DOCUMENTS REQUIRED FOR EMPLOYMENT IN THE 2011 ...

DOCUMENTS REQUIRED FOR EMPLOYMENT
IN THE 2011 SUMMER HIRE PROGRAM
1. Completed Optional Form 612
2. Parental Consent, if under age 18(attch)
3. Application Supplement (attached)
4. Statement of Understanding (attached)
5. USAFE-16, Local Applicant Questionnaire
(attch)
6. OF-306, Declaration for Federal
Employment
7. SF-144, Statement of Prior Federal Service
8. SF-181, Ethnicity and Race Identification
9. SF-256, Self Identification of Disability
10. AF-1745, Address Change Form (attch)
11. W-4, Federal Income Tax withholding
Certificate
12. SF-1199A, Direct Deposit Sign-up Form
13. Air Force Civilian Drug Testing Memo
(attch)
13. School Eligibility Letter (attch)
14. Copy of Sponsor’s PCS orders
15. Copy of Passport
16. Physical if applying for laborer position .
Sports physical (copy) will be accepted if dated
in last 12 months.
17. Copy of Social Security Card with
applicant’s social security number
18. Helpful Tips for filling out the forms
* * * * * * * * * * * * * * * * * *
OPEN TO US CITIZENS ONLY
PLEASE READ ENTIRE PACKAGE CAREFULLY
APPLICATIONS WILL NOT BE ACCEPTED WITHOUT ALL ACCOMPANYING
DOCUMENTATION.
PARENTAL SIGNATURES ON THE APPLICATION WILL NOT BE ACCEPTED.
APPLICANTS FOR POSITIONS IN THE SUMMER HIRE PROGRAM MUST SIGN ALL
PAPERWORK.
COPY OF YOUR PASSPORT AND SOCIAL SECURITY CARD MUST BE ATTACHED SO
THAT WE CAN VERIFY AGE, CITIZENSHIP AND EMPLOYMENT ELIGIBILITY.
DUE TO THE LIMITED NUMBER OF POSITIONS AVAILABLE, IAW USAFE INSTRUCTION
36-201, STUDENTS 14 OR 15 YEARS OLD WILL BE PLACED ONLY AFTER THE SUPPLY
OF OLDER APPLICANTS HAS BEEN EXHAUSTED.
Use this sheet as a checklist for the required documents and bring it with you.
All items are either below or are available through the hyperlinks above.
Please complete all documents and return to Civilian Personnel Office, Bldg
833.

PARENTAL CONSENT
(Must be completed for students under age 18)
I, ____________________________, give consent for my child, ________________________
to participate in the 2011 Summer Hire Program. The position will be for______ hours per week
with working hours scheduled between ____________. I understand there will be no holiday
work or overtime allowed. I also understand that my child is expected to be available to work
the entire_____ week program (exceptions will be granted on a case by case basis).
_________________________________________
Parent’s Signature
______________________________
Date

STATEMENT OF UNDERSTANDING
2011 SUMMER HIRE PROGRAM
1. My temporary appointment is not to exceed (NTE) ______________ and could be terminated
sooner if warranted by base level management or should I not perform my duties in a satisfactory
manner. I will be advised on the earliest possible date if the position is to be terminated prior to
the above NTE date.
2. My employment or length of service under this appointment does not confer any priority for a
permanent position.
3. I will earn sick leave at the rate of one hour per 20 hours worked. I will use sick leave only
for a valid illness. If I am ill and unable to come to work, I will notify my supervisor as soon as
possible, but no later than one hour after my scheduled reporting time.
4. I am not eligible to enroll in a health insurance benefit or federal life insurance plan and am
not entitled to participate in a federal retirement plan.
5. I understand that I am not permitted to work any overtime or any designated U.S. holiday. I
further understand I am not allowed to work more than my designated work schedule of 20/40
hours per week. My hours will be scheduled between the hours of 0730 and1630 (except in
organizations which do not open for business until later in the day).
6. If I am injured at work, I will notify my supervisor immediately and complete the required
forms, even if the injury is minor. I will also contact the Civilian Personnel Section immediately
at extension 6-6416.
7. I will take all safety precautions as I have been instructed and ensure that my personal safety
and the safety of my co-workers is my first priority during my employment.
8. I will present myself in the workplace as a professional. My behavior, grooming, clothing,
attitude and dependability will ensure that my supervisor and co-workers maintain their high
opinion of this base-sponsored and funded employment program for students.
_______________________________________
Student’s signature
_________________
Date

