- Legal
- United States Legal Forms
- United States Federal Legal Forms
- United States Army
- DA Form 3433 "Application for Nonappropriated Fund Employment"
DA Form 3433 "Application for Nonappropriated Fund Employment"
Table of Contents
Show
Hide
What Is a DA Form 3433?
DA Form 3433 also known as the Application for Nonappropriated Fund Employment is a document used by military servicemen and women applying for NAF positions. This form can be attached to a resume or be used instead of one. It serves the same purpose as a resume: the form is used to evaluate how much the skills and experience of an applicant fit a certain position.
The application - last revised on August 1, 2019 - is often mistakenly referred to as the DD Form 3433. An up-to-date DA Form 3433 fillable version is available for download below.
Used by the Department of Army (DA), this form is standard for applying for NAF positions. The DA 3433 is a form closely related to the DA 3433-1, and if used to apply, they should be submitted together for all positions. In some cases, you will also have to attach Form DA 3433-2.
DA Form 3433 Instructions
- Fill in your identifying information: your full name, address, social security number, and date of birth. Enter your contact information: an e-mail, phone number, and a work phone if you are currently employed. Your personal phone will be the first way to contact you.
- List the position you are applying for. Choose if you claim spouse employment or ISM reference in Block 9.
- State your rank if you are active-duty military.
- List your skills in Box 13: include all skills and abilities you think will be useful to qualify for the position you are applying to. Describe any previous job experience in Box 14, Working experience.
- Enter the names of any completed training classes you believe will help you qualify in Box 15, Training. Do the same with any received licensing or certification in Box 16. Fill in these boxes even if you plan on attaching an actual resume with this form.
- Include any other relevant information in Box 17. Sign and date the form before sending it.
How to Get DA Form 3433?
A DA 3433 fillable form is available for download on the United States Army Publishing Directorate website or down below. You can file it digitally or print, sign and attach a physical copy of the form to your resume.
How to complete SKILLS in DA Form 3433?
The 'Skills' block will require you to list all of the knowledge, skills, and abilities you believe can help you qualify for the position you are applying for. Stick to what's important - do not write everything you can, just like you would in an actual resume.
The skills are worth filing even if you are planning to attach a resume to your application - it's better to not leave any fields on the form blank.
DA 3433 Related Forms:
- DA Form 3433-1, Supplemental Employment Application Form, is completed by the applicant selected for NAF employment;
- DA Form 3433-2, Supplemental-A Employment Application Form for Child-Youth Services Positions, is filed by all applicants selected for positions that involve working with children or youth.
![DA Form 3433 "Application for Nonappropriated Fund Employment"](https://data.templateroller.com/pdf_docs_html/1932/19323/1932317/page_1_thumb.png "DA Form 3433 "Application for Nonappropriated Fund Employment"")
1![DA Form 3433 "Application for Nonappropriated Fund Employment", Page 2](https://data.templateroller.com/pdf_docs_html/1932/19323/1932317/page_2_thumb.png "DA Form 3433 "Application for Nonappropriated Fund Employment", Page 2")
2![DA Form 3433 "Application for Nonappropriated Fund Employment", Page 3](https://data.templateroller.com/pdf_docs_html/1932/19323/1932317/page_3_thumb.png "DA Form 3433 "Application for Nonappropriated Fund Employment", Page 3")
3![DA Form 3433 "Application for Nonappropriated Fund Employment", Page 4](https://data.templateroller.com/pdf_docs_html/1932/19323/1932317/page_4_thumb.png "DA Form 3433 "Application for Nonappropriated Fund Employment", Page 4")
4![DA Form 3433 "Application for Nonappropriated Fund Employment", Page 5](https://data.templateroller.com/pdf_docs_html/1932/19323/1932317/page_5_thumb.png "DA Form 3433 "Application for Nonappropriated Fund Employment", Page 5")
5APPLICATION FOR NONAPPROPRIATED FUND EMPLOYMENT
For use of this form, see AR 215-3; the proponent agency is DCS, G-1.
FOR AGENCY USE ONLY
DATE RECEIVED (YYYYMMDD)
STATUS
RATER'S INITIALS
ELIGIBLE
INELIGIBLE
DATE (YYYYMMDD)
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY:
34 U.S. C. 20351; Public Law 101-647 Section 231; DoDI 1402.5; AR 215-3; E.O. 9397 (SSN), as amended.
PRINCIPAL PURPOSE:
To determine your eligibility and qualification for Nonappropriated Fund Employment.
