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VISN 1 -- Delegated Examining Unit (DEU 05B)
Edith Nourse Rogers Memorial Veterans Hospital
200 Springs Road
Bedford, MA 01730-1198

A Member of the New England Healthcare System

VACANCY ANNOUNCEMENT

Announcement No.: 6-001-NORT
Position Title: POLICE OFFICER
Pay Plan, Series and Grade: GS-0083-05 OR 06
Starting Salary: GS-05 = $ 29,494 GS-06 = $32,876 PER ANNUM--PAY SETTING
REGULATIONS APPLY
Opening Date: OCTOBER 5, 2005
Closing Date: OCTOBER 19, 2005
No. Of Positions: 1
Promotion Potential: GS-06
Location: NORTHAMPTON VA MEDICAL CENTER, LEEDS, MA
Hours Per Week: 40
Contact for Position Information: LORRAINE TATRO AT 413-584-4040 X2124
Relocation Expenses Paid: NO

OPEN TO ALL US CITIZENS
EQUAL EMPLOYMENT OPPORTUNITY
Actions to fill this position will not be based on discriminatory factors that
are prohibited by law.

This announcement is for a permanent, Career or Career-Conditional, appointment.

The GS-05 is developmental and will be under close supervision and guidance until
the incumbent becomes proficient in the duties of the position. The incumbent may
be promoted to a higher-level position when all legal, regulatory, and
performance requirements are met. The duties described herein are at the full
performance level.

NOTE: Any appointee from an OPM or DEU Certificate of Eligibles is subject to a
1-year probationary period per
5 CFR Chapter 1, Part 315.801, Subpart H.

DESCRIPTION & DUTIES: This position is in support of the Police Service. VA
police primary duties are the performance of law enforcement work in the
preservation of the peace; the prevention, detection, and investigation of crimes
occurring on VA controlled property; arrest of violators; the control of traffic;
the provision of assistance for citizens in emergency situations, including the
protection of personnel, civil rights and VA owned or controlled property. This
includes enforcing federal and state criminal codes and VA regulations including
providing physical protection of patients, employees, and visitors, and a
peaceful environment essential to the operation of the hospital's medical
treatment programs. Duties include developing crime prevention programs; staying
alert to signs of pre-suicidal behavior and taking immediate action to protect
persons from harm or destruction, conducting inspections and surveys to identify
security weaknesses, coordinating casework with U.S. Attorneys and other law
enforcement agencies; independently conducting foot or vehicle patrols;
responding to a wide variety of emergencies, including bomb threats and crimes in
progress, disturbances, assaults, etc.; determining the need for and conducting
searches; assessing and controlling crime scenes and investigating crimes;
interrogating suspects; taking statements from witnesses; collecting and
preserving evidence; and performing apprehensions, restraints, and arrests. The
Officer also prepares reports, testifies in federal and state courts; provides
assistance to patients, staff, and visitors; takes charge of accident and traffic
situations.

CERTIFICATION/LICENSURE REQUIREMENT: Requires a full and unrestricted Driver's
License.

INVESTIGATION OF FITNESS: Applicants must pass a character investigation before
appointment to a position in law enforcement. The purpose of such an
investigation is to secure evidence of the candidate's honesty, integrity,
general character, and loyalty to the US Government.

CONDITIONS OF EMPLOYMENT: 1. VA Police Officers must be able to achieve
and maintain mandatory Firearm Qualification.
2. New VA Police Officers are required to attend a 5-week course at the VA
Law Enforcement Training Center in Little Rock, Arkansas within 90 days of entry
on duty.
3. Officers must successfully complete physical and psychological
examinations prior to entering on duty and annually thereafter as a condition of
continued employment.
4. An officer who is convicted of a domestic violence violation can no
longer be authorized to own, be issued, purchase or otherwise have possession of
a handgun under the Lautenberg Amendment (P L 104-20 to the Gun Control Act of
1968 (18 USC 922).

