<p> STUTTGART CPAC NAF HRO SUPPLEMENTAL INFORMATION</p><p>Name:______</p><p>___I am a family member of an active duty soldier. (“Family member” is defined as a spouse or a dependent child under age 21 or 23 [if in college full-time] residing with the sponsor). A copy of PCS orders is required. ___I am a family member of a civilian employee of the US Government or a permanent employee of DOD NAF who was hired from the US. A copy of PCS orders is required. ___I am a family member of a civilian employee of the US Government or a permanent employee of DOD NAF who was hired locally. ___I am presently in the military (Commander’s consent memorandum is attached). ___I am NOT a family member as defined above.</p><p>Sponsor Information: Name of Sponsor:______Military, Civilian, Contractor (circle one)</p><p>Organization/CMR Address:______</p><p>Duty Phone:______Relationship to sponsor:______</p><p>Are you a U.S. Citizen? _____ Yes _____No (If “no”, write the name of the country in which you are a citizen and provide the Alien Registration Number)</p><p>Country of Citizenship:______Alien Registration Number:______</p><p>Date of Departure from US: ______; Date of Arrival in Germany: ______</p><p>Have you ever held, or presently hold, a German work permit (Arbeitserlaubnis)? _____Yes_____No If yes, date of issue:______</p><p>Did terms of employment with your last employer provide for return transportation to the US? _____Yes _____ No (If yes, attach copy of transportation agreement or contract.)</p><p>Have you ever served in the U.S. Military? ____Yes ___ No If yes, you MUST attach DD214 (Copy Member 4) </p><p>Did you receive an involuntary separation from Active Duty military service within the last 12 months? _____Yes _____No</p><p>Were you discharged under Honorable Conditions? _____Yes _____ No</p><p>FOR CHILD CARE APPLICANTS</p><p>Date (mm/yy) of High School graduation/GED ______Copy required.</p><p>Indicate the age group and installation in which you are interested in working: </p><p>_____ CDC (birth to 5 years old) _____ SAS (6 to 10 years old) _____ YS (11-18 years old)</p><p>_____ Kelley _____ Panzer _____ Patch _____ Robinson Barracks </p><p>STATEMENT: I hereby certify that the above information is true and correct to the best of my knowledge.</p><p>______Applicant Signature Date </p><p>NAF HRO 15Aug08</p>