 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Student Volunteers - Security Forms
| Applicant Document Checklist | |
| SF-85 | Questionnaire for Non-Sensitive Positions: The SF85 form is provided here for your completion, but you will be transferring this data on it electronically via e-QIP. You will be provided further information on e-QIP later. |
| Instructions for SF-85 | |
| eQIP Applicant Brochure | eQIP system reference guide. The eQIP system is used to electronically file the SF-85 form. The electronic filing of the SF-85 form is now mandatory. |
| OF-306 | Declaration of Federal Employment |
| OF-612 | Optional Application for Federal Employment and/or Resume |
| DOJ-555 | Disclosure and Authorization Pertaining to Consumer Reports Pursuant to the Fair Credit Reporting Act |
| I-9 | Employment Eligibility Verification |
| SF-181 | Ethnicity and Race Identification |
| SF-144 | Statement of Prior Federal Service |
| SF-256 | Self-Identification of Handicap |
|
Dual Citizenship - Applicant certifies s/he is a dual citizen with the U.S. and another country Submit the above and submit one copy of the following, if applicable:
|
|
|
OFI-36 - Single Scope, Additional Data for Single Scope Background Investigations and Other Background Investigations. If applicable please call for form. |
This form is only applicable under the following conditions:
Immediate family members are resident aliens or U.S. citizens other than by birth; Current spouse is foreign born Co-inhabitant(s) and any other persons to whom applicant is bound by affection or obligation who may be subject to duress by a foreign power |
| If the OFI-36 is applicable, also complete the Foreign National Relatives or Associates form | Describe the nature, frequency, and degree of your
contact. The form can be found in the above listed Dual Citizenship information bullet. |
| Rules of Behavior | Rules of Behavior - Information Systems Security Principles |
| SF-87A – Fingerprint Cards |
Fingerprint cards will be mailed to you upon request and you can be fingerprinted at any local police station. Fingerprint cards need to be completely filled out and in BLACK ink ONLY.
|
| Copy of passport and/or birth certificate | |
| Email Address | Must provide email address on either resume or on a separate piece of paper. |
| Derogatory Information - i.e., bankruptcy, indebtedness, arrests, income tax issues, drug use, etc. | Provide a letter of explanation addressing each derogatory
issue Provide supporting documents, e.g., canceled payment checks. |
| Certification for Non-Sensitive Positions | |
| Student Volunteer Agreement | Submit original with signatures and dates. School Registrar signature is required. |
Please mail forms directly to the following address or make an appointment
to have hand delivered to:
United States Attorney's Office
District of Connecticut
157 Church Street
Floor 23
New Haven, CT 06510
Attn: Law Intern Coordinator
For additional information, please contact:
in New Haven Edward Kang at (203) 821-3700;
in Hartford Lisa Perkins (860) 947-1101, or
in Bridgeport Richard Schechter at (203) 696-3000