QUALIFICATIONS: Each Grade level requires 1 year of experience, but the scope and
depth of independence will determine the qualifying grade level. If you fail to
describe your experience so that these can be determined you may be found
ineligible or eligible only at the lower grade level.

Grade levels GS-05 and GS-06 both require 1 year of active police work that
provided knowledge of a body of basic laws and regulations, law enforcement
operations, practices and techniques and involved responsibility for maintaining
order and protecting life and property. The depth of experience and degree of
supervision determine the level of eligibility. Creditable specialized experience
may have been gained in work on a police force, through service as a military
police officer; in work providing visitor protection and law enforcement in
parks, forests, or other natural resource or recreational environments; in
performing criminal investigative duties for a recognized and authorized entity;
or in other work that provided the required knowledge and skills. At the GS-05
level this work would have been at the rookie level under close supervision and
at the GS-06 level the work would have been independent and under general
supervision. The experience at the GS-06 level must have included REGULARLY and
actually pursuing and/or independently apprehending persons fleeing a crime scene
or attempting to resist arrest, actually subduing individuals causing
disturbances, arresting violators based on eyewitness accounts, performing
control desk duties, taking charge of a crime or accident scene and conducting
long and short range investigations.. At the GS-05 level the experience would
have been as assisting the officer pursuing and apprehending persons involved in
a crime scene or attempting to resist arrest. At this level the experience would
have been assisting at an accident or crime scene rather than in taking charge
and running a crime scene.

Applicants may not have a police record. PRIVATE POLICE DUTY OR AUXILIARY POLICE
DUTY, SECURITY WORK, COLLEGE SECURITY WORK AND WORK IN CORRECTIONAL INSTITUTIONS,
are NOT considered positions with specialized police work for the GS-06 level.

Applicants must state the hours per week worked and starting and ending date
(month and year) for all qualifying experience.

You must demonstrate that you have the qualifications for the position by
describing the duties you have regularly performed and the degree of independence
you had while performing them.

If your qualifying experience is only part of your job you must show the actual
time, such as number of hours a week or percent of the position, that you spent
in doing the qualifying activities in order to receive proper credit. Credit will
be given for appropriate unpaid experience or volunteer work. Part time
experience will be prorated in calculating the amount of qualifying experience.

The required amount of experience will not in itself be accepted as proof of
qualification for this position. Your application must clearly describe and
demonstrate that you have the ability to perform the duties of the position. The
primary consideration is the scope, depth, and responsibility level of
experience.

All requirements must be met by the closing date.

SUBSTITUTION OF EDUCATION: 4 years of education, in an accredited institution,
leading to a Bachelor's Degree in Police Science or a comparable degree program
related to the work of this position can be substituted for the experience
required at the GS-05 level. There is no substitute of education at the GS-06
level.

**To meet educational requirements, your education must be from an academic
institution accredited by an agency approved by the Council for Higher Education
Accreditations.

Education completed in foreign colleges or universities may be used to meet the
above requirements if you can show that the foreign education is comparable to
that received in an accredited educational institution in the United States.
Educational credential evaluators can be found on the National Association of
Credential Evaluation Services website, www.naces.org. It is your responsibility
to provide such evidence when applying.

If you want to use your education to qualify for this position you must submit
copies of your official transcripts, including the transcript key, so that the
type and level of course work and the relevance to the position can be
determined. If the transcript is not illustrative of a course's content also
include a copy of that portion of the course catalog showing the description of
the applicable courses. It is your responsibility to provide such evidence when
applying. Education can be combined with experience to qualify for this position,
but for GS-05 only the semester hours in excess of the first 60 semester hours
can be used in place of experience.

MEDICAL/PHYSICAL REQUIREMENTS: The candidate must be able to do the work of the
position without harm to self or others. The duties of this position require
moderate to arduous physical exertion and/or duties of a hazardous nature.
Applicants and employees must possess emotional and mental stability and the
medical examination will include a psychological assessment to verify this
stability. Applicants must also demonstrate that they are medically qualified to
operate the appropriate law enforcement motor vehicle safely.

