Form ATF F 6330.1 ATF F 6330.1 Application for National Firearms Examiner Academy

OMB No. 1140-0049 (xx/xx/xxxx)

U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives

Application for National Firearms
Examiner Academy

Name

Home Address

Date of Birth

Place of Birth

Agency Name

Agency Address

Agency Telephone Number

E- Mail Address

Present Position Title

Start Date as Examiner Trainee

Yes

Are you a U.S. Citizen?

No

Social Security Number

Have you been the subject of a favorable background investigation with your agency? If so submit verifiction from your
agency.

Name of Immediate Supervisor

Supervisor’s E-mail Address

Immediate Supervisor’s Telephone Number

Previous Educational Experience (Applicant must possess an earned baccalaureate degree from an accredited academic institution with major
course work in physical science, natural science, forensic science, criminalistics, criminal justice, or related field.)
College or University

Are You Assigned to A Training Officer? If Yes, provide name, phone number and e-mail address

How