USDA FOREST SERVICE
USDA FOREST SERVICE
STUDENT CAREER SUPPLEMENTAL INFORMATION SHEET
STUDENT CAREER EXPERIENCE PROGRAM
(Submit this questionnaire along with OF-612 or Resume, and copy of transcript)
UNIVERSITY OR COLLEGE ______________________________________________
NAME
_________ SOCIAL SECURITY # ____________________________
PERMANENT RESIDENCE ADDRESS
___________________________
SCHO0L RESIDENCE ADDRESS____________________________________________________
E-MAIL ADDRESS_______________________ COUNTRY OF CITIZENSHIP_______
CLAIMING VETERAN PREFERENCE:
Yes____ No____ If yes, DD-214 must be submitted.
HOME TELEPHONE #
___ SCHOOL TELEPHONE # ______________________
DEGREE PROGRAM:_____BA/BS_____MA/MS_____PhD
PROJECTED GRADUATION DATE: (MONTH/YEAR)__________
MAJOR
CUMULATIVE GPA
EMPHASIS ____________________________________
MAJOR (GPA)_________________________________
TARGET OCCUPATION FOR WHICH YOU ARE INTERESTED: _________________________
Are you willing to work in rural/small communities: Yes____No____Population Size:________
LIST REGIONS/STATIONS/AREAS THAT YOU ARE INTERESTED IN APPLYING TO.
____Region 1 (R-1)
Northern Idaho, Montana, North Dakota
____Region 2 (R-2)
Colorado, Kansas, Nebraska, South Dakota, Eastern Wyoming
____Region 3 (R-3)
Arizona, New Mexico, Oklahoma, Texas
____Region 4 (R-4)
Southern Idaho, Nevada, Utah, Western Wyoming
____Region 5 (R-5)
California, Hawaii
____Region 6 (R-6)
Oregon, Washington
____Region 8 (R-8) Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi,
North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virginia
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USDA FOREST SERVICE
____Region 9 (R-9) Illinois, Indiana, Maine, Michigan, Minnesota, Missouri, New Hampshire,
New York, Ohio, Pennsylvania, Vermont, West Virgina, Wisconsin,
____Region 10 (R-10) Alaska
____North Central Research Station (NCRS) Illinios, Indiana, Iowa, Michigan, Minnesota,
Missouri, Wisconsin
____Northeastern Area, State and Private Forestry & Northeastern Research Station (NE/NA)
Maine, Minnesota, New Hampshire, New York, Ohio, Pennsylvania, Vermont, West Virginia,
____Pacific Northwest Research Station (PNW)
Alaska, Oregon, Washington
____Pacific Southwest Research Station (PSW)
California, Hawaii
____Rocky Mountain Research Station (RMRS) Arizona, Colorado, Idaho, Montana, Nebraska, Nevada,
New Mexico, North Dakota, South Dakota, Utah, Wyoming
____Southern Research Station (SRS) Alabama, Arkansas, Florida, Georgia, Kentucky,
Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Texas, Virginia
____Forest Products Laboratory (FPL) Wisconsin
____International Institute of Tropical Forestry (IITF) Puerto Rico
_____Forest Service, National Headquarters
Washington D.C
_____Forest Service, Job Corps Civilian Conservation Ctr-Arkansas, Illinois, Kentucky, Montana, Nebraska, North Carolina, Oregon, South Dakota,
Tennessee, Virginia, Washington, Wisconsin
BRIEFLY DESCRIBE WHY YOU ARE INTERESTED IN A CAREER WITH THE FOREST SERVICE:
BRIEFLY DESCRIBE YOUR CAREER
GOALS:
BRIEFLY DESCRIBE ANY VOLUNTEER WORK, INTERESTS, INVOLVEMENT IN ORGANIZATIONS, LANGUAGES SPOKEN,
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USDA FOREST SERVICE
AWARDS OR RECOGNITION RECEIVED, TRAINING THAT HIGHLIGHTS YOUR SKILLS AND ABILITIES:
BRIEFLY DESCRIBE WORK EXPERIENCE RELATED TO MAJOR FIELD OF STUDY:
Select one of the following that best describes how you found out about these positions.
______ Career Fair
______ Agency HR/Personnel Dept.
______ Friend/Relative working for the agency
______ Recruiter Contact
______ School Counselor/Placement Office
______ Other________________________
___________________
(Applicant's Signature)
(Date)
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