OPTIONAL APPLICATION FOR FEDERAL EMPLOYMENT
(OF 612 -- Form Approved: OMB No. 3206-021)
You may apply for most jobs with a resume, this form, or other written
format. If your resume or application does not provide all the
information requested on this form and in the job vacancy announcement,
you may lose consideration for a job.
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1. JOB TITLE IN ANNOUNCEMENT:
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2. GRADE(S) APPLYING FOR:
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3. ANNOUNCEMENT NUMBER:
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4. LAST NAME: FIRST, MIDDLE:
Johnson, Charles, C
5. SOCIAL SECURITY NUMBER:
xxxxxxxxx
6. MAILING ADDRESS:
3480 N Old Dixie Hy
CITY/STATE/ZIP:
Delray Beach FL 33483
7. PHONE NUMBERS (include area code) DAYTIME:
(561) 732-3041
EVENING:
(561) 732-3041
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Johnson, Charles C 267-51-9174
8. WORK EXPERIENCE: Describe your paid and non paid work experience
related to the job for which you are applying. (Do not attach job
descriptions)
1) JOB TITLE (If Federal,
include series and grade): manager, part owner
FROM (MM/YY): TO (MM/YY):
2/94 present
SALARY: $ per HOURS PER WEEK:
no regular salary 50 (average)
EMPLOYER'S NAME:
James Newman Workroom
AND ADDRESS:
3480 N Old Dixie Hy
Delray Beach, FL 33483
SUPERVISOR'S NAME:
none (self)
AND PHONE:
(561) 732-3041
DESCRIBE YOUR DUTIES AND ACCOMPLISHMENTS:
I was manager and half owner (along with James Newman) of a decorator's
workroom. Almost all aspects of the business: upholstery, cutting, frame
building, record keeping, telephone, writing estimates, and janitor. I am
currently learning to sew. At times supervised anywhere from zero to four
employees who would be considered either upholsters, seamstresses, or trainees.
I began working with James in February 1994 and we rapidly built his small
home-based upholstery shop into a successful business (about 50K/yr gross). In
1995 I left to work in Yellowstone Park (I was having some problems with
James). James convinced me to return, so I did in early 1998. After quickly
rebuilding the business in four good months James became seriously ill. Since
then I have primarily been taking care of James at home. I still do occasional
work in the shop, or out of the shop, but nowhere near full time.
1) JOB TITLE (If Federal,
include series and grade): Room Attendant, Porter, Inspector, Assistant
Housekeeping Manager
FROM (MM/YY): TO (MM/YY):
8/95 10/97
SALARY: $ 300 per week HOURS PER WEEK: 50-60 (ending)
EMPLOYER'S NAME:
Yellowstone Parks and Lodges
AND ADDRESS:
P O Box 165, Yellowstone National Park, WY 82190
SUPERVISOR'S NAME:
Geoff Forgey, Sheryl Renfield
AND PHONE:
(307) 344-5324
DESCRIBE YOUR DUTIES AND ACCOMPLISHMENTS:
I was hired as a room attendant at the Lake
Hotel, then promoted to porter my
first summer. I worked the winter season at Old Faithful Snowlodge as a room
attendant. I was hired as a room inspector the next summer, a porter again in
the
winter, and as the assistant housekeeping manager for the Lake Hotel my last
summer.
I quickly learned enough in this seasonal work that I was basically running the
day-to-day housekeeping operations for just over 100 cabins. I was also the
primary trainer at our location for all the employees at both the Lake Hotel
and the cabins. Yellowstone called several times, and offered me a Housekeeping
manager job, or an assistant job, for the summer of 1998, but it would not have
been practical to take James to such a remote location.
Johnson, Charles C 267-51-9174
3) JOB TITLE (If Federal,
include series and grade): Laborer-3502-WG-3
FROM (MM/YY): TO (MM/YY):
4/92 2/94
SALARY: $ 7.94 per hr (ending) HOURS PER WEEK: 40
EMPLOYER'S NAME:
U S Fish and Wildlife Service
AND ADDRESS:
A R M Loxahatchee National Wildlife Refuge
Route 1, Box 278
Boynton Beach, FL 33437
SUPERVISOR'S NAME:
Bill Thomas
AND PHONE:
732-3684
DESCRIBE YOUR DUTIES AND ACCOMPLISHMENTS:
Control of exotic vegetation (60%), maintenance of equipment and grounds (40%).
The exotic vegetation control portion of the job was usually a combination girdle/herbicide application on Meleluca trees growing in the refuge's marshes, but also included foliar sprays (with hand sprayers or larger spray rigs), hand broadcast of herbicide pellets, basal bark herbicide treatments, felling and stump treatment, and hand pulling.
