Application for Employment

First Name *

Middle Initial

Last Name *

Other Names Previously Used (for employment purposes)

Date of Birth (Optional)

Phone Number *

Email Address *

Street Address *

City *

State/Territory *

Zip Code *

Place of Birth

Country *

City *

State/Territory (U.S. Only)

Are you a U.S. Citizen? *

Yes

No

Please provide your country of citizenship *

Were you ever a federal civilian employee? *

Yes

No

Pay Plan *

Grade *

Step *

Are you receiving a federal civilian annuity payment? *

Yes

No

Are you receiving federal severance pay? *

Yes

No

Please provide the former agency contact/telephone *

You can enter up to 250 characters

Have you received a federal separation incentive payment in the past 5 years? *

Yes

No

Please provide the month/year received and former agency contact/telephone *

You can enter up to 250 characters

Do you have any relatives who are Judges, Officers or employees of the United States Courts? *

Yes

No

Please provide their names, positions, and relationships to you *

You can enter up to 250 characters

Have you ever served on active duty with the military? *

Yes

No

You will need to provide your DD-214 (copy 4), Certificate of Release or Discharge from Active Duty, so that your service may be verified and credited. Please upload this to the attachments section at the end of this form.

During the last 5 years, have you been fired from any job for any reason, did you quit after being told that you would be fired, did you leave any job by mutual agreement because of specific problems, or were you debarred from Federal employment by the Office of Personnel Management or any other Federal agency? *

Yes

No

Explanation of problem, reason for leaving, and employer's name/address *

You can enter up to 500 characters

Are you delinquent on any Federal debt? * Include delinquencies arising from Federal taxes, loans, overpayment of benefits, and other debts to the U.S. Government, plus defaults of Federally guaranteed or insured loans (e.g., student loan, home mortgage loan).

Yes

No

Type, length, and amount of delinquency/default, and steps being taken to correct the error/repay the debt *

You can enter up to 500 characters

Optional Background Information - Respond Only if Required by the Vacancy Announcement

For the questions below, your answers should include convictions resulting from a plea of nolo contendere (no contest), but omit:

Traffic fines of $300 or less
Any violation of law committed before your 16th birthday
Any violation of law committed before your 18th birthday if finally decided in juvenile court or under a Youth Offender law
Any conviction set aside under the Federal Youth Corrections Act or similar state law
Any conviction for which the record was expunged under Federal or state law

During the last 7 years, have you been convicted, imprisoned, on probation, or on parole? Include felonies, firearms or explosives violations, misdemeanors, and all other offenses

Yes

No

Prefer not to answer

Explanation of violation, place of occurrence, and name/address of police department or court *

You can enter up to 500 characters

Have you been convicted by a military court-martial in the past 7 years?

Yes

No

Prefer not to answer

Explanation of violation, place of occurrence, and name/address of police department or court *

You can enter up to 500 characters

Are you now under charges for any violation of law?

Yes

No

Prefer not to answer

Explanation of violation, place of occurrence, and name/address of police department or court *

You can enter up to 500 characters

Do you have a high school diploma or G.E.D. equivalent? *

Yes

No

Have you attended a college or university? * Including any incomplete or in progress

Yes

No

Please select any academic degrees you have received or are pursuing Select all that apply, including any in progress

Associate Degree

Bachelor's Degree

Master's Degree

Professional Degree

Doctoral Degree

College/University

Enter up to 5 colleges/universities below (including law schools). Use the Add college/university button to add another school. Use the button in the top right corner of the block with the school to remove it. For additional schools, degrees, certificates, etc., use the box at the bottom of the page.