Selectee's employment may be subject to passing a physical that will be arranged
and paid for by the VA. This position may be subject to random drug testing.
Applicants who refuse to be tested will be denied employment with the VA.

ENGLISH LANGUAGE PROFICIENCY: If you are appointed to a direct patient-care
position, you must be proficient in spoken and written English as required by 38
USC 4104(c).

VETERANS PREFERENCE: A 5-point preference is granted to Veterans who entered the
military service prior to October 14, 1976 or who served from between August 2,
1990 through January 2, 1992 or who have served in a military action for which
they received a Campaign Badge or Expeditionary Medal. Military retirees may have
other conditions. However, you may be entitled to a 10-pt veteran's preference if
you are a disabled Veteran or Purple Heart recipient; or if you are the widow,
widower, or mother of a deceased Veteran. You will need to submit a Standard Form
(SF) 15 and proof of your claim.

BASIS OF RATING: The information you provide on your application/resume
determines if you meet the minimum qualifications for this position. The
experience on your application/resume, and/or educational documentation, should
support the qualifying requirements of the position. If basically qualified, you
will be rated and ranked based on your answers to the questions in the
Supplemental Questionnaire. It is important that your application or resume
contains sufficient information to determine your qualifications and to support
the experience and education that you claim in the Questionnaire. If you do not
provide sufficient information you will be rated ineligible.

Items found in the DEU's Supplemental Questionnaire examine the following
knowledge, skills and abilities that are required to successfully perform the
duties of the position:
1. Knowledge of advanced law enforcement and investigative principles, policies,
practices, methods and techniques and the skills to carry them out.
2. Knowledge of federal and state laws, and ability to learn VA regulations and
the application of them in support of the mission of the VA.
3. Skill in using police equipment.
4. Skill in dealing with a variety of individuals from different background and
varying levels of understanding in hostile and unpleasant situations both orally
and in writing.

HOW TO APPLY: Applicants who meet the qualification requirements may elect to use
any written form but the form selected must contain all the information required
in OF 510, Applying for a Federal Job (included in our application package).
Incomplete applications may not be considered. Resumes not submitted with all the
information specified in the OF 510 cannot be processed and the application may
not be considered. Your options include Resume or OF 612, Optional Application
for Federal Employment. Select one method, do not use both a resume and an OF
612. Do not say, "See Resume," on your OF 612. If both OF 612 and resume are
submitted the OF 612 will be considered the application and the resume will be
destroyed.

It is the applicant's responsibility to demonstrate within their application,
that they have the applicable experience, knowledge, skills, abilities and/or
educational provisions described above. Please make sure that all copies are
legible.

In order to be rated and ranked with other candidates you must fully complete and
submit the following forms with your application:
1. The Supplemental Questionnaire: NOTE: The Supplemental Questionnaire is unique
to this position and to this DEU. Unlike some application processes you should
not address the knowledge, skills and abilities directly. You must use the
Supplemental Questionnaire corresponding to this announcement in order to be
ranked with other candidates.
2. OF 306, Declaration for Federal Employment which includes Certification of
Selective Service Registration (January 2001 version or later);
3. SF-15 and required documentation if claiming 10-point veterans preference,
official preference statements do NOT mention the type of disability and can be
obtained by calling 1-800-827-1000;
4. DD-214 (MUST have Member Copy #4 for July 1979 and later editions), if
claiming veterans preference;
5. Copy of your official transcripts and a transcript key, if you want to
substitute your education for the experience required for this position.

Incomplete applications packages may NOT be processed. Material submitted will
NOT be returned. Do NOT attach any additional forms such as cover letters,
letters of recommendation, certificates of training, etc. Any additional material
submitted but not requested will be destroyed.

