Fillable Printable Of5

Of5

OPTIONAL FORM 5 (Rev. 3/82)

Return this

1. Agency Name and Address (

Number, Street, City, State & ZIP Code)

5005-108

form to

Office of Personnel Management

FPM Chapter 332

INQUIRY AS TO AVAILABILITY

2. Certificate Number

3. Position Title

4. Salary/Wage

5. Duty Location

6. Type of Appointment

Career Conditional

Career

Temporary For:

(Please correct address, if different from above.)

Failure to reply to this inquiry will result in the removal of your name from the competitor inventory used to fill this job.

This office is considering you along with other eligibles for the position indicated above. Please fill out the "Availability Statement" below, indicating whether you would accept the

position if offered, and return this form to this office. Appointment would be subject to the requirements for employment described on the reverse of this form. To be considered for

this job, your reply must be received by the date indicated below.

If this box is checked, it means your application is not available for review at this time because it is being used elsewhere. If you wish to be considered for this position,

complete the enclosed opplication form(s) and return the form(s) with this inquiry. Be sure you have signed the application form(s).

THIS IS A LETTER OF INQUIRY ONLY, IT IS NOT AN OFFER OF APPOINTMENT. If you are selected, you will be notified and given further information.

Other Pertinent Job Information:

7. Your Reply Must Be Received By:

8. Signature of Appointing Official

9. Date Signed (Month, Day, Year )

10. AVAILABILITY STATEMENT

The information you give below regarding your availability for employment will be sent to the office which maintains the competitor inventory used to fill this position. If you do not

wish to be considered for this job, you must give the conditions under which you will be available for future employment consideration or your name will be removed from the

inventory.

days after notification.

I am available for the above position. If selected, I can report for duty within

I do not wish to be considered for the above position for the following reason(s):

(year, month, day, or hour) or be at least grade

Grade/Pay—The position must pay at least $

per

Location—I am available for work only in

(date--month, day, year).

I will not be available until

I do not wish to be considered for vacancies with this agency.

I no longer wish to be considered for any position under the examination program/announcement which covers the above position.

I no longer wish to be considered for Federal employment.

Other—I am giving my reason on the back of this form.

I am available for consideration for other appointments requiring: (In each category, check as many as apply.)

Less than one month16 or less hours per week

1 to 5 nights per month

3. TEMPO-

2. PART

1. OVER-

1 to 4 months

17 to 24 hours per week

RARY

TIME

NIGHT

6 to 10 nights per month

5 to 12 months25 to 32 hours per week

TRAVEL

11 or more nights per month

11. Your Signature and Date Signed (Month, Day, Year)

Telephone number where you

can be reached Monday through

Friday between 9 a.m. and 4 p.m.

Number

1 2. Area

Code

(SEE OTHER SIDE)

NSN 7540-00-634-4262

Edition dated 4/79 is usable.

REMARKS:

INFORMATION FOR ELIGIBLES

DESCRIPTION OF APPOINTMENTS

after three years of substantially continuous service. Career

appointment is given from lists of eligibles only when the

eligible selected has already met the service requirements for

career appointment, or when the position is one which is

required by law to be filled on a permanent basis.

Appointments are of three types.—Temporary, career-condition-

al, and career. Temporary appointments are limited to one

year or less. Career-conditional appointments are normally

given when the positions are not temporary and confer civil

service status upon completion of a one-year probation.

These appointments are converted to career appointments

APPOINTMENTS ARE SUBJECT TO THESE REQUIREMENTS

1. Before you can be appointed to arduous, hazardous or received after the physical examination has been completed

heavy duty positions you will be requested to pass a medical

exam. Before appointment to most sedentary, light or moder-

ate duty positions, you will be required to complete a medical

questionnaire, in lieu of a medical exam. Therefore, even if

you are selected for a position, you are cautioned not to

resign from your present position until you receive specific

instructions to report to work. These instructions are usually

or the medical certificate approved.

2. All eligibles selected for appointment will be subject to

investigation, including fingerprinting, for the purpose of

inquiring into qualifications, suitability, and fitness for the

position and to verify the statements made in the application

forms.

OTHER INFORMATION

Suspension of eligibility/availability.—Your name will be re- notified of and respond to reasons submitted by the agency

moved from the active competitor inventory when you (1) are

unable to accept an appointment and request that your name

be removed, (2) indicate you are unwilling to accept a job and

do not indicate interest in further consideration for employ-

ment, (3) fail to reply to this inquiry or other official inquiry

concerning your availability for Federal employment, or (4)

when you are selected for a career-conditional or career

appointment.

proposing his/her passover within 15 days of the date of such

notification. The names of all eligibles not selected will be

restored to the list of eligibles, provided they are still availa-

ble for appomtment. The fact that you were not selected will

not affect your opportunities to be considered for other

positions for which you qualify.

Equal employment policy.—Under Public Law 93-261, Execu-

tive Order 11478, Public Law 93-259 as amended, and the

Office of Personnel Management regulations, all personnel

Restoration of eligibility/availability.—You may request to have

your name restored to the active inventory anytime during

the one year following the suspension of your eligibility.

When you request restoration you should either (1) specify

the type of position(s), grade level(s), and numerical rating

received, if any, or (2) attach a photocopy of your notice of

rating or letter of acceptance to the request. Your request

should include any changes in the conditions under which

you will accept appointment if these conditions have

changed. You will be notified if your name cannot be re-

turned to the competitor inventory and considered for refer-

ral in accordance with the conditions under which you stated

you would be available.

actions taken by Federal appointing officers shall be based

solely on merit and fitness. If your name is referred to a

Federal department or agency for consideration for employ-

ment and you feel you are discriminated against becauseof

your race, religion, color, national origin, sex, or age, except

when age limits have been established by the Office of

Personnel Management after determining that the age is a

bona fide qualifications requirement necessary to perform the

duties of the position or when age limits have been estab-

lished under the provisions of special laws, you may consult

with an Equal Employment Opportunity (EEO) Counselor in

that department or agency. The names and locations of EEO

Counselors are required to be posted permanently at the

Office of Equal Employment Opportunity in every Federal

department or agency personnel office. The counselor will

advise you of your rights and assist you in every way possible.

Procedures followed when you are nonselected.—When you replv

to an official inquiry and indicate that you are available for

the position if offered, you will be considered along with all

other available eligibles. The appointing officer may select

any one of the three highest available applicants. The ap-

pointing officer may not, however, pass over an eligible

entitled to veteran preference and appoint a nonpreference

eligible unless the reasons for passing over the preference

eligible are considered sufficient. The preference eligible

who is passed over is entitled to review the reasons why

Cost of transportation.— If selected, you must pay all transpor-

tation costs connected with reporting for duty, except for

positions for which a manpower shortage exists. The appoint-

ing officer will advise you if the position for which you have

been selected is one for which the agency will pay transporta-

tion costs. If you should subsequently fail to meet the re-

quirements to which the appointment is subject, or if your

employment is terminated for any reason, you must pay for

your return also.

he/she was not selected. A preference eligible with a servlce-

connected disability of 30 percent or more is entitled to be

U.S. Government Printing Office: 1988—201-760/80040