DOCUMENTS REQUIRED FOR EMPLOYMENT IN THE 2011 ...

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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.
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Page 3: STATEMENT OF UNDERSTANDING 2011 SUM
Page 7 and 8: MEMORANDUM FOR ALL AIR FORCE CIVILI
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