Applicants who are eligible for special priority consideration and selection
under the Agency Career Transition Assistance Program (CTAP) or the Federal
Government-Wide Interagency Career Transition Assistance Program (ICTAP) must be
well qualified for the position to receive consideration for special priority
selection. CTAP and ICTAP eligibles will be considered well qualified if they
score at least midway between basic eligibility and the highest possible score in
the application process.

Federal employees seeking CTAP/ICTAP eligibility must submit proof that they meet
the requirements of 5 CFR 330.605 (a) for CTAP and 5 CFR 330.704 for ICTAP. This
includes a copy of the agency notice, a copy of their most recent Performance
Rating and a copy of their most recent SF-50 noting current position, grade level
and duty location. Please annotate your application to reflect that you are
applying as a CTAP or ICTAP eligible.

APPLICATIONS SUBMITTED IN POSTAGE PAID GOVERNMENT ENVELOPES WILL NOT BE ACCEPTED.
This is in accordance with 18 USC 1719 and USC 3201 which state that the use of
postage paid government envelopes for filing job applications is a violation of
federal law and regulations.

HOW TO OBTAIN FORMS AND APPLICATION INFORMATION: All application material may be
obtained from www.usajobs.opm.gov or through the USA Jobs by Phone at
703-724-1850. If you have a hearing disability, call TDD 978-461-8404. You may
also call the individual named in the "Contact for Information" on the first page
of this announcement. If you want material faxed to you, or need information on
the application process, call this DEU at 781-687-2339 or fax the request to us
at 781-687-2335.

FILING DEADLINE: If there is an Initial Cut Off Date then complete application
packages received by the initial cut-off date may be processed and referred
first. Applications received after that date may be processed in the order of
date received or may not be processed, depending on hiring needs.

It is the applicant's responsibility to ensure that the application package is
RECEIVED in this office, by FAX or mail only, no later than the closing date of
this announcement. Remember to allow time for your package to go through a mail
room before reaching this office by the closing date.

NOTE: As a condition of employment, selectee will be required to participate in
the Direct Deposit/Electronic Fund Transfer of Pay Program. This agency provides
reasonable accommodations to applicants with disabilities. If you need a
reasonable accommodation for any part of the application and hiring process,
please notify the agency. The decision on granting reasonable accommodation will
be made on a case-by-case basis.

You may also contact the facility's HR Office directly to inquire if applications
are being accepted under any of the special authorities for which you are
eligible, i.e., Veterans Recruitment Appointment (VRA); Veterans Employment
Opportunities Act (VEOA); hiring compensably disabled veterans with ratings of
30% or greater; hiring persons with disabilities; or reinstatement to, or
transfer within, the Federal government.. You may find a separate announcement
covering one or more of these special authorities on www.usajobs.opm.gov. This
website also has fact sheets on many aspects of federal employment.

MAIL FORMS TO: Delegated Examining Unit (05B) or FAX to 781-687-2335
Announcement # 6-001-NORT
200 Springs Road
Bedford, MA 01730
______________________________________________________________________

PLEASE RETAIN THIS ANNOUNCEMENT FOR YOUR RECORDS
WHEN MAKING INQUIRIES REFER TO THE ANNOUNCEMENT NUMBER

THIS IS A CHECKLIST, NOT AN APPLICATION
In addition to specific information requested in the announcement YOUR RESUME OR
APPLICATION MUST CONTAIN:

JOB INFORMATION
Announcement number
Title
Grade(s) applying for
*this is usually GS or WG, followed by a number, i.e., GS-05

PERSONAL INFORMATION
Full name and mailing address
Social Security Number
Day and Evening home numbers (including area codes)
Country of Citizenship
Veteran Preference with documentation
Call 1-800-827-1000 for a 10 pt letter
Highest Federal Civilian Grade Held
*Including job series and dates held