The maintenance portion was very varied. It included vehicle washing,
garbage collection, mowing, edging, weeding, painting carpentry, construction,
roofing, lawn mower repair, blade sharpening, building concrete forms, placing
reinforcing in the forms, helping pour the concrete, furniture moving, hole
digging, fence repair, brush clearing, sign posting, assisting in the building
and placing of a culvert, taking chlorine readings on the water supply, and
helping move and stabilize a floating island.
Johnson, Charles C 267-51-9174
4) JOB TITLE (If Federal,
include series and grade): Field Assistant
FROM (MM/YY): TO (MM/YY):
6/91 8/91
SALARY: $381 per week HOURS PER WEEK: 40
EMPLOYER'S NAME:
Department of Fisheries and Wildlife, Oregon State University
AND ADDRESS:
Nash Hall 104
Corvallis OR 97331-3803
SUPERVISOR'S NAME:
Bret Michalski
AND PHONE:
(503) 737-4531
DESCRIBE YOUR DUTIES AND ACCOMPLISHMENTS:
Helped put in permanent transects in the Siskiyou Mountains for later pellet
group studies (75%). Vegetation surveys along these transects (20%). Set up /
take down and maintenance of camp (5%).
Note: the above phone number is for the Department of Fisheries and
Wildlife, Oregon State University.
Johnson, Charles C 267-51-9174
5) JOB TITLE (If Federal,
include series and grade): Research Assistant
FROM (MM/YY): TO (MM/YY):
1/89 7/89
SALARY: $ 6 per hr HOURS PER WEEK: 30
EMPLOYER'S NAME:
Lantana Research Group Inc. (no longer in business)
AND ADDRESS:
9011 W Lantana Road
Lake Worth, FL 33467
SUPERVISOR'S NAME:
Susan McKnight
AND PHONE:
642-9255
DESCRIBE YOUR DUTIES AND ACCOMPLISHMENTS:
Collection of mud samples (20%), census of crab populations (15%), marking
study plots (5%), vegetation mapping (5%), measuring the temperature, salinity
and dissolved oxygen content of water (1%), retrieving insects from light traps
(1%), identification of insects (mainly Culicoides spp.) (28%), preparation of
mud samples (20%), equipment maintenance and repair (3%), library research (1%)
Note: the above phone number is Susan McKnight's home phone number.
Johnson, Charles C 267-51-9174
6) JOB TITLE (If Federal,
include series and grade): S C A Volunteer
FROM (MM/YY): TO (MM/YY):
6/86 9/86
SALARY: $ 35 per week HOURS PER WEEK: 40
EMPLOYER'S NAME:
Great Smoky Mountains National Park
AND ADDRESS:
Resource Management Division
Gatlinburg, TN 37738
SUPERVISOR'S NAME:
Tim Stubbs
AND PHONE:
(615) 436-1259
DESCRIBE YOUR DUTIES AND ACCOMPLISHMENTS:
exotic vegetation removal (65%), bald clearing (15%), Balsam Woolly
"Aphid" control (10%), office work (10%)
Note: the above phone number is for the Great Smoky Mountains National Park
Resource Management Office.
7) JOB TITLE (If Federal,
include series and grade): Shipping Clerk
FROM (MM/YY): TO (MM/YY):
6/82 7/82
SALARY: $ don't remember HOURS PER WEEK: 40
EMPLOYER'S NAME:
Wenoka Cutlery (no longer in business)
AND ADDRESS:
1134 53rd Ct N
Mangonia Park, FL
SUPERVISOR'S NAME:
Jerry Zel
AND PHONE:
?
DESCRIBE YOUR DUTIES AND ACCOMPLISHMENTS:
Packing and shipping orders of diving equipment.
Johnson, Charles C 267-51-9174
8) JOB TITLE (If Federal,
include series and grade): Painter
FROM (MM/YY): TO (MM/YY):
?/81 ?/89
SALARY: $ 6-10 per hr HOURS PER WEEK: 0-40
EMPLOYER'S NAME:
Johnson Paint Company (no longer in Business)
AND ADDRESS:
12389 51st Ct N
West Palm beach, FL 33411
SUPERVISOR'S NAME:
Bill Johnson (deceased)
AND PHONE:
(407) 790-0831 (Lorraine Johnson)
DESCRIBE YOUR DUTIES AND ACCOMPLISHMENTS:
painting and preparation (20%), paperhanger's assistant (20%), cleanup (20%),
shop maintenance (20%), office work (10%), pickup/ delivery (10%), general
errands (10%)
This was my parent's painting contractor business. At times I worked full time, at other times only part time or not at all, especially when attending school. I did work for a few weeks in November and December of 1991 as a favor to my mother in order to finish the company's last job.
