Form Center

City of Orono Election of Veteran's Preference

2. Veterans' Preference
   Please submit this form with your application in order to receive your veterans' preference

   Please submit this form with your application in order to receive your veterans' preference

4. NOTE: VETERANS’ PREFERENCE POINTS CANNOT BE CONSIDERED WITHOUT SUPPORTING DOCUMENTATION. ATTACH COPY OF “MEMBER COPY 4” VETERAN’S DD214, OR OTHER DOCUMENTATION VERIFYING SERVICE. DOCUMENTATION MUST BE RECEIVED BY THE APPLICATION DEADLINE OF THE POSTING IN ORDER TO BE CONSIDERED. (VETERAN IS DEFINED BY MINN. STAT. § 197.447)

6. You must submit a PHOTOCOPY of your “Member Copy 4” of your DD214 or other documentation verifying service to substantiate the services information requested on the form. Claims not accompanied by proper documentation will not be processed. For assistance in obtaining a copy of your “member Copy 4” of your DD214, or other documentation verifying service, contact your County Veterans’ Service Office. The City of Orono operates under a point preference system, which awards points to qualified veterans to supplement their application. Ten (10) points are granted to non-disabled veterans on open competitive examinations; Fifteen (15) points are awarded if the veteran has a service connected compensable disability as certified by the U.S. Department of Veterans Affairs (USDVA).

   You must submit a PHOTOCOPY of your “Member Copy 4” of your DD214 or other documentation verifying service to substantiate the services information requested on the form. Claims not accompanied by proper documentation will not be processed. For assistance in obtaining a copy of your “member Copy 4” of your DD214, or other documentation verifying service, contact your County Veterans’ Service Office. The City of Orono operates under a point preference system, which awards points to qualified veterans to supplement their application. Ten (10) points are granted to non-disabled veterans on open competitive examinations; Fifteen (15) points are awarded if the veteran has a service connected compensable disability as certified by the U.S. Department of Veterans Affairs (USDVA).

8. To qualify for preference for a competitive exam, you must have earned a passing score and been separated under honorable conditions from any branch of the armed forces of the United States after having served on active duty for 181 consecutive days, or by reason of disability incurred while serving on active duty, or after having served the full period called or ordered for federal, active duty and be a United States citizen or resident alien. Veteran’s preference may be used by the surviving spouse of a deceased veteran, who died on active duty or as a result of active duty, and by the spouse of a disabled veteran who is unable to qualify because of the disability.

   To qualify for preference for a competitive exam, you must have earned a passing score and been separated under honorable conditions from any branch of the armed forces of the United States after having served on active duty for 181 consecutive days, or by reason of disability incurred while serving on active duty, or after having served the full period called or ordered for federal, active duty and be a United States citizen or resident alien. Veteran’s preference may be used by the surviving spouse of a deceased veteran, who died on active duty or as a result of active duty, and by the spouse of a disabled veteran who is unable to qualify because of the disability.

10. To qualify for preference on a promotional exam, a veteran must have earned a passing exam score and received a USDVA active duty service connected disability rating of 50% or more. For a promotional exam, a qualified disabled veteran is entitled to be granted five (5) points. Disabled veterans eligible for such preference may use the five points preference only for the first promotion after securing employment with the City of Orono. Claims must be made on the form below and submitted with your application by the application deadline of the position for which you are applying. If the “Member Copy 4” DD214, or other documentation verifying service, is submitted to our office separate from this sheet, please attach a note with it indicating the position for which you are applying and your present address.

    To qualify for preference on a promotional exam, a veteran must have earned a passing exam score and received a USDVA active duty service connected disability rating of 50% or more. For a promotional exam, a qualified disabled veteran is entitled to be granted five (5) points. Disabled veterans eligible for such preference may use the five points preference only for the first promotion after securing employment with the City of Orono. Claims must be made on the form below and submitted with your application by the application deadline of the position for which you are applying. If the “Member Copy 4” DD214, or other documentation verifying service, is submitted to our office separate from this sheet, please attach a note with it indicating the position for which you are applying and your present address.

12. Name

13. Email Address

15. Address

17. City

18. State

19. Zip Code

21. Phone Number

22. Fax Number

24. Position For Which You Applied

25. Are you a US Citizen or Resident Alien?

    1. Yes
    2. No

27. VETERAN (10 points)
    “Member Copy 4” of DD214 or DD215, or other documentation verifying service, must be submitted to receive points.

    “Member Copy 4” of DD214 or DD215, or other documentation verifying service, must be submitted to receive points.

29. Are you an honorably discharged veteran?

    1. Yes
    2. No

31. DISABLED VETERAN (15 points)
    “Member Copy 4” of DD214, or other documentation verifying service, and USDVA letter of disability rating decision of 10% or more must be submitted to receive points.

    “Member Copy 4” of DD214, or other documentation verifying service, and USDVA letter of disability rating decision of 10% or more must be submitted to receive points.

33. Please provide the percent of disability:

35. Have you ever been promoted within the City of Orono Employment?

    1. Yes
    2. No

37. SPOUSE OF DECEASED VETERAN (10 points or 15 if the veteran was disabled at time of death)
    Member Copy 4” of DD214 or DD215, or other documentation verifying service, photocopy of marriage certificate, spouse’s death certificate and proof veteran died on or as a result of active duty must be submitted to receive points. You are ineligible to receive points if you have remarried or were divorced from the veteran.

    Member Copy 4” of DD214 or DD215, or other documentation verifying service, photocopy of marriage certificate, spouse’s death certificate and proof veteran died on or as a result of active duty must be submitted to receive points. You are ineligible to receive points if you have remarried or were divorced from the veteran.

39. Date of Death:

41. Have you remarried?

    1. Yes
    2. No

43. SPOUSE OF DISABLED VETERAN (15 points)
    “Member Copy 4” of DD214 or DD215, or other documentation verifying service, and USDVA letter of disability rating decision of 10% or more must be submitted to receive points.

    “Member Copy 4” of DD214 or DD215, or other documentation verifying service, and USDVA letter of disability rating decision of 10% or more must be submitted to receive points.

45. How does Veteran’s disability prevent performance of a stated job “requirement?” Due to the veteran’s service-connected disability the veteran is unable to qualify for this position because (be specific):

47. AFFIDAVIT:

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. 4) I hereby claim Veterans’ Preference points for this examination and swear/affirm that the information given is true, complete and correct to the best of my knowledge. I hereby acknowledge that I am responsible to obtain the required Veterans’ Preference verification documents and submit them to the City of Orono by the required application deadline.

    1. I agree.
49. Electronic Signature

Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field