U.S. DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT

1 Are you a vet who was separated from the armed forces under honorable conditions after completing an initial continuous tour of duty of 3 years (may have been released just short of 3 years)? Answer to this question is required
  • Yes
  • No
(Note: If yes, or if you claim veterans preference you will need to submit a copy of your DD-214, Certificate of Release or Discharge from Active Duty, or other proof of eligibility prior to interview and selection for a position. Additionally, persons claiming 10 point preference will need to submit SF-15 and letter from VA showing compensable disability.)
2 Are you a current Federal employee? Answer to this question is required
  • Yes
  • No
3 Are you a current Federal employee serving under a Veterans Readjustment Authority (VRA) appointment? Answer to this question is required
  • Yes
  • No
(Note: If you are unsure, refer to your most recent Notification of Personnel Action (SF-50) or ask your servicing personnel specialist.)
4 If you are a current Federal employee, by what agency and organization are you employed? Answer to this question is required
  • Department of the Interior, Bureau of Land Management
  • Other
  • Not applicable
  • Other Bureau within the Department of Interior
5 If you selected "Other", please enter the agency and organization. Maximum length of 50 characters.
6 If you are a current Federal employee, what is your duty station? [City,State] (Enter N/A if not Applicable) Maximum length of 250 characters.
7 If you are a Federal employee, under what type of appointment are you currently serving? Answer to this question is required
  • Permanent-Career, competitive service
  • Career-conditional, competitive service
  • Excepted Service
  • Temporary (Time-Limited Appointment - not to exceed 1 year or less)
  • Term (Time-Limited Appointment - more than one year, not more than 4 years).
  • Pathways Internship Program
  • Not applicable
(Note: If you are unsure, refer to your most recent Notification of Personnel Action (SF-50) or ask your servicing Personnel Specialist.)
8 Are you a student appointee under the Student Pathways Career Internship Program, and have you completed all requirements for graduation and conversion for the program in the 120 day period for appointment to a term, career or career-conditional position?
  • Yes
  • No
  • Not Applicable
9 If you are NOT currently serving in the competitive service as a permanent career or career conditional Federal employee, are you eligible for reinstatement based on career or career-conditional Federal status in the competitive service? Answer to this question is required
  • Yes
  • No
  • Not Applicable
(Note: You will be asked to submit a copy of a SF-50 prior to selection as proof of your reinstatement eligibility.)
10 If you are, or ever were, a Federal civilian employee, please indicate pay plan of the highest graded position you held:
  • GS
  • WG
  • Other
  • Not applicable
11 If you selected "Other", please enter the Pay Plan. Maximum length of 2 characters.
12 If you are, or ever were, a Federal civilian employee, please indicate the highest grade level you held (Enter NA if Not Applicable): Maximum length of 2 characters.
13 If you are, or ever were, a Federal civilian employee, please indicate the dates of the highest graded position you held on a permanent basis (MM-YYYY to MM-YYYY or Present, or NA if Not Applicable): Maximum length of 100 characters.
(Note: Time-In-Grade restrictions apply in relation to advancement to General Schedule positions of employees in the competitive service.)
14 If you are, or were, a Federal employee who held a permanent position in the competitive service, what is the highest full performance level of that position? (Enter NA if Not Applicable) Maximum length of 2 characters.
15 May we contact your current supervisor for a reference?
  • Yes
  • No
  • Please contact me first
16 Does the Bureau of Land Management employ any member of your family?
  • Yes
  • No
17 If yes to Question 16, please provide the name, relationship, organization in which employed, and location if known. Maximum length of 100 characters.
18 If you are a male at least 18 years of age, born after December 31, 1959, have you registered with the Selective Service System? Answer to this question is required
  • Yes
  • No
  • Not Applicable
19 If you are a male at least 18 years of age, born after December 31, 1959 AND you have NOT registered with the Selective Service System, do you have an approved exemption? Answer to this question is required
  • Yes
  • No
  • Not Applicable
(Note: You will be asked to provide a copy of the exemption prior to interview and selection.)
20 Are you a retiree receiving a Federal annuity, either military or civilian?
  • Yes
  • No
(Note: If you are an annuitant, your salary or annuity may be reduced upon employment.)
21 Have you accepted a buyout from a Federal agency within the past 5 years? Answer to this question is required
  • Yes
  • No
  • Not Applicable
(Note: You will be asked to provide a copy of the above certificate.)
22 Are you eligible for an appointment under a noncompetitive hiring authority or a Special Appointing Authority? Answer to this question is required
  • Yes
    22.1 If you are eligible for an appointment under a noncompetitive hiring authority or a Special Appointing Authority, and wish to apply for such an appointment, please indicate for which authority you wish to be considered. (Note: For information on Special Appointing Authorities, please see the OPM website by clicking here. You must provide supporting documentation at the time you are applying to a position.)
    • Veterans Employment Opportunity Act (VEOA)
    • Veterans Recruiting Authority (VRA)
    • Severe Physical or Mental Disability (Sch A)
    • 30% or More Disabled Veteran (DAV)
    • Other (SPCL)
  • No
23 Displaced employee information: Answer to this question is required
  • I am an employee of the Department of the Interior who has been declared surplus or displaced AND I am requesting special selection priority under the Department of the Interior's Career Transition Assistance Plan (CTAP)?
  • I am a displaced employee from another Federal agency and eligible for selection preference based on the Interagency Career Transition Assistance Plan (ICTAP)?
  • I am not a displaced employee from a Federal Agency.
(Note: If you are eligible for one of these plans, you will be asked to supply a copy of RIF separation notice, proposed removal for declining a directed reassignment outside of the local commuting area, or other official notification granting eligibility prior to interview and selection.)
The following questions pertain to current Federal employees only:
24 I have a satisfactory or better rating on my last performance appraisal. I will provide a copy of my performance appraisal, if requested.
  • Yes
  • No
25 Please list the incentive awards you have received during the last two years. Maximum length of 250 characters.
26 In accordance with all of the eligibility requirements set forth in Public Law 114-47, are you a current or former employee of a Land Management agency/agencies (e.g., Forest Service, Bureau of Land Management, National Park Service, Fish and Wildlife Service, Bureau of Indian Affairs, or Bureau of Reclamation) who was (a) initially hired under competitive examining procedures to a time-limited appointment in the competitive service ; and (b) served on this initial appointment, or in conjunction with subsequent competitive service time-limited appointments, to a land management agency for a period of 24 months without a break in service of two or more years and (c) your performance was evaluated as being at an acceptable level of performance for the entire applicable period(s)? Answer to this question is required
  • Yes
  • No