Agency Employer Information

- indicates a required field.

1. Agency Name (of US Federal Government):
2. Address:
3. City:
4. State:	Please choose one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming 5. Zip:
6. Contact Person:
7. E-mail Address: (for confirmation)
8. Telephone:
9. Fax:

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Show all information as it should appear in the job listing and spell out all words completely.

10. Agency Name:
11. Job Title:
12. Area of Consideration:
13. Job Series & Grade Level:	-
14. Announcement #:
15. Senior Exec. Service:	Yes No
16. Country (if not US):
17. City (enter one):
18. Job State Location:	Please choose one Outside U.S. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
19. Zip or Postal Code:
20. Other Job Locations (US Cities, States):

21. Job Description (Comments)
Outline key KSA's: responsibilities, specific education, years of experience, and knowledge requires. Be as brief or as detailed as necessary, but use no more than 100 words:

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Candidate can reply to the Agency via

22. Email:
23. Fax:
24. Telephone:
25. US Mail:

Other Job Information

26. Job Application Being Accepted Starting:

27. Job Application Closing Date:

28. Number of Positions Open for this Job: