INSTRUCTIONS: To receive consideration
for veteran's credit, all information on this form must be
completed.
Job Title:
Source Code:
Date of Application:
Name:
Social Security #:
1. Have you been a resident of the State of Maryland
for at least five (5) consecutive years preceding the date of
your application for employment?
Yes
No
2. Were you honorably discharged from any branch
of the U.S. armed services after serving at least one hundred
and eighty (180) days of active duty?
Yes
No
3. Were you separated from active duty in any
branch of the U.S. armed services within five (5) years preceding
the date of your application for employment or did you serve
in any branch of the U.S. armed services for a period of at
least one hundred and eighty (180) days of active duty during
the Vietnam era (August 4, 1964 through April 7, 1975)?
Yes
No
4. Were you separated from active duty in any branch of the
United States armed services as a function of normal military
retirement procedures?
Yes
No
5. Were you previously appointed to a Merit System
position with Montgomery County Government based on priority
consideration as an eligible veteran?
Yes
No
Montgomery County Government reserves the right
to require and/or obtain the complete verification of all information
included in this form and the right to the final determination
of eligibility for veteran's credit. Prior to appointment to
a Merit System position, eligible veterans will be required
to submit a copy of Form DD 214 for verification of military
discharge information. Please be sure that you have checked
the box below, and have answered every question accurately.
I certify that I have read and fully comprehend this form in
its entirety and that the information herein provided is true
and complete to the best of my knowledge. I understand that
a false, misleading or erroneous statement on this form will
result in the rejection of my request for special veteran's
credit, the rejection of my application or in my discharge from
County employment. In submitting this request for veteran's
credit, I further understand that this form becomes the property
of Montgomery County Government and will not be returned.
Montgomery County provides special credits to veterans participating
in examinations for appointment to Merit System positions
which are announced as open to the general public. On such
examinations, eligible veterans who score in the highest rating
category will receive consideration for employment prior to
all non-veteran candidates in the same rating category. Priority
consideration for eligible veteran candidates is subject to
affirmative action objectives.
In order to qualify for veteran's credit, an applicant must
meet all of the following criteria:
Be a resident of the State of Maryland for at least five
(5) consecutive years preceding the date of application
to take a Merit System examination.
Have been honorably discharged from any branch of the
United States armed services after at least one hundred
and eighty (180) days of active military duty.
Have been separated from active duty status in any branch
of the United States armed services within five (5) years
of the date of application, or served for at least one hundred
and eighty (180) days of active duty during the Vietnam
era (August 4, 1964 through April 7,1975).
Veterans granted normal retirement from the United States
armed services are not eligible for special credit.
To receive consideration for veteran's credit, applicants
must submit a completed Request for Veteran's Credit form
with each County application for employment. The completed
form must be attached to your resume and submitted prior to
the closing date of the announced position. Prior to appointment
to a Merit System position, eligible veterans will be required
to submit a copy of Form DD 214 for verification of military
discharge information, and a notarized affidavit for verification
of residency status.