ADDRESS CHANGE FORM
PRIVACY ACT STATEMENT
Personal information is solicited on this form. As required by the Privacy Act of 1974, we advise:
1. AUTHORITY: 37 U.S.C. 101 et seq. 5 U.S.C., Chapter 55; 10 U.S.C., Chapters 67.71, and 871; Title 39, U.S.C. 406 and Title 10, U.S.C. 8013; E.O. 9397, Nov 1943
2. PRINCIPAL PURPOSES: To permit address changes for the Joint Uniform Military Pay System (JUMPS), the Retired Pay Systems, the Reserve component pay
systems, and the civilian pay systems. To maintain a record of current address for pay related matters and bonds.
3. ROUTINE USES: Information may be disclosed to the General Accounting Office to provide financial information; Federal, State, and local courts for tax and welfare
purposes; U.S. treasury to provide information on bonds purchased; and to the Department of Justice in some cases for criminal prosecution, civil litigation, or investigative purposes.
4. DISCLOSURE: Voluntary; however, failure to provide the requested information as well as the SSN may result in a delay in receipt of funds, Leave and Earnings Statement,
Net Pay Advices, and miscellaneous pay-related documents.
Complete section 1 to change your mailing or organizational address for pay related items. Complete Section 2 to change the mailing address for some or all of your payroll deduction
U.S. Savings Bonds. Civilian employees do not use Section 2 for bonds.
SECTION 1
NAME SSN CHECK ONE:
AD ž RET ž CIV ž GUARD/RES ž
AIR FORCE ž ARMY ž
NEW MAILING ADDRESS
NUMBER, STREET, PO BOX
CITY, STATE, ZIP, APO/FPO
NEW ORGANIZATIONAL ADDRESS
UNIT/OFFICE SYMBOL DUTY PHONE BOX NO RNLTD DEPARTURE DATE EST ARR DATE
GRADE LOCAL ADDRESS HOME PHONE
FORWARDING ADDRESS
B
O
N
D
#1
NEW
ž (CHECK HERE IF THE SAME MAILING ADDRESS AS IN SECTION 1
AND COMPLETE FIRST BLOCK BELOW)
NAME TO WHOM MAILED
NUMBER, STREET, PO BOX
CITY, STATE, ZIP, APO/FPO
SECTION 2
ADDRESS CHANGE FOR PAYROLL DEDUCTION BONDS
B
O
N
D
#2
NEW
ž (CHECK HERE IF THE SAME MAILING ADDRESS AS IN SECTION 1
AND COMPLETE FIRST BLOCK BELOW)
NAME TO WHOM MAILED
NUMBER, STREET, PO BOX
CITY, STATE, ZIP, APO/FPO
B
O
N
D
#3
NEW
ž (CHECK HERE IF THE SAME MAILING ADDRESS AS IN SECTION 1
AND COMPLETE FIRST BLOCK BELOW)
NAME TO WHOM MAILED
NUMBER, STREET, PO BOX
CITY, STATE, ZIP, APO/FPO
B
O
N
D
#4
NEW
ž (CHECK HERE IF THE SAME MAILING ADDRESS AS IN SECTION 1
AND COMPLETE FIRST BLOCK BELOW)
NAME TO WHOM MAILED
NUMBER, STREET, PO BOX
CITY, STATE, ZIP, APO/FPO
SIGNATURE OF MEMBER/EMPLOYEE
DATE
AF Form 1745, NOV 90 (Word 6.0)
PREVIOUS EDITION WILL BE USED