EDUCATION
High School
Name, City State and Zip Codes
Date of Diploma or GED

Colleges or Universities--Name, City, State and Zip Codes
Major(s)
Type and year of any degrees received
If no degree, show any credits earned--list semester/quarter hours
A copy of your official transcripts and a transcript key
*if you are using your education to qualify
*or if education is a job requirement

WORK EXPERIENCE
Give the following information for your paid and non-paid work
experience related to the job you are applying for:
Job Title
Employer's name and address
Supervisor's name and phone number
Starting and ending dates
*must be the month/year to receive credit
Hours per week
Salary
Specific duties and accomplishments
*for each position used as qualifying experience
*treat promotions as new jobs

OTHER QUALIFICATIONS
List Job-related certificates and licenses
List Job-related skills
*typing speed
*languages
*computer software/hardware
*tools, etc.
List Job-related training courses (title, length, and year)
List Job-related honors
*awards, accomplishments, publications,
*memberships in professional or honor societies,
*leadership activities
*public speaking

REMEMBER--COMPLETE THE SUPPLEMENTAL QUESTIONNAIRE & OF 306

VISN 1 -- Delegated Examining Unit (DEU 05B)
Edith Nourse Rogers Memorial Veterans Hospital
200 Springs Road
Bedford, MA 01730-1198

A Member of the New England Healthcare System

SUPPLEMENTAL QUESTIONNAIRE

PLEASE COMPLETE AND SUBMIT WITH YOUR APPLICATION

POLICE OFFICER, GS-0083
ANNOUNCEMENT # 6-001-NORT

STOP: The answers you provide must be supported by the information in your
application or resume.

I. A. Training: If you have completed a training program for police work beyond
high school please provide the following information (including military as well
as other formal training).
Course Topic Date of Attendance (Mo/Yr) Total Hrs School/Organization

__________________________________________________________

B. If you have CPR certification please provide the date of CPR Certification
_____________

II. Conditions of Employment:

A. VA Police Officers must be able to achieve and maintain mandatory Firearm
Qualification. An officer who is convicted of a domestic violence violation can
no longer be authorized to own, be issued, purchase or otherwise have possession
of a handgun under the Lautenberg Amendment (P L 104-20 to the Gun Control Act
of 1968 (18 USC 922).

Do you have any impediments to this requirement? ____YES ____ NO

B. New VA Police Officers are required to attend a 5-week course at the VA Law
Enforcement Training Center in Little Rock, Arkansas.

Do you have any impediments to this requirement?: ____YES ___ NO
C. Must have an unrestricted Driver's License. Please give the following
information on your license:

State : ______ Driver's License Number: ______________ Expiration Date: _________

D. Officers must successfully complete physical (including drug screening) and
psychological examinations prior to entering on duty and annually thereafter as a
condition of continued employment. Do you have any impediments to this
requirement?: ____YES ____ NO

III. POLICE EXPERIENCE: (PLEASE NOTE THAT ANY POLICE EXPERIENCE REFERRED TO IN
THESE STATEMENTS MUST BE DESCRIBED IN DETAIL ON THE APPLICATION FORM.)

A. Do you have or have you ever had arrest authority?___ YES___NO

B. Give the source of your arrest authority and date granted:
__________________________ DATE: ________
C. Were you a Law Enforcement Officer (DO NOT include security employment)
of the Federal, state or local government which granted you arrest authority?
_____YES _____NO

IV. TRAFFIC VIOLATIONS
Supply the information requested below for each time you were given a ticket or
arrested for breaking a driving law during the past 5 years. Do not include any
record where you were found not guilty. Do not include parking tickets. If you
have more than three (3) traffic violations in the past 5 years, provide the
requested information for each on additional sheets.

A. Type of Violation: ________________ Date: ________ City/State:
__________________________

Details of action taken (License revoked or suspended, length of suspension,
fine, amount of fine, etc.)