Johnson, Charles C 267-51-9174
9. MAY WE CONTACT YOUR CURRENT SUPERVISOR? (If we need to YES [ X ]
contact your current supervisor before making an offer,
we will contact you first.) NO [ ]
EDUCATION
Some HS [ ] Bachelor [ ]
10. MARK HIGHEST LEVEL COMPLETED: HS/GED [ ] Master [ X ]
Associate [ ] Doctoral [ ]
11. LAST HIGH SCHOOL or GED SCHOOL:
Bozeman Senior High School
CITY/STATE/ZIP(if ZIP known):
Bozeman MT
YEAR DIPLOMA or GED RECEIVED:
1979
12. COLLEGES AND UNIVERSITIES ATTENDED (Do not attach a copy of your
transcript unless requested.)
1) NAME:
University of Oregon
CITY/STATE/ZIP:
Eugene, OR 97403
SEMESTER CREDITS EARNED: MAJOR(S):
(or) ------ ---------------------
QUARTER CREDITS EARNED:
61 Biology
DEGREE (If any): YEAR RECEIVED:
M S 1991
2) NAME:
Florida Atlantic University
CITY/STATE/ZIP:
Boca Raton , FL 33431
SEMESTER CREDITS EARNED: MAJOR(S):
(or) 62 Biology
QUARTER CREDITS EARNED:
------ ---------------------
DEGREE (If any): YEAR RECEIVED:
B S 1988
Johnson, Charles C 267-51-9174
3) NAME:
Palm Beach Junior College
CITY/STATE/ZIP:
Lake Worth, FL 33461
SEMESTER CREDITS EARNED: MAJOR(S):
(or) 46 Biology
QUARTER CREDITS EARNED:
------ ---------------------
DEGREE (If any): YEAR RECEIVED:
A A 1985
4) NAME:
Montana State University
CITY/STATE/ZIP:
Bozeman, MT
SEMESTER CREDITS EARNED: MAJOR(S):
(or) ------ ---------------------
QUARTER CREDITS EARNED:
43 physics
DEGREE (If any): YEAR RECEIVED:
no degree
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OTHER QUALIFICATIONS
13. Job-related training courses (give title and year). Job-related
skills (other languages, computer software/hardware, tools,
machinery, typing speed, etc.). Job-related certificates and
licenses (current only). Job-related honors, awards, and special
accomplishments (publications, memberships in professional/honor
societies, leadership activities, public speaking, and performance
awards). Give dates, but do not send documents unless requested.
Courses: Great Smoky Mountains National Park, TN - herbicide use training,
fire training, 1986
Graduated with honors from Palm Beach Junior College and Florida Atlantic
University (86,88). Montana University System honor scholarship (79). Florida
Atlantic University Dean's List (four semesters, 86 & 87). President's list
at Florida Atlantic two semesters (86,87).
I have used GPS units (Magellan).
I have had herbicide training (and at one point a public applicators license)
during the time I worked at the Loxahatchee National Wildlife Refuge
(1992-1994).
I can type about 40 words per minute.
I am proficient at my computer, Windows 98 with the usual word processors,
spreadsheet,Iinternet. Lately I have been installing Linux from the Internet.
I have a good driving record (it says "safe driver" on my license).
I garden as a hobby, especially orchids, carnivorous plants, and vegetables. I
may start growing tropical Asian pitcher plants (Nepenthes) for sale if I don't
get a real job soon.
Johnson, Charles C 267-51-9174
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GENERAL:
14. ARE YOU A U.S. CITIZEN? ........................ YES [ X ] NO [ ]
If NO, give the country of your citizenship:
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15. DO YOU CLAIM VETERANS' PREFERENCE? ............. YES [ ] NO [ X ]
If YES, mark your claim of 5 or 10 points below:
5 POINTS [ ] -- Attach your DD 214 or other proof.
10 POINTS [ ] -- Attach an Application for 10-Point Veterans'
Preference (SF 15) and proof required.
16. WERE YOU EVER A FEDERAL CIVILIAN EMPLOYEE? ..... YES [ X ] NO [ ]
If YES, for Highest Civilian Grade give:
SERIES: GRADE: FROM (MM/YY): TO (MM/YY):
3502 WG-3 4/92 2/94
17. ARE YOU ELIGIBLE FOR REINSTATEMENT BASED ON
CAREER OR CAREER-CONDITIONAL FEDERAL STATUS? ... YES [ ] NO [ X ]
If requested, attach SF 50 proof.
APPLICANT CERTIFICATION
18. I certify that, to the best of my knowledge and belief, all of the
information on and attached to this application is true, correct,
complete and made in good faith. I understand that false or fraud-
ulent information on or attached to this application may be grounds
for not hiring me or for firing me after I begin work, and may be
punishable by fine or imprisonment. I understand that any informa-
tion I give may be investigated.
SIGNATURE: DATE SIGNED:
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