Employment Application Form

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United States Senate
Phone:
202-224-2889
Fax:
202-228-2965
Office of the Sergeant at Arms
TTY:
202-224-7806
Department of Human Resources
Room 142, Hart Building
Washington, D.C. 20510
Email: resumes@saa.senate.gov
EmploymEnt ApplicAtion Form
Application for Position of
: ______________________________________________________________________________
(All applications must refer to a current position vacancy.)
Name: __________________________________________________________________________________
Mr., Mrs., Ms., Miss (optional)
(Last)
(First)
(M.I.)
Home Address: __________________________________________________________________________
(
Number)
(Street)
(Apt. #)
________________________________________________________________________________________
(City)
(State)
(Zip)
Primary Phone : ________________________
Alternate Phone: ________________________
❏ Home
❏ Cell
❏ Work
❏ Home
❏ Cell
❏ Work
Email Address: __________________________________
Are you a citizen of the United States?* Yes £ No £
* Pursuant to federal law, Senate employees must be U.S. citizens, with some limited exceptions.
Individuals who are entitled to a veterans’ preference are invited to self-identify voluntarily. This
information is intended solely for use in connection with the obligations and efforts of the Office
of the Senate Sergeant at Arms to provide veterans’ preference to preference-eligible applicants
in accordance with the Veterans Employment Opportunities Act of 1998. An applicant’s status as
a disabled veteran and any information regarding an applicant’s disability that the Office of the
Senate Sergeant at Arms obtains, including the applicant’s medical condition and history, will be
kept confidential and will be collected, maintained and used in accordance with the Americans
with Disabilities Act of 1990, as made applicable by section 102(a)(3) of the Congressional
Accountability Act of 1995, 2 U.S.C. § 1302(a)(3). An applicant who declines to self-identify as
a disabled veteran and/or to provide information and documentation regarding his/her disabled
veteran’s status will not be subjected to an adverse employment action, but the applicant may be
ruled ineligible for a veterans’ preference.
Are you self-identifying as veterans’ preference eligible under the VEOA? Yes ___ No ___
Individuals claiming a veterans’ preference must complete an Application for Veterans’ Preference
and must submit applicable documentation. A copy of the Application for Veterans’ Preference
is available at A copy of the Office’s Veterans’ Preference in
Appointments policy may be obtained by submitting a written request to resumes@saa.senate.gov.
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