KEY POINTS OF EMPHASIS:

ALL FORMS MUST BE COMPLETED IN BLACK INK

ALL DATES MUST BE SHOWN AS REQUIRED BY THE DIRECTIONS ON THE FORM AND THE YEAR MUST BE EITHER TWO OR FOUR DIGITS (01/15/08 OR 01/15/2008)

YOUR SOCIAL SECURITY NUMBER (SSN) MUST BE ENTERED ON EACH PAGE AND WITHOUT ERRORS (THESE ENTRIES WILL BE ENTERED AT THE BOTTOM RIGHT-HAND CORNER OF EACH PAGE).

ALL CROSS-OUTS/OVER-WRITES/SCRATCH-THRUS/WHITE-OUTS MUST BE INITIALED AND DATED

DO NOT PUT N/A IN EVERY UNUSED BLOCK!!

PLEASE USE THE INFORMATION BELOW TO COMPLETE THIS FORM

1. SELF-EXPLANATORY.  ENSURE YOU ANSWER THE "MIDDLE NAME" BLOCK.  IF IT DOES NOT APPLY ENTER "NMN"

2 - 4. SELF-EXPLANATORY

5. FOLLOW THE INSTRUCTIONS CAREFULLY. BE SURE TO INCLUDE THE INCLUSIVE DATES TO THE RIGHT.  Other names used must be acknowledged: IF YOU ARE USING A MAIDEN NAME, PUT "NEE" IN FRONT OF IT.  IF THIS SECTION DOES NOT APPLY, PUT "N/A" IN THE FIRST BLOCK (#1).

6 - 7. SELF-EXPLANATORY

8 a-e. FOLLOW THE INSTRUCTIONS CAREFULLY.  MAKE SURE YOU COMPLY WITH THE INSTRUCTIONS AFTER CHECKING THE APPROPRIATE BOX.  PLEASE MAKE SURE YOU ANSWER SECTION 8a and 8d.

9. FOLLOW THE INSTRUCTIONS CAREFULLY.  ALL AREAS MUST BE COMPLETED (STREET ADDRESSES; CITIES[COUNTRIES]; STATES, ZIP CODES, AND TELEPHONE NUMBERS INCLUDING THE AREA CODES (THIS ESPECIALLY APPLIES TO SECTION 27A [YOUR FINANCIAL RECORD INFORMATION; AND SECTION 28 [YOUR FINANACIAL DELINQUENCIES].  LIST THE PLACES WHERE YOU HAVE LIVED BEGINNING WITH THE MOST RECENT (#1) AND WORKING BACK 7 YEARS (THERE MUST NOT BE GAPS IN TIME).

10. SELF-EXPLANATORY. YOU MUST INCLUDE ALL REQUESTED INFORMATION (ESPECIALLY STREET ADDRESSES; STATES, ZIP CODES, AND TELEPHONE NUMBERS WITH AREA CODES) OF ALL SCHOOLS ATTENDED.  MAKE SURE YOU INCLUDE THE SAME INFORMATION FOR THOSE PERSONS WHO KNEW YOU WITHIN THE PAST 3 YEARS).

11. FOLLOW THESE INSTRUCTIONS CAREFULLY!!  POINTS OF EMPHASIS:  THE ENTIRE 7 YEARS OF EMPLOYMENT MUST BE ACCOUNTED FOR WITHOUT BREAKS// SHOW ALL FEDERAL SERVICE CIVILIAN SERVICE, WHETHER IT OCCURRED WITHIN THE PAST 7 YEARS OR NOT// ALL DETAILS MUST BE COVERED (STREET ADDRESSES, CITIES, STATES, ZIP CODES, TELEPHONE NUMBERS, INCLUDING AREA CODE)//ENSURE TO INCLUDE ALL OF YOUR SUPERVISORS AND THEIR INFORMATION//YOU MUST LIST THE NAME OF THE PERSON(S) WHO CAN VERIFY ALL PERIODS OF SELF-EMPLOYMENT OR UN-EMPLOYMENT, WITH THEIR FULL STREET ADDRESS, CITY (COUNTRY), STATE, ZIP CODE, AND TELEPHONE NUMBER WITH AREA CODE//[FOR PRIOR MILITARY MEMBERS ONLY]: YOUR LAST TOUR OF DUTY CANNOT BE ENTERED AS LAST ENTRY for employment (THE MOST RECENT DATE OF EMPLOYMENT must be #1)