In addition to those generally permitted under 5 U.S.C. 552(b), as amended, of the Privacy Act, these records or information
ROUTINE USES:
contained therein may specifically be disclosed outside of DoD as a routine use pursuant to 5. U.S.C. 552a(b)(3)
as follows: To the Department of Labor and the Equal Employment Opportunity Commission, to resolve and/or adjudicate
matters falling within their jurisdiction; and to labor organizations, in response to requests for names of employees and
identifying information.
DISCLOSURE:
Voluntary, however, qualifications cannot be determined without required information. If you do not provide your social
security number your application cannot be processed.
A0215-3 SAMR, NAF Personnel Records, (June 1, 2000, 65 FR 35054).
CITATION
If additional space is required to document your employment history or to provide a complete response to any
INSTRUCTION:
question(s) on this form, attach a continuation sheet(s). Include your name, social security number, and vacancy announcement
number on each continuation sheet.
SECTION I - PERSONAL INFORMATION
1. NAME (LAST, FIRST, MIDDLE)
2a. SSN
3. JOB ANNOUNCEMENT NUMBER/TITLE
4. MAILING ADDRESS
2b. DOB (YYYYMMDD)
5. LOWEST ACCEPTABLE SALARY/GRADE
6. TELEPHONE NUMBERS
2c. PLACE OF BIRTH
DAYTIME:
EVENING:
7. EMAIL ADDRESS:
8. WORK SCHEDULES YOU ARE WILL TO ACCEPT:
TEMP APPT
FULL-TIME
PART-TIME
FLEX-TIME
SECTION II - WORK EXPERIENCE/HISTORY
9. Describe your paid and non paid work experience related to this job for which you are applying. Do not attach job descriptions. In lieu of completing
the below of this application form, you may attach a copy of your resume but please include all of the information requested on this form and in the
job announcement.
a. DATE OF EMPLOYMENT (YYYYMMDD)
b. TITLE OF POSITION
c. GRADE (If applicable)
FROM
TO
d. SALARY INFORMATION
e. AVERAGE HOURS PER WEEK f. SUPERVISOR'S NAME AND TELEPHONE NUMBER
STARTING
PER
ENDING
PER
$
$
g. NAME OF EMPLOYER (Firm/Organization)
h. ADDRESS (Please include the zip code)
i. DESCRIPTION OF DUTIES AND ACCOMPLISHMENTS
j. PLEASE GIVE YOUR REASON FOR LEAVING
DA FORM 3433, AUG 2019
PREVIOUS EDITIONS ARE OBSOLETE.
Page 1 of 5
APD LC v1.00ES
APPLICATION FOR NONAPPROPRIATED FUND EMPLOYMENT
For use of this form, see AR 215-3; the proponent agency is DCS, G-1.
FOR AGENCY USE ONLY
DATE RECEIVED (YYYYMMDD)
STATUS
RATER'S INITIALS
ELIGIBLE
INELIGIBLE
DATE (YYYYMMDD)
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY:
34 U.S. C. 20351; Public Law 101-647 Section 231; DoDI 1402.5; AR 215-3; E.O. 9397 (SSN), as amended.
PRINCIPAL PURPOSE:
To determine your eligibility and qualification for Nonappropriated Fund Employment.
In addition to those generally permitted under 5 U.S.C. 552(b), as amended, of the Privacy Act, these records or information
ROUTINE USES:
contained therein may specifically be disclosed outside of DoD as a routine use pursuant to 5. U.S.C. 552a(b)(3)
as follows: To the Department of Labor and the Equal Employment Opportunity Commission, to resolve and/or adjudicate
matters falling within their jurisdiction; and to labor organizations, in response to requests for names of employees and
identifying information.
DISCLOSURE:
Voluntary, however, qualifications cannot be determined without required information. If you do not provide your social
security number your application cannot be processed.
A0215-3 SAMR, NAF Personnel Records, (June 1, 2000, 65 FR 35054).
CITATION
If additional space is required to document your employment history or to provide a complete response to any
INSTRUCTION:
question(s) on this form, attach a continuation sheet(s). Include your name, social security number, and vacancy announcement
number on each continuation sheet.
