Motor Coach Operator
Resume:
Form approved:
CONTINUATION SHEET FOR QUESTIONNAIRES
Standard Form 86A
OMB No. 3206 0005
Revised July 2008
SF 85, SF 85P, AND SF 86 NSN 754G.01-26&4828
U.S. Offie of Personnel Managernent
**- *'l 'l
5 CFR Parts 731, 732, and 736
For use with the SF 85, Questionnaire for Non-Sensitive Positions;
SF 85P, Questionnaire for Public Trust Positions;
and SF 86, Questionnaire for National Security Positions
INSTRUCTIONS: Use this form to continue your answers to "\Mere You Have Lived," "l/vhere You Went to School," andior "Your Employment Activiues." Follow
the instructions on the form for the particular questions you are answering and give information in the same sequence- Use as many continuation sheets as needed.
Your Social Security Number
Your Natne
579-98-1 344
Sean Adrien Evans
11 WHERE YOU HAVE LIVEO (Continuecl)
To Month/Year Status Apt.#
#5 Month/Year housing .Street address
lililitary
Own
I
stzoo2 ttzooe x I
cther (Exptain) 1219 Nova Ave
Rent
I
APO/FPO address
in wifes names
State ZIP Code
.
City (Country)
I
I rvro zoz+e
CapitolHeights
Apt.#
Name of person who knolvs you at this address Cunent address
6706 Stonehill Rd
Ophelia Swain I
APO/FPO address (if cunently applicable)
State . ZIP Code
uo I
City (Country) -
zonz
I
Upper Marlboro
Landlord
rl number I
number lOther (ExPlain)
Neighbor
Relationship
Alternate contact
Telephone .
Business associate
Friend
#6 Month/Year To housing Apt.#
.Street address
MonthfYearl Status Own Military
(Exolainl
Othet
Rent I
APO/FPO address
State ZIP Code
City (Country)
Apt.#
address
Name of person who knows you at this, Current address
I
APO/FPO address (if cunently applicable)
zrP code
City (Gountry)
lstate,
r-l Landlord
number I
number lOther (Explain)
Neighbor
Relationship
.Altemate contact
Telephone
Business associate
Friend
To Apt.#
housing .Street address
tl
#7 MonthfYear MonthfYear Status )wn vlilitary
)ther (Exptain)
lent I
APO/FPO address
code
State
City (Country)
lzrP
Apt.#
address Cunent address
Name of person who knows you at this,
I
I
APO/FPO address (if cunently applicable)
zlP code
City (Country)
lstate I
Landlord
number
number I
tt
\eighbor
Relationship lOther(Exptain)
Altemate contact
Telephone,
.
Friend Business associate
EnteryourSocialSecurityNumberbeforcgoingtothenextPa9e#
Form approved:
Standad Fonn 86 OMB No. 3206 0005
QUESTIONNAIRE FOR
Revised July 2008
NSN 754*-**-***-****
U.S. Omce of Personnel Management
NATIONAL SECURITY POSTTIONS 86-1 11
5 CFR Parts 731,732, and736
E'EI ATIT'EG
thefullnameandotherreqUestedinformation,ifapplicable,
for each of your relatives, living or deceased, specified belo\ /.
1-tr/lo&ter 13 - Half-sister
9 - Sister
5 Foster parent
Father 14 - Father-in-law
10 - Stepbother
6 Qhitd (incl. adopted and foster)
2-
Stepmother 15 - Mother-in-law
1'l - Stepsister
7 Stepchild
3-
Stepfather 16 - Guardian
12 - Haf-brother
8 Brother
4-
Country(ies) of citizenship
ull name Place of birth
uoqe U Date of birth
Deceased
1
Cunent address (Street, City, and State, include Counby if outside the U.S')
3!q_!9 iegument numbers.
tf ietative was bom outside the U.S. indicate one type of documentation that he or she posge!999
-l
Alien reqistration lOtner @xptain)
FS 240 or 545 Citizenship certifi cate
U.S. Passport (cunent or most recent)
DS't350 Natu ralization certifi cate
country(ies) of citlzenshtp
name
'ull Place of birth
U
uooe Date of birth
Dec€ased
2
Cunent address (Sfreel City, and State, include County if outside the U.S.)
I Other (Explain)
Alien reoislration
FS 240 or545 Citizenship certifi cate
U.S. Passport (cunent or most recent) Naturalization certificate
DS 1350
Country@s) of citizenship
name Place of birth
U Date of birth
:ull
Code Deceased
usa
\labama
vl9/1939
14 lach Swain
eGrenGddresi(Street, City, and State, include Country if outside the U.S.)