APPLICATION SUPPLEMENT
(Must be completed by all applicants)
TYPE OF WORK PREFERED (CIRCLE ONE): LABORER
CLERICAL
BI-WEEKLY WORK SCHEDULE 80 HRS F/T 40HRS P/T
PROGRAM LENGTH: 18 WEEK 8 WEEK 6 WEEK 4 WEEK
STUDENT INFORMATION:
Name: _______________________________________________________
(Last, first, middle initial)
Date of Birth: _________________________________________________
Home Phone: _________________________________________________
Education Level: ________________________________________
Social Security Number: ________________________________________
PSC/Box: ____________________________________________________
Local Home Address: __________________________________________
SPONSOR INFORMATION:
Name and Rank: ______________________________________________
Organization: _________________________________________________
Duty Phone: __________________________________________________
NOTE: COLLEGE STUDENTS MUST PRESENT TRANSCRIPTS AS PROOF OF
ENROLLMENT.
The intent of this program is to provide the most flexibility for students participating in the 2011
summer hire program. You may not be selected for the position that you are applying, but we will
do our best to accommodate your requirement. If you have specific requirements, please add on
the reverse of this form.
PERSONAL INFORMATION BEING REQUESTED FROM YOU IS NECESSARY TO CARRY
OUT THE RESPONSIBILITIES OF THIS OFFICE. AUTHORITY FOR REQUESTING THIS
INFORMATION IS FOUND IN 10 U.S.C. 8012 AND E.O. 9397, NOV 43. DISCLOSURE MAY
BE EITHER VOLUNTARY OR MANDATORY; HOWEVER, IN EITHER CASE, THE
INFORMATION IS NECESSARY IN ORDER TO SERVE YOU IN A SATISFACTORY
MANNER. FAILURE TO PROVIDE REQUIRED INFORMATION WILL PROHIBIT THE
EMPLOYMENT OF THE STUDENT.

THIS INFORMATION IS PROTECTED BY THE PRIVACY ACT OF 1974
SCHOOL ELIGIBILTY LETTER
REQUIRED ONLY FOR MIDDLE/HIGH SCHOOL
STUDENTS
This is to certify that ____________________________ is enrolled as a
student at Incirlik Middle/High School and is a student in good standing
(GPA 2.0 or higher).
__________________________
School Counselor
____________________
Date
__________________________
CPF Representative
_____________________
Date

MEMORANDUM FOR ALL AIR FORCE CIVILIAN EMPLOYEES
FROM 39 FSS/FSMC
SUBJECT: General Notice-Air Force Civilian Drug Testing Program
1. Executive Order 12564, Drug-Free Federal Workplace, provides that Federal employees are
required to refrain from the use of illegal drugs and that the use of such illegal drugs, whether on
duty or off duty, is contrary to the efficiency of the service. The head of each Executive agency
is required to develop a plan for achieving the objective of a drug-free workplace. In order to
implement the Executive Order, the Air Force has developed a civilian drug testing program.
2. The Air Force program is aimed at identifying illegal drug users in order to maintain a safe
and secure workplace. The determination that an employee uses illegal drugs may be made on
the basis of direct observation, a criminal conviction, the employee’s own admission, other
appropriate administrative determination, or by a confirmed positive urinalysis. While the Air
Force will assist employees with drug problems, it must be recognized that employees who use
illegal drugs are primarily responsible for changing their behavior.
3. The Air Force program authorizes the testing of employees for the illegal use of drugs under
the following conditions:
a. When there is reasonable suspicion that an employee uses illegal drugs.
b. In an investigation authorized by the Air Force regarding an accident or unsafe practice.
c. As part of, or as follow-up to, counseling or rehabilitation for illegal drug use.
d. When an employee volunteers for testing. Under such circumstances, the employee’s
name is placed in the testing pool for random selection.
In addition, certain designated employees who occupy or are selected for testing-designated
positions will be subject to the random testing program. Employees in these special testing
categories will receive specific written notice, along with a detailed explanation of the program
as it relates to them.
4. All specimens will be tested at an approved facility, using state-of-the-art procedures. Before
a positive test result can be verified, two separate and different test procedures are performed on
the same specimen and both results must be positive. The first test procedure used is an
immunoassay and the second confirmatory procedure uses gas chromatograph-mass
spectrometry (GC/MS). The screening levels are sufficiently conservative to eliminate
extraneous reasons for a positive result and, with confirmation by an additional and different test
method, the chemical test results are reliable and accurate. Individual privacy will be allowed
during the collection of the specimen; however, employees will be observed if there is any
reason to believe the specimen may be altered. The Air Force has developed strict chain of
custody procedures to ensure the validity of the specimen tested, according to the Department of
Health and Human Services Technical Guidelines. Any tested employee will be given an
opportunity to provide evidence to verify the legitimate use of prescription drugs authorized by a
physician or medical officer to the Medical Review Officer (MRO).