SECTION I - PERSONAL INFORMATION
1. NAME (LAST, FIRST, MIDDLE)
2a. SSN
3. JOB ANNOUNCEMENT NUMBER/TITLE
4. MAILING ADDRESS
2b. DOB (YYYYMMDD)
5. LOWEST ACCEPTABLE SALARY/GRADE
6. TELEPHONE NUMBERS
2c. PLACE OF BIRTH
DAYTIME:
EVENING:
7. EMAIL ADDRESS:
8. WORK SCHEDULES YOU ARE WILL TO ACCEPT:
TEMP APPT
FULL-TIME
PART-TIME
FLEX-TIME
SECTION II - WORK EXPERIENCE/HISTORY
9. Describe your paid and non paid work experience related to this job for which you are applying. Do not attach job descriptions. In lieu of completing
the below of this application form, you may attach a copy of your resume but please include all of the information requested on this form and in the
job announcement.
a. DATE OF EMPLOYMENT (YYYYMMDD)
b. TITLE OF POSITION
c. GRADE (If applicable)
FROM
TO
d. SALARY INFORMATION
e. AVERAGE HOURS PER WEEK f. SUPERVISOR'S NAME AND TELEPHONE NUMBER
STARTING
PER
ENDING
PER
$
$
g. NAME OF EMPLOYER (Firm/Organization)
h. ADDRESS (Please include the zip code)
i. DESCRIPTION OF DUTIES AND ACCOMPLISHMENTS
j. PLEASE GIVE YOUR REASON FOR LEAVING
DA FORM 3433, AUG 2019
PREVIOUS EDITIONS ARE OBSOLETE.
Page 1 of 5
APD LC v1.00ES
10. Describe your paid and non paid work experience related to this job for which you are applying. Do not attach job descriptions. In lieu of
completing the below of this application form, you may attach a copy of your resume but please include all of the information requested on this form
and in the job announcement.
(YYYYMMDD)
b. TITLE OF POSITION
c. GRADE (If applicable)
a. DATE OF EMPLOYMENT
FROM
TO
d. SALARY INFORMATION
e. AVERAGE HOURS PER WEEK f. SUPERVISOR'S NAME AND TELEPHONE NUMBER
STARTING
PER
ENDING
PER
$
$
h. ADDRESS
(Please include the zip code)
g. NAME OF EMPLOYER
(Firm/Organization)
i. DESCRIPTION OF DUTIES AND ACCOMPLISHMENTS
j. PLEASE GIVE YOUR REASON FOR LEAVING
11. IF CURRENTLY EMPLOYED, MAY WE CONTACT YOUR CURRENT SUPERVISOR?
YES
NO
12. EDUCATION
SOME HIGH SCHOOL
HIGH SCHOOL/GED
SELECT HIGHEST LEVEL COMPLETED
OTHER
SOME COLLEGE
AA
BA
BS
MS
COLLEGE MAJOR:
COLLEGE MINOR:
ADVANCED DEGREE CONCENTRATION:
DATES ATTENDED
(YYYYMMDD)
GRADUATION DATE AND DEGREE
NAME AND ADDRESS OF LAST SCHOOL ATTENDED:
FROM
TO
DATE
DEGREE
13. OTHER QUALIFICATIONS/TRAINING -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 (indicate expiration dates).
14. OTHER ACHIEVEMENTS - Job-related awards, honors, or publications.
15. GENERAL
a. DO YOU CLAIM MILITARY SPOUSE PREFERENCE (MSP)? (If "Yes" attach a copy of sponsor's PCS orders.)
YES
NO
b. DO YOU CLAIM INVOLUNTARILY SEPARATED MILITARY PREFERENCE (ISMP)?
YES
NO
(If "Yes", provide date of separation): (YYYYMMDD)
c. ARE YOU A CURRENT OR FORMER DoD NONAPPROPRIATED FUND (NAF) EMPLOYEE?
YES
NO
(If “Yes”, provide dates of service): (YYYYMMDD)
TYPE OF APPOINTMENT
GRADE/LEVEL
INSTALLATION
FROM
TO
Page 2 of 5
DA FORM 3433, AUG 2019
APD LC v1.00ES
d. ARE YOU A "PREFERENCE ELIGIBLE" AS DEFINED IN 5 UNITED STATES CODE 2108 (3)-(4)"?
YES
NO
PERIOD OF ACTIVE DUTY MILITARY SERVICE: (YYYYMMDD)
FROM
TO
DATE OF DISCHARGE: (YYYYMMDD)
TYPE OF DISCHARGE:
(If "Yes" attach a copy of the latest DD Form 214 that indicates the type of discharge.)
YES
NO
e. ARE YOU AN ENLISTED MILITARY SERVICE MEMBER APPLYING FOR OFF DUTY EMPLOYMENT?
(If "Yes" attach a copy of your military Commander's permission to work of duty.)
YES
NO
f. ARE YOU A U.S. CITIZEN?
IF NOT WHAT IS YOUR COUNTRY OF CITIZENSHIP?
(PROVIDE YOUR ALIEN REGISTRATION NUMBER
, OR OTHER PROOF OF AUTHORIZATION FOR
EMPLOYMENT IN THE UNITED STATES.)
