Da form 3433-2026

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The document is a supplemental employment application form for child-youth services positions, designed to determine eligibility for such roles. It outlines the authority under which the information is collected, including the necessity of providing a Social Security Number (SSN) for record-keeping and potential background checks. The form includes personal information fields, questions regarding criminal history related to child safety, and a declaration of truthfulness under penalty of perjury.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your full name in the designated field. This is essential for identification purposes.
Provide your Social Security Number (SSN) in section 2a. This information is crucial for maintaining accurate records.
Fill in your date of birth (DOB) in section 2b using the format YYYYMMDD to ensure clarity.
In section 3, specify the job announcement or title you are applying for, ensuring it matches the position you seek.
Complete sections 4 through 8 with your address, work phone, home phone, and email address respectively.
Answer the question regarding any past arrests or charges in section 9 honestly and provide a description if applicable.
Finally, sign and date the form in sections 10 and 11 to validate your application.

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