12.  FOLLOW THE INSTRUCTIONS CAREFULLY!!  POINT OF EMPHASIS:  ENTER "PRESENT" UNDER THE ENDING MONTH/YEAR FOR EACH ENTRY (IT CAN BE ABBREVIATED BY ENTERING "PRES")

13.  FOLLOW THE INSTRUCTIONS CAREFULLY!!  13A. POINTS OF EMPHASIS:  MAKE SURE YOU ENTER THE INCLUSIVE DATES FOR ALL OF THE OTHER NAMES USED BY YOUR SPOUSE, INCLUDING HER MAIDEN NAME; ENTER THEIR COUNTRY(IES) OF CITIZENSHIP 

14.  FOLLOW THE INSTRUCTIONS CAREFULLY!! POINTS OF EMPHASIS:  ENTER THE "COUNTRY OF BIRTH" AND THE "COUNTRY(IES) OF CITIZENSHIP"

15.  FOLLOW THE INSTRUCTIONS CAREFULLY!!  PUT "N/A" IF THIS SECTION DOES NOT APPLY.

16.  FOLLOW THE INSTRUCTIONS CAREFULLY!!  POINTS OF EMPHASIS:  ENSURE YOU ANSWER 16B; AND ENTER THE COUNTRY OF MILITARY SERVICE (THIS BLOCK IS LOCATED TO THE FAR RIGHT-HAND SIDE OF THE SECTION)

17.-19. FOLLOW THE INSTRUCTIONS CAREFULLY!!

18. FOLLOW THE INSTRUCTIONS CAREFULLY!!  PUT "N/A" IF THIS SECTION DOES NOT APPLY.

20. FOLLOW THE INSTRUCTIONS CAREFULLY!!  POINT OF EMPHASIS:  20B: IF YOU DID NOT REGISTER WITH THE SELECTIVE SERVICE, YOU MUST REQUEST AN EXEMPTION LETTER FROM THE SELECTIVE SERVICE SYSTEM; YOU CAN OBTAIN OBSTRUCTIONS FROM THE FOLLOWING WEBSITE: WWW.SSS.GOV/INSTRUCTIONS.HTML.  ONCE YOU'VE ENTERED, CLICK THE DOWN ARROW BY THE "KEY INFORMATION" BOX AT THE TOP CENTER OF THE PAGE; CLICK THE "REQUEST STATUS OF INFORMATION LETTER"; FOLLOW THE INSTRUCTIONS ON THE PAGE; YOU MUST REQUEST THIS INFORMATION BY MAIL

21. FOLLOW THE INSTRUCTIONS CAREFULLY!! POINT OF EMPHASIS: IF YOU ANSWER "YES", MAKE SURE YOU PROVIDE THE NAME/ADDRESS OF YOUR THERAPIST OR DOCTOR, AS INSTRUCTED

22. FOLLOW THE INSTRUCTIONS CAREFULLY!!  BE SURE TO GIVE DETAILS FOR ALL "YES" RESPONSES

23. FOLLOW THE INSTRUCTIONS CAREFULLY!! POINT OF EMPHASIS:  GIVE ALL DETAILS FOR EACH "YES" RESPONSE

24,25,26. FOLLOW THE INSTRUCTIONS CAREFULLY!! POINTS OF EMPHASIS: GIVE ALL DETAILS FOR EACH "YES" RESPONSE; BE SURE TO ANSWER SECTION "B"

27-30. FOLLOW THE INSTRUCTIONS CAREFULLY!!  POINTS OF EMPHASIS: BE SURE TO PROVIDE DETAILS FOR ALL "YES" RESPONSES IN SECTION #27; PROVIDE A COPY OF YOUR "SCHEDULE F" FOR A "YES" RESPONSE TO SECTION #27A

DO NOT COMPLETE THE BLOCKS BELOW

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