2814 South Dakota Ave, NE, Washington DC 2fi)18
I lOtrrer (Exptain)
Alien registration
FS 240 or545 Citizenship certificate
l
l U.S. Passport (cunent or most rccent) Naturalization certifi cate
DS 1350
Country(ies) of citizenshlP
name Place of birth
U
Code :ull Date of birth
Deceased
usa
{alifax NC
r/14l1939
15 lozina Swain
arnent adaress (Stree( City, and State, include Country if outside the U.S.)
2814 South Dakota Ave, NE Washington DC 20018
I lotner ffxptain)
Alien reqistration
FS 240 or545 Citizenship certmcate
U.S. Passport (cunent or most rccent) Naturalization certifi cate
DS 1350
Country(ies) of citizenship
name Place of birth
U Date of birth
:ull
Code Deceased
u.s.t
*l
lonh"r (Exptain)
Alien reoistration
FS 240 or545 Citizenship certifi cate
U.S. Passport (cunent ormost recrunt) Naturalization certif cate
DS 1350
Country(ies) of citizenshiP
name U Place of birth
:ull Date of birth
Code Deceasec
eunent address fSireef, City, and State, include Country ff outside the U.S.)
I Other (ExPlain)
Alien registration
FS 240 or 545 Citizenship ce(ificate
U.S. Passport (cunent ormost recent) Naturalization certifi cate
DS 1350
Country(ies) of citizenshlP
Place of birth
Date of bifth
t,
include Country if outside the U'S')
I CIner @xptain)
IU Alien registration
FS 240 or545 Citizenship certifi cate
f EI
U.S. Passport (cunent or most rc@nt) Naturalization certifi cate
DS 1350
_l
Enter your Social Security Number befole going to the next page
lqqs 6q4
Page'll
Ftrm approved:
CONTINUATION SHEET FOR QUESTIONNAIRES
Standard Form 864 OMB No. 3206 0005
Revised July 2008
SF 85, SF 85P, AND SF 86 NSN 754G01-268-4828
U.S. Office of PeEonnel Management
86-1 11
5 CFR Parts 731, 732, and 736
ETUIPLOYMENT/UNEMPLOYITIENT INFORMATION (Confinued,l
3
I
Additional Periods of Activitv with this Emplover
rl
To SuOervisor
Month^'ear Monthl(ear Position title,
To Supervisor
Month/Year Month/Year Position title
tl,
To
Monthffear
lt Month/Year Position title
lSupervisor
Explanation/Reason for leaving
#7 Dates of Emolovrnent TvDe of EmDlovment
hours
Work Full-Time
Position title/Military rank
Employment code
Month^fear
Month/Year To .
I tart-Time
I
I
Emolover/Verifier
Name of employer/verifi er Telephone number,
Address of employer/verifi er
State ZIP Code
City (Country)
Physical Locatlon
number
Your ac;tual work address (if different from employer address)
lTelephone
ZrP code
City (Country)
lstate,
Supervisor lif dilferent from emplowr)
Te16phone number
Name and title
I
Work address of supervisor
tl State ZIP Code
City (Country)
Additional Periods of Aetivttv with this Employer
rl
To
Mon{hl/ear Month/Year Position title,Sunervisor
rl
To Sunervisor
MonthfYear Month/Year - Position title,
To SuOervisor
Monthlfear Month^fear Position title
rl
lr,
Explanation/Reason for leaving
PUBLIC BURDEN INFORMATION
public burden reporting for this collection of information averages 20 minutes, including time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the colledion of information. Send comments fgardilg the burden estimate or any
6tneras[eAofthiscolledionofinformation, includingsuggestionsforreducingthisburden,toOPMFormsOfficer,U.S.OfficeofPersonnel Management, 1900
E Street NW, Washington, DC 20415. Do not send your-iompteted form to this address, send it to the office that provided you the form. The OMB clearance
number, 3206-0005, ii cunently valid. OPM may noicollect this information, and you are not required to respond, unless this number is displayed.
nt3,youshouldrcviewyouranswen$toallquestion3tomakesuretheforYniscompleteandaccuiate'
and then sign and date the foltowing cortification and the attached release(s).
Gertification
EnteryourSocialSecurityNumberbeforegoingtothenextPa9e#
Contact this candidate