APPENDIX A TO PART 77-DD FORM 2580, OPERATION TRANSITION DEPARTMENT OF DEFENSE OUTPLACEMENT AND REFERRAL SYSTEM/PUBLIC AND COMMUNITY SERVICE INDIVIDUAL APPLICATION OPERATION TRANSITION DEPARTMENT OF DEFENSE OUTPLACEMENT AND REFERRAL SYSTEM/ Form Approved OMB No. 0704-0324 Expires Dec 31, 1996 Public porting burden or this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources. PRIVACY ACT STATEMENT 10 U.S.C. 1143, 1144; EO 9397. Toist separating DoD personnel and their spouses in securing employment. Individuals participating in the To public and private employers (including Federal, State, and local employment agencies and outplacement ageneres, public and community service agencies). Voluntary, however, failure to provide all requested information will result in applicant data not being included in the system. If you are an active duty Servicemember, the following information will be added to your job referral form from your official military 6. ADDRESS (For next 6 months) (Street, City, State, Country, and Zip Code AND TELEPHONE NUMBER (Include Area Code) a. ADDRESS LINE 1 T. COUNTRY CODE g. FOREIGN ZIP CODE h. U.S. TELEPHONE NUMBER L. FOREIGN TELEPHONE NUMBER 9. SPECIFIC WORK PREFERENCES (1) (2) NO (Nearest large-towner city within commuting distance - does not have to be in region) a. STATE b. CITY 1. Bachelor's Degree 9. Post Bachelor's Degree h. Master's Degree i. Post Master's Degree Doctorate Degree E 13. COLLEGE/UNIVERSITY FROM WHICH DEGREE ACHIEVED (If applicable) DD Form 2580, FEB 94 14. PERSONAL INFORMATION (See Instructions). (Please provide no more than 10 lines (76 spaces per line; maximum of 760 spaces). Database limitations do not permit entering additional personal information.) I hereby authorize release of the data on this form to civilian agencies and/or private organizations for employment purposes. If I am a civil service employee or an active duty service member, I also authorize the release of data from extracts of my computerized personnel records. a. SIGNATURE b. DATE SIGNED (YYMMDD) DD Form 2580, FEB 94 OPERATION TRANSITION DEPARTMENT OF DEFENSE OUTPLACEMENT AND REFERRAL SYSTEM/PUBLIC AND COMMUNITY SERVICE INDIVIDUAL APPLICATION DETAILED INSTRUCTIONS SECTIONLL-TO BE FILLED OUT BY ALL APPLICANTS If you are a service member, complete items 1 through 14 and Item 19 in their entirety. You do not need to fill out items 15 through 18. They Will be extjasted from your personnel records. It is important that you verify the accuracy of these records prior to entering this program to ensure that the information that is put on your resume is accurate. If you are a spouse, you must complete all items on the form. Rom 1. Place an X next to the prografe(s) you wish to register for. If you selected the early retirement option, you must X Public and Community Service or both. Item 2a. Name. Print/type your name, est name first. Jerm 2b. SSN. Enter your Social Security Number. Item 3. Date Available for Work. Enter the date you will be available for work as year, month, day (YYMMDD). Availability should not be beyond 6 months from the current date. Item 4. Filing Status. Place an X in the box that applies. Item 5. Citizenship. If you are a U.S. citizen, X the YES box. If not, X the NO box. Item 6. Address and Telephone Number. Print/type the address and telephone number where you can be contacted during the next three months. Item 7. a. Job Type Preferences. Enter up to three codes from the Guideline of Standard Occupation Classification so codes, FIPS Pub 92, that most closely match(es) the tipe af jobs) you are seeking/qualified to perform. b. if you select yes, your primary occupational description will be included in your resume. Select no if you do not want your primary occupational description included. Item 8. Regional Work Preference. Refer to the regional preference list below, and enter the two-digit code for the geographical area in which you are seeking employment. Item 10. Highest Education Level Achieved. X the box which most closely matches your highest education level achieved. Item 11. Year Achieved. Enter the year you achieved Item 10. Item 12. Subject of Degree. Print/type the degree achieved (if applicable) in Item 10 (e.g. BS, Mechanical Engineering; BA, Western Civilization; MS, Physics; etc.). Item 13. College/University. Print/type the name of the college/ university where Item 10 was obtained if applicable. Tam 14. Personal Information. Print/type in this space any information about yourself you feel would help you obtain a job in the field you are searching. All information in this space will be printed verbatim on your DORS resume. If you are seeking a job in a field other than your primary military duty this information is the most important since it will comprise a majority of your resume. Carefully choose your words and grammar. Examples: • Fluent in Chinese, Russian and Spanish •Virginia State licensed electrician • 14 years experience in personnel management ⚫Owned personal computer training business, Jones Computer Training •American Society of Mechanical Engineers member SECTION - SPOUSE This section is to be completed only by spouses of military and DoD civilians whose personnel files are not kept by the government. Item 15. Sponsor Data. a. Name. Print/lyne ved sponsor's name, last name first. b. SSN. Enter your sponsor's Social Security Number. Item 16. Your Job History. a. Job Codes. Consult the Guideline for Standard Occupational Classification (SOC) Codes, FIPS Pub 92, and enter the job codes that most closely match the previous three jobs you held. b. Length of Time Job Held. Enter the member of years and months the job was held (03 years, 49 months). Item 17. Supervisory Experience. If you have supervisory experience, X the YES box If not, X the NO box. Rem 18. Security Clearance. If you had a security dearance, X the YES box. If not, X the NO box. SECTION III All applicants must sign and date. Turn in the completed form to the transition assistance office. DD Form 2580, FEB 94 Utah Wyoming |