Get 209 2002-2025

NAME Last First Ml SSN TITLE OF POSITION FOR WHICH APPLYING - BREAKDOWN OF MILITARY FLYING HOURS DO NOT include civilian flying hours MONTH YEAR FROM/TO FULL PREFIX AND TYPE ACFT 9-86/8-87 T-37 8-87/6-94 WC-130 AIRCREW POSITION LAST MILITARY FLYING DATE AS STUDENT PILOT 11-87 MILITARY PLYING HOURS AS INSTRUCTOR EVALUATOR/ EXAMINER 1-93 6-94 SIMULATOR 8-87 ACFT CMDR/ 1NST/EXAM BASIC COMPLETE THE COLUMNS BELOW AS SHOWN IN THE ABOVE EXAMPLE ATAFR FORM 209 JUL 02 PREVIOUS EDITION IS OBSOLETE INSTRUCTOR EVALUATOR/ ARE YOU CURRENTLY ON FLYING STATUS WITH A BRANCH OF THE ARMED FORCES ORGANIZATION / UNIT OF ASSIGNMENT HAVE YOU EVER APPEARED BEFORE A FLYING EVALUATION BOARD YES NO If yes give circumstances and results in remarks REMARKS ATTENTION THIS STATEMENT MUST BE SIGNED READ THE FOLLOWING PARAGRAPH CAREFULLY BEFORE SIGNING THIS STATEMENT A false answer to any question in this statement may be grounds for not employing you or dismissing you after you begin work and may Be punishable by fine or imprisonment U. S. Code Title 18 Section 1001. SUPPLEMENTAL STATEMENT OF AERONAUTICAL QUALIFICATION FOR AIR RESERVE TECHNICIAN PRIVACY ACT STATEMENT AUTHORITY The Office of Personnel Management is authorized by Section 1302 of Chapter 13 Special Authority and Section 3301 and 3304 of Chapter 33 Examination Certification and Appointment of Title 5 of the U* S* Code and Executive Order 9397. PRINCIPAL PURPOSE Information contained herein is used to identify this form with your basic application* It may be used for the same purpose as stated in the application* Use of SSN is necessary to make positive identification* ROUTINE USES Information contained herein wilt be used primarily to determine your qualifications for Federal employment To make request for information about you from any source e*g* former employers or schools that would assist an agency in determining whether to hire you To refer your application to prospective Federal employers To Federal State or local agencies for checking on violations of law or other lawful purposes in connection with hiring or retaining you on the job or issuing a security clearance To the courts when the Government is party to a suit or when required by Congress the Office of Management and Budget or the General Services Administration* DISCLOSURE IS VOLUNTARY However failure to do so may result with an ineligible or minimum rating. This form must be furnished with application for all aircrew positions. It must also be furnished with any request for rerate/extension of eligibility along with an application update. All statements are subject to investigation including a check of your fingerprints police records and former employers. All information you give will be considered in reviewing your statement and is subject to investigation* CERTIFICATION I certify that all of the statements made on this page are true complete and correct to the best of my knowledge and belief and are made in good faith. SUPPLEMENTAL STATEMENT OF AERONAUTICAL QUALIFICATION FOR AIR RESERVE TECHNICIAN PRIVACY ACT STATEMENT AUTHORITY The Office of Personnel Management is authorized by Section 1302 of Chapter 13 Special Authority and Section 3301 and 3304 of Chapter 33 Examination Certification and Appointment of Title 5 of the U* S* Code and Executive Order 9397. PRINCIPAL PURPOSE Information contained herein is used to identify this form with your basic application* It may be used for the same purpose as stated in the application* Use of SSN is necessary to make positive identification* ROUTINE USES Information contained herein wilt be used primarily to determine your qualifications for Federal employment To make request for information about you from any source e*g* former employers or schools that would assist an agency in determining whether to hire you To refer your application to prospective Federal employers To Federal State or local agencies for checking on violations of law or other lawful purposes in connection with hiring or retaining you on the job or issuing a security clearance To the courts when the Government is party to a suit or when required by Congress the Office of Management and Budget or the General Services Administration* DISCLOSURE IS VOLUNTARY However failure to do so may result with an ineligible or minimum rating. .