the U.S. Postal Service employ any relative of yours by blood or marriage?

Postal Service oficials may not appoint any of their relatives or recommend them for appointment in the Postal Service. Any relative who is appointed in violation of this restriction cannot be paid. Thus it is necessary to have information about your relatives who are working for the USPS. These include: mother, father, daughter, son, sister, brother, aunt, uncle, irst cousin, niece, nephew, wife, husband, mother-in-law, father-in-law, daughter-in-law, son-in-law, sister-in-law, brother-in-law, stepfather, stepmother, stepdaughter, stepson, stepsister, stepbrother, half sister, half brother, granddaughter, grandfather, grandmother, grandson.

If you answer “Yes” to question 8, provide the following information for each relative in Section F:

(1)Full name; (2) Relationship; (3) Position title; (4) Name and location of postal installation where employed.

9.Are you a current user of ANY illegal drugs, which includes drugs whose use is illegal unless they have been prescribed by a physician? (Note: The Postal Service applies federal law to determine whether drug use is illegal, even if a state or local law permits such use. Under federal law, marijuana use is illegal, even if prescribed by a physician.)

F. Use This Space for Detailed Answers (Use blank sheets if you need more space. Include your name and date on each sheet.)

G. Certiication	Enter number of additional sheets you have attached as part of this application:
I certify that all of the statements made in this	Signature of Applicant	Date Signed
application are true, complete, and correct to the best
of my knowledge and belief and are in good faith.

A false or dishonest answer to any question in this application may be grounds for not employing you or for dismissing you after you begin work, and may be punishable by ine or imprisonment. (U.S. Code, Title 18, Sec. 1001). All information you give will be considered in reviewing your application and is subject to investigation.

PS FORM 2591, NOVEMBER 2016, (Page 4 of 4) PSN 7530-01-000-9733