FOR OVERSEAS POSITIONS:
g. ARE YOU ELIGIBLE FOR FAMILY MEMBER PREFERENCE?
YES
NO
(If "Yes" attach a copy of sponsor's PCS orders.)
h. IF YOU ARE NOT A UNITED STATES CITIZEN, PROVIDE THE FOLLOWING ADDITIONAL INFORMATION SO THAT WE CAN DETERMINE
YOUR ELIGIBILITY FOR EMPLOYMENT IN THE HOST NATION.
COUNTRY OF CITIZENSHIP:
16. REFERENCES: List two persons NOT RELATED to you who can furnish information on you qualifications and character. Do not repeat names
of supervisors.
FULL NAME
ADDRESS (Complete with Zip Code)
TELEPHONE NUMBER
OCCUPATION
17. WITHIN THE LAST FIVE YEARS, HAVE YOU BEEN FIRED FROM ANY JOB FOR ANY REASON, OR RESIGNED FROM A JOB AFTER
BEING TOLD THAT YOU WOULD BE FIRED OR LEFT ANY JOB BY MUTUAL AGREEMENT BECAUSE OF A SPECIFIED PROBLEM?
YES
NO
If "Yes", give details, i.e. employer, address, approximate date, and reason for each case.
18. HAVE YOU EVER BEEN CONVICTED OF ANY OFFENSE AGAINST THE LAW OR FORFEITED COLLATERAL OR ARE YOU NOW UNDER
CHARGES FOR ANY OFFENSE AGAINST THE LAW? (YOU MAY OMIT: (a) TRAFFIC FINES OF $300 OR LESS, (b) ANY VIOLATION OF LAW
COMMITTED BEFORE YOUR 16TH BIRTHDAY, (c) ANY VIOLATION OF LAW COMMITTED BEFORE 18TH BIRTHDAY IF FINALLY DECIDED IN
JUVENILE COURT OR UNDER A YOUTH OFFENDER LAW, (d) ANY CONVICTION SET ASIDE UNDER THE FEDERAL YOUTH CORRECTIONS
ACT OR SIMILAR STATE LAW, AND (e) ANY CONVICTION FOR WHICH THE RECORD WAS EXPUNGED UNDER FEDERAL OR STATE LAW.
YES
NO
If "Yes", give details.
c. PLACE
b. CHARGE/OFFENSE
a. DATE
e. DISPOSITION
d. COURT
19. ARE ANY OF YOUR RELATIVES
a. EMPLOYED BY A NONAPPROPRIATED FUND ACTIVITY?
YES
NO
b. EMPLOYED BY THE FEDERAL GOVERNMENT?
YES
NO
c. MILITARY ON ACTIVE DUTY?
YES
NO
d. IF "YES", LIST NAMES, RELATIONSHIP, POSITION, AND ORGANIZATION:
Page 3 of 5
DA FORM 3433, AUG 2019
APD LC v1.02ES
20. DO YOU RECEIVE OR HAVE YOU APPLIED FOR RETIREMENT PAY, PENSION, OR OTHER COMPENSATION BASED ON MILITARY,
APPROPRIATED OR NONAPPROPRIATED FUND SERVICE? HAVE YOU RECEIVED VOLUNTARY SEPARATION INCENTIVE PAY (VSIP)?
YES
NO
If "Yes" to either, give details:
ALL APPOINTMENTS ARE MADE SUBJECT TO A SATISFACTORY BACKGROUND INVESTIGATION. APPOINTMENT MADE TO POSITIONS
WHERE CASH IS HANDLED MAY BE SUBJECT TO FIDELITY BONDING REQUIREMENTS. ALL INFORMATION YOU PROVIDE IS SUBJECT TO
INVESTIGATION, INCLUDING A CHECK OF YOUR FINGERPRINTS, POLICE RECORDS, AND FORMER EMPLOYERS. APPOINTMENT TO
POSITIONS IN CHILD AND YOUTH SCHOOL SERVICES, OR OTHER CHILD CARE SERVICES POSITIONS REQUIRES COMPLETION OF
CRIMINAL HISTORY BACKGROUND CHECKS.
21. FOR APPLICANTS SEEKING EMPLOYMENT IN CHILD CARE SERVICES POSITIONS ONLY:
TITLE 42 U.S.C. 13041, PUBLIC LAW 101-647, SECTION 231 AND DODI 1402.5, PARA 1b, ARMY DIRECTIVE 2014-23, ENCL 3, PARA 4F.
a. HAVE YOU EVER BEEN ARRESTED FOR OR CHARGED WITH A CRIME INVOLVING A CHILD?
YES
NO
b. HAVE YOU EVER BEEN ASKED TO RESIGN BECAUSE OF OR BEEN DECERTIFIED FOR A SEXUAL OFFENSE?
YES
NO
If "Yes", provide a description of the case disposition.
By my signature below I acknowledge that I have been notified of the employer's obligation to require a record check as a condition of
my employment, of my right to obtain a copy of the criminal history report made available to the employing agency, and of my right to
challenge the accuracy and completeness of any information contained in the report.
I declare under penalty of perjury that the information contained in this application form and any attachments or other documents
submitted in connection with this application are true, correct and complete to the best of my knowledge, information and belief. I
understand that providing false or fraudulent information may be grounds for not hiring me, or for taking adverse action against me,
including removal, if I have already begun work. Under 18 U.S. Code Section 1001 the federal punishment for perjury is fine or
imprisonment for up to 5 years or 8 years, if the offense involves international or domestic terrorism, or both. I consent to the release
of information about my ability and fitness for employment by employers, schools, law enforcement agencies, and other individuals
and organizations to investigators, personnel specialists and other authorized employees or representatives of the Department of
Army. I understand that for financial or lending institutions, medical institutions, hospitals, health care professionals, and some other
sources of information, a separate specific release may be needed, and I may be contacted for such a release at a later date.
22. SIGNATURE
23. DATE (YYYYMMDD)
Page 4 of 5
DA FORM 3433, AUG 2019
APD LC v1.00ES
DA FORM 3433, CONTINUATION SHEET
1. NAME (LAST, FIRST, MIDDLE)
2. SSN
3. JOB ANNOUNCEMENT NUMBER/TITLE
Page 5 of 5
DA FORM 3433, AUG 2019
APD LC v1.00ES
Popular Articles
- FB Form 4986-E, Personal Property Record FB Form 4986-E, Personal Property Record
- 10 Sample Interview Questions 10 Sample Interview Questions
- USCIS Form I-551, Permanent Resident Card USCIS Form I-551, Permanent Resident Card
- Washington State Patrol Inspection Request Form Washington State Patrol Inspection Request Form
- Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration
- USCIS Form I-797C, Notice of Action USCIS Form I-797C, Notice of Action
- Form REG 124, Application for Assigned Vehicle Identification Number Plate Form REG 124, Application for Assigned Vehicle Identification Number Plate
- Form VSD 190, Application for Vehicle Transaction(s) Form VSD 190, Application for Vehicle Transaction(s)
Most popular documents
-
"Vsepr Theory (Molecular Shapes) Chart"
-
DA Form 2062 "Hand Receipt/Annex Number"
-
"Zappos Kid Shoe Size Chart"
-
DD Form 2813
-
DD Form 2977 "Deliberate Risk Assessment Worksheet"
-
DA Form 31 "Request and Authority for Leave"
-
AF Form 910 "Enlisted Performance Report (AB Thru Tsgt)"
-
DD Form 1750 "Packing List"
-
DA Form 3595 "Record Fire Scorecard"
-
DD Form 2923 "Privacy Act Data Cover Sheet"
![](https://www.pinterest.com/pin/create/button/?url=&media=https://data.templateroller.com/pdf_docs_html/1932/19323/1932317/da-form-3433-application-for-nonappropriated-fund-employment_big.png&description=DA Form 3433 "Application for Nonappropriated Fund Employment" Download Pdf){kind=small}
Most popular documents
-
"Vsepr Theory (Molecular Shapes) Chart"
-
DA Form 2062 "Hand Receipt/Annex Number"
-
"Zappos Kid Shoe Size Chart"
-
DD Form 2813
-
DD Form 2977 "Deliberate Risk Assessment Worksheet"
-
DA Form 31 "Request and Authority for Leave"
-
AF Form 910 "Enlisted Performance Report (AB Thru Tsgt)"
-
DD Form 1750 "Packing List"
-
DA Form 3595 "Record Fire Scorecard"
-
DD Form 2923 "Privacy Act Data Cover Sheet"
Popular Articles
- FB Form 4986-E, Personal Property Record FB Form 4986-E, Personal Property Record
- 10 Sample Interview Questions 10 Sample Interview Questions
- USCIS Form I-551, Permanent Resident Card USCIS Form I-551, Permanent Resident Card
- Washington State Patrol Inspection Request Form Washington State Patrol Inspection Request Form
- Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration
- USCIS Form I-797C, Notice of Action USCIS Form I-797C, Notice of Action
- Form REG 124, Application for Assigned Vehicle Identification Number Plate Form REG 124, Application for Assigned Vehicle Identification Number Plate
- Form VSD 190, Application for Vehicle Transaction(s) Form VSD 190, Application for Vehicle Transaction(s)
