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Internship Program - Security Forms

Welcome to the U.S. Attorney's Office, Southern District of New York! If you receive and have accepted an offer to participate in the Volunteer Internship Program, you will be required to complete and return the security package below to the appropriate intern coordinator by the date provided you. To schedule your fingerprinting please contact the intern coordinator for a date and time, or for alternative sites if you are out-of-state. The security process generally takes 6-8 weeks; you will not be allowed to begin your intern until your clearance has been approved. You'll be contacted for a start date once we receive your clearance.

If you have any questions, please contact the intern coordinator at this office.

 

Intern Security Forms Package - This link will print out the forms package you will need to complete.

Please follow all instructions carefully!

 

If you need individual forms, click on the appropriate link below.

 

CHECKLIST OF REQUIRED FORMS - Print first and return with other required forms.

Instructions for SF-85

SF-85 - Questionnaire for Non-Sensitive Positions

OF-306 - Declaration of Federal Employment

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

Pre-Appointment Certification for Selective Service Registration

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

1) Letter of explanation stating why the applicant feels s/he is a dual citizen with the U.S. & another country
2) Loyalty Statement
3) Foreign Born Relatives or Associates Statement

OFI-36 - Additional Data for Single Scope Background Investigations and Other Background Investigations.

This form is only applicable under the following conditions:

1) Immediate family members are resident aliens or U.S. citizens other than by birth
2) Current spouse is foreign born
3) 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.

Certification for Non-Sensitive Positions

Student Volunteer Agreement

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:

Internship Program
Human Resources Personnel Office
United States Attorney's Office
SDNY
86 Chambers Street
3rd Floor
New York City, NY 10007


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This page updated March 3, 2004.