____________________________________________________________________________________________________________________________________________

B. Type of Violation: ________________ Date: ________ City/State:
______________________

Details of action taken (License revoked or suspended, length of suspension,
fine, amount of fine, etc.)

___________________________________________________________________________________

C. Type of Violation: ________________ Date: ________ City/State:
______________________

Details of action taken (License revoked or suspended, length of suspension,
fine, amount of fine, etc.)
______________________________________________________________________

____________________________________________________________________________________________________________________________________________

V. ACCIDENT RECORD
Complete the information requested for each accident you have had during the past
5 years-whether your fault or not. If you have had more than 2 accidents in the
last 5 years provide the requested information on additional sheets.

A. Type of accident (head-on collision, rear-end, etc.)
______________________________________

Date: ___________ City/State _________________________ Were judged at fault?
__________

Amount of damage--to your car __________________ to the other car
___________________

Did your insurance company make payment to the other party? ________-If so, the
amount: _______

What charges were placed against you, if any?
___________________________________________

Details of action taken (sentence, fine, license revoked, etc)
_________________________________

B. Type of accident (head-on collision, rear-end, etc.)
______________________________________

Date: ___________ City/State _________________________ Were you judged at fault?
__________

Amount of damage--to your car __________________ to the other car
___________________

Did your insurance company make payment to the other party? ________-If so, the
amount: _______

What charges were placed against you, if any?
___________________________________________

Details of action taken (sentence, fine, license revoked, etc)
___________________________________________________________________________________________________________________________________________

VI. EVIDENCE OF SAFE DRIVING

A. Have you ever received a safety award? Explain

__________________________________________________________________________________________________________________________________________________________________________________________________________________

B. Have you ever received a discount on your insurance for a good driving record?
Explain

__________________________________________________________________________________________________________________________________________________________________________________________________________________

VII. The information you provide in response to the following will be used to
rank your application package. CTAP and ICTAP eligibles will be considered well
qualified if they score in the upper 3rd of the eligible candidates before the
additional points for veteran's preference.

IMPORTANT NOTE: Honestly answer ALL the following questions about your work
history. Be sure that you give full details on your application about any
education or experience you list on this form. Be brief but complete. We cannot
give you credit for your answers if your application does not corroborate
education and/or experience by which you would have gained the knowledge, skills
complete and abilities you claim.

1. DIRECTIONS: Next to each of the following items, indicate by circling one of
the letters which best represents your experience and/or education. Letters C, D,
and E, must be related to experience, on a continuing basis, as a REGULAR POLICE
OFFICER.
A. You know little or nothing about this but are willing to learn,
B. You had education/training, but not experience in this task,
C. You had some technical supervision doing this task, after your
education/training was completed,
D. You have independently performed this task on a job after education/training
was completed,
E. You are recognized as an EXPERT in your field and are ROUTINELY consulted by
others in difficult situations, or you ROUTINELY train others in this task.

For Example: If you have no experience giving verbal directions to accident
victims or others at accident scenes, you would circle the "A" next to statement
#1, but if you are routinely called upon to give difficult, verbal directions to
accident victims and other at accident scenes, you would circle the "E".

1. Provided assistance to accident victims and others at accident scenes
A B C D E

2. Issued traffic citations
A B C D E

3. Prepared reports describing events that may be used in future legal actions
A B C D E

4. Questioned witnesses at a criminal or accident scene, to establish the
identity of injured parties and the nature of the incident and completed a formal
report
A B C D E

5. Performed patrolling on foot and/or vehicle
A B C D E

6. Responded to duress alarms and subdued unruly individuals
A B C D E

7 . Operated radar or other speed detection equipment
A B C D E

8. Responded to calls or alarms involving accidents or crimes
A B C D E

9. Informed individuals about their rights as suspects and/or witnesses
A B C D E

10. Arrested violator caught in the act or who readily admitted guilt
A B C D E

11. Pursued speeding vehicles when enforcing traffic regulations or laws
A B C D E

12. Completed booking procedures after making arrests
A B C D E

13. Responsible for seeking, detecting and protecting evidence and witnesses at
the scene of an incident
A B C D E
14. Presented physical evidence in court
A B C D E

15. Completed reports for testimony regarding a crime and/or incident in a court
of law
A B C D E

16. Mediated disputes between people
A B C D E

17. Using fire arms according to prescribed regulations
A B C D E

18. Applied all correct rules of search and seizure in accordance with current
local, state and Federal laws
A B C D E

19. Maintained composure with irate or emotionally or disturbed people
A B C D E

20. Performed law enforcement work related to the preservation of the peace and
the prevention and detection of
A B C D E

21. Took charge of a crime or accident scene and restricted access to those
persons required on the scene
A B C D E

22. Pursued and apprehended suspects
A B C D E

23. Conducted investigations, questioned and took statements from victims,
witnesses and complainants
A B C D E

24. Analyzed facts to identify suspects and developed case information
A B C D E

25. Operated all surveillance and security equipment in and around building in
order to provide security for occupants
A B C D E

26. Coordinated emergency responses between security, fire and other emergency
unitscrime
A B C D E

27. Determined whether incidents were criminal or civil in nature
A B C D E

28. Performed duties related to law enforcement such as Police Dispatcher
A B C D E

29. Investigated complaints of drug law violations
A B C D E

30. Using the PR-24 Baton effectively
A B C D E

31. Enforcing speed limits
A B C D E

32. Directed congested traffic situations and enforced parking regulations
A B C D E

33. Searched suspicious persons and their vehicles in performance of Police
Officer duties
A B C D E

34. Administered roadside sobriety tests to intoxicated drivers
A B C D E

35. Used physical force to control or subdue violent individuals
A B C D E

VIII. ON A SEPARATE SHEET OF PAPER, ADDRESS THE FOLLOWING, INDIVIDUALLY, IN ANY
FORMAT YOU WISH:

A. Describe a particular situation which demonstrates your ability to negotiate
with emotionally unstable individuals posing an imminent and direct threat to
your life, innocent victims or bystanders. How often are you involved in this
type of situation.

B. Describe a law enforcement situation which demonstrates the highest level of
your ability to working in a high-pressure environment or working under stress.
Examples include any experience at a psychiatric hospital or public clinic;
violations by VIP's such as Congressmen, elected officials, doctors, lawyers,
etc.,; or experience handling domestic disturbances.
______________________________________________________________________

ATTENTION--THIS STATEMENT MUST BE INITIALED AND SIGNED

Read the following paragraph carefully before signing this Statement

A false answer to the questions in your Application Package may be grounds for
not employing you, or for dismissing you after you begin work, and may be
punishable by fine or imprisonment (U.S. Code, Title 18, Sec. 1001). The
Application Package is subject to investigation, including a check of your
fingerprints, police records, and former employers. All the information you give
will be considered and is subject to investigation.

DO NOT LEAVE THESE STATEMENTS BLANK. You may be found ineligible if you do.

**I CERTIFY that the statements made in this Application Package are true,
complete and correct to the best of my knowledge and belief, and are made in good
faith. I also certify that I have thoroughly read the Vacancy Announcement and
have followed the directions.

**Please initial: 1. I certify__________-----I do not certify___________.

2. I will accept a full time work schedule_______

The lowest grade I will accept is: ______. DO NOT say "negotiable", "open", etc.
Information on Grade(s) is on the first page of the Announcement.

_______________________________________________________________
NAME----------------------SOCIAL SECURITY #----DATE OF BIRTH----DATE


Send Mail to:
DEU O5B ANNC # 6-001-NORT
200 SPRINGS RD
BEDFORD, MA 01730
Fax: 781-687-2335
 

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I have had conversations with a few V.A. Police Officers when I go for my doctors appointments- they all say that it is a pretty good gig.
 
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