5. Strict confidentiality will be provided to the employee when the confirmed positive test result
is verified by the MRO. Positive test results verified by the MRO may only be disclosed to the
employee, the appropriate management officials responsible for counseling and rehabilitation
assistance, the appropriate management officials necessary to process a disciplinary or adverse
action against the employee, a court of law, or an administrative tribunal in the disciplinary or
adverse personnel action. All medical and rehabilitation records in a rehabilitation program will
be deemed confidential “patient” records and may not be disclosed without the prior written
consent of the employee.
6. While the Air Force cannot tolerate the use of illegal drugs, employees who have a substance
abuse problem are encouraged to seek appropriate counseling and rehabilitation assistance by
contacting the Life Skills Center. Name, address, and telephone number can be obtained by
calling the Life Skills at office 6-6453.
7. The Air Force program is very ambitious and requires the support, understanding, and
cooperation of all employees. We fully appreciate that this is a highly sensitive issue and want to
assure you that the program has been designed with the utmost concern for maintaining each
individual’s privacy and dignity. The importance of creating a drug-free Air Force cannot b
overstated. We ask your complete professional and personal dedication to achieving this. For
more detailed guidance, you are encouraged to direct any questions to your supervisor or the
Civilian Personnel Office staff.
//SIGNED//
Vince Halverson
Civilian Personnel Officer
I have read and understand the requirements of the civilian drug testing program.
_________________________________________
Signature
_____________________
Date

HELPFUL TIPS FOR FILLING OUT YOUR
SUMMER HIRE APPLICATION PACKAGE
1. OF-612, Application for Federal Employment
- Leave Blocks 2 & 3 blank
- Block 5 is YOUR social security number
- Block is your P. O. box number, not your house address
- You MUST fill out and sign the application in ink
2. USAFE 16, Local Applicant Questionnaire
- Complete top, Section A, and Section B.
- Section E, print your name, sign the form, and fill in the date you signed.
3. OF-306, Declaration for Federal Employment
- Complete the entire form.
- Item 14 will be “YES”.
- In item 16, list your sponsor’s name, relationship to you (mother, father, etc) and the
organization they work for. Also list any other family members who work for the U.S.
federal government (either overseas or in the U.S.).
- Item 17a, sign and date.
- Item 18, if you have been employed in the Summer Hire program or with the U.S.
government before, list the date you were last employed.
4. SF-256, Self-Identification of Handicap
- You must enter a code at the top of the page. If you have no known handicap, enter 05.
5. AF Form 1745, Change of Address Form
- Fill out the top three lines with your PSC/Box mailing address.
- You must sign and date the bottom of the form.
6. SF-1199A, Direct Deposit Sign-up Form REQUIRED FOR FEDERAL
EMPLOYMENT
- Block A is your name and PSC/Box address.
- Block B is the person entitled to payment of your salary (YOU).
- Block C is your Social Security Number
- Sign in the Payee Certification block
- Fill in Block D, type of account
- List the account number in Block E
- Type of payment is Federal Salary
- Fill out joint account holder’s certification if it is a “joint” account
-Your name must be on the account your paycheck will be deposited in!
7. W-4 Tax Form
-Block #7 put exempt….if you should have any questions, please contact the Tax Office.
If your account is to be set up at Pentagon Federal Credit Union, have them complete
Section 3. If not, fill in the name, address, and routing number for your financial
institution.