Name of college/university attended *

Location of college/university *

Semesters *

Quarters *

Date Started *

Date Ended

Degree *

Date Degree Received

GPA and/or Scholastic Standing * For schools that do not provide a GPA or standing, enter "N/A"

Other schools or training attended List name/location of school, dates attended, subject studied, certificates received, and other pertinent data

You can enter up to 500 characters

List any skills (e.g., language, computer, keyboarding speed), honors, awards, or special accomplishments that you believe are relevant to your ability to perform the job e.g., memberships in professional/honor societies, leadership activities, performance awards

You can enter up to 1000 characters

If you are, or have been admitted to a bar association, please use the button below to add each bar admission. Please include up to 5 bar associations, including any inactive admissions.

Bar association name *

Is your bar membership active? *

Date Admitted *

What was your scholastic standing in law school?

Upper ¹⁄₂

Upper ¹⁄₃

Upper ¹⁄₄

Prefer not to answer

Were you a member of an editorial board of law review or a moot court participant?

Yes

No

Prefer not to answer

Start with your present or most recent position and work back 10 years. Include any military service. Use the Add work experience button to add another job. Use the button in the top right corner of the block with the job to remove it.

Please note: You must enter your work experience on this page, even if it is on your resume, in order for it to appear on the required AO 78 form.

Exact title of your position *

Are you currently employed in this position? *

Date Started *

Date Ended *

# of hours worked per week *

Is this a full-time position? *

Yes

No

Salary or Earnings e.g., $50,000 per year or $15 per hour

Starting *

Per *

Ending *

Per *

Is this position in federal service? *

Yes

No

Pay Plan/Grade *

Place of Employment

City *

State/Territory *

Other (please specify) *

Name of employer * Firm, organization, etc.

Address of employer *

You can enter up to 500 characters

Name of immediate supervisor *

Title of immediate supervisor *

Business Telephone *

Reason for leaving *

You can enter up to 500 characters

Description of work *

You can enter up to 1000 characters

Final Remarks Use this section for any further explanations or additional information you wish to provide

You can enter up to 1000 characters

There are no required attachments for this position. Please continue using the button below.

Please upload the requested attachments below. Files must be in the specified format. Files are limited to a size of 5MB

Please note: Uploads must not be password protected.

Cover Letter(.pdf) * Please upload a cover letter of interest indicating why you are interested in this position and what best qualifies you.

Resume(.pdf) * Please upload a copy of your current resume.

Law School Transcript(.pdf) * Please upload a copy of your law school transcript

A writing sample not to exceed 10 pages;(.pdf) * Please upload a writing sample not to exceed 10 pages

DD-214 (copy 4), Certificate of Release or Discharge from Active Duty(.pdf) * Please provide your DD-214 (copy 4), Certificate of Release or Discharge from Active Duty, so that your service may be verified and credited.

Please sign your name in the box below *

Please use the buttons below the form to navigate between sections to review and verify that the information you have entered is correct. Once verified, complete the CAPTCHA and submit your application.

How did you hear about this position? (Optional)

Please specify: *

Please complete the CAPTCHA *

Submission Complete

Your application has been submitted successfully.

Thank you for applying for this position. You will receive an email confirmation of your submission shortly.

Return to Home

Method	Question Type	Description	Contact
Online Form	General	Contact us using an online form.	Contact Us Form
Email	General	Email us with a general question about the form or a position.	usdc_jobs@mad.uscourts.gov
Email	Technical	Email us about a technical issue with the form.	USDC-BostonWebmaster@mad.uscourts.gov

#24-15Court Attorney - (PROMESA Law Clerk)

For the questions below, your answers should include convictions resulting from a plea of nolo contendere (no contest), but omit:

College/University

Are you sure you want to delete this college/university?

Are you sure you want to delete this bar association?

Are you sure you want to delete this work experience?

Submission Complete

Session Expired

Your session has expired

Attachment Size Exceeded

Your attachments are too large

Attachment Blocked

One or more of your attachments has been blocked

Submission Blocked

Your form submission has been blocked

System Unavailable

The system is currently offline

Processing Error

An error occurred while processing your submission

Continue Application

Incomplete Form Submission Found

Load Application Data

Existing Form Submission Found

Contact Center