Student Temporary Employment Program - Security Forms

OF-306 - Declaration of Federal Employment

DOJ-555 - Disclosure and Authorization Pertaining to Consumer Reports Pursuant to the Fair Credit Reporting Act

Certification for a Non-Sensitive Position

I-9 - Employment Eligibility Verification

SF-181 - Race and National Origin Identification

SF-256 - Self-Identification of Handicap

Pre-Appointment Certification for Selective Service Registration

Dual Citizenship - Applicant certifies s/he is a dual citizen with the U.S. and another country Submit the above and submit one copy of the following, if applicable:

Letter of explanation stating why the applicant feels s/he is a dual citizen with the U.S. and another country;

Loyalty Statement

Foreign Born Relatives or Associates Statement

OFI-36 - Single Scope, Additional Data for Single Scope Background Investigations and Other Background Investigations.
This form is only applicable under the following conditions:

Immediate family members are resident aliens or U.S. citizens other than by birth;

Current spouse is foreign born

Co-inhabitant(s) and any other persons to whom applicant is bound by affection or obligation who may be subject to duress by a foreign power


If the OFI-36 is applicable, also complete the Foreign National Relatives or Associates form describing the nature, frequency, and degree of your contact. The form can be found in the above listed Dual Citzenship information bullet.

SF-87A – Fingerprint Cards
Fingerprint cards will be mailed to you upon request and you can be fingerprinted at any local police station. Or, you can make an appointment to return your completed forms and be fingerprinted in the Human Resources Security Office.

Derogatory Information - i.e., bankruptcy, indebtedness, arrests, income tax issues, drug use, etc.

Provide a letter of explanation addressing each derogatory issue

Provide supporting documents, e.g., canceled payment checks.

Please either Federal Express forms directly to the following address or make an appointment to have hand delivered to:

Human Resources Office
United States Attorney's Office
District of New Jersey
970 Broad Street
Room 700
Newark, NJ 07102

For additional information, please contact:
Mary Gladney (973) 645-2809

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