Form 6524 Office of Chief Counsel Application

Office of Chief Counsel - Application

OMB Number
1545-0796

E-mail address

Name and permanent address of applicant (Include ZIP code)

Permanent telephone number
Temporary address of applicant (if applicable) (Include ZIP code)

At temporary address until (Date)
Temporary address telephone number

Have you passed a Bar exam

Yes

No

Have you been admitted to a Bar

Yes

No

State

Date

Are you a U.S. citizen or a permanent resident seeking U.S. citizenship? *

Lowest pay or grade acceptable

Yes

No

* In order to apply, you must be a U.S. citizen or a permanent resident seeking U.S. citizenship

Bar plans

Graduation date

LSAT score

Law school

Class standing (% rank)

Date available

Activities and honors (Law Review, Coif, Legal Aid, employment while in school, etc. Continue on a separate sheet if necessary.)

College(s)

Dates attended

Major

Degree

Activities and honors (Honorary societies, awards, etc.)

Graduate school (LL.M. or other degree)

Graduation date

Class standing (% rank)

Degree

Tax, accounting or other legal experience (Include writing, jobs, special studies, course work, or research. Continue on a separate sheet if necessary.)

If currently employed, list name, address and telephone number of employer

Dates of employment

(Include ZIP code and area code)

Salary/Earnings
Name and title of immediate supervisor
Reason for wanting to leave

Description of work (Continue on a separate sheet if necessary.)

May we ask your current employer about your character, qualifications, and employment record

Yes

No

Desired employment location(s)

Form 6524 (Rev. 6-2010)

Cat. No. 61948P

www.irs.gov

Department of the Treasury-Internal Revenue Service

Military service

Indicate what type of work you are interested in.
Check the box next to each area which interests you. Then rank them in order of preference (1, 2, 3, etc.) ONLY if you have specific preferences.
National Office: (Washington D.C. area)
Field Component: (Throughout the U.S.)
General Legal Services
Corporate
Criminal Tax
Criminal Tax
Income Tax & Accounting
Tax Exempt/Government Entities
Tax Exempt/Government Entities
Financial Institutions & Products
Small Business/Self Employed
Small Business/Self Employed
Passthroughs & Special Industries
Large & Mid-Size Business
Large & Mid-Size Business
Procedure & Administration
International Tax
Wage & Investment (Atlanta area only)
General Legal Services
Advanced Pricing Agreement Program
Wage & Investment
References (include complete mailing address and daytime phone number)

1.

2.

3.
Signature

Date

Privacy Act and Paperwork Reduction Act Notice
General
This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974), December 31, 1974, for individuals completing the Chief Counsel
Application Form. This notice is applicable to all requests made to you to submit information under the Chief Counsel application process.
Authority
The authority to collect the information requested under the Chief Counsel application process is derived from 5 U.S.C. 301, and 26 U.S.C. 7801.
However, disclosure is voluntary.
Purposes and Uses
The information you supply will be used principally to evaluate your qualifications for employment. This information may be furnished:
1. to the Office of Personnel Management for appropriate personnel actions;
2. to members of Congress for the purpose of answering congressional inquiries in cases in which confidentiality has been waived by the individual;
3. to the Department of Justice for the purpose of litigating an action or seeking legal advice;
4. an apparent violation of the law may be referred to the appropriate law enforcement authorities for investigation of possible criminal prosecution,
civil court action, or regulatory order;
5. to a Federal State, or local agency maintaining civil, criminal or other relevant enforcement information or other pertinent information, such as
current licenses, if necessary to obtain information relevant to an agency decision concerning the hiring or retention of an employee, the issuance
of a security clearance, the letting of a contract, or the issuance of a license, grant or other benefit;
6. to a Federal agency, in response to its request, in connection with the hiring or retention of an employee, the issuance of a security clearance,
the reporting of an investigation of an employee, the letting of a contract, or the issuance of a license, grant, or other benefit by the requesting
agency, to the extent that the information is relevant and necessary to the requesting agency's decision on the matter.
Effect of Nondisclosure
You are not required to supply the information requested in the application process. However, the effect of not providing all of the information
requested could be rejection of your application for employment. A false answer to any question on the application form is punishable by law under 18
U.S.C. 1001.
Applicants are encouraged to retain this Notice for future reference as to their rights under the Privacy Act.
You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid
OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the
administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section 6103.
The time needed to complete this form will vary depending on individual circumstances. The estimated average time is 18 minutes.
If you have comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we would be happy to hear from
you. You can write to Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, IR-6526,
Washington, DC 20224. DO NOT send this form to this office.
For information on how to apply for Attorney positions with the Office of the Chief Counsel, Internal Revenue Service, please visit the Careers web
site on IRS.gov and select the link for Attorneys or click on the following link: http://jobs.irs.gov/student/office-chief-counsel.html.
Additional remarks

Form 6524 (Rev. 6-2010)

Cat. No. 61948P

www.irs.gov

Department of the Treasury-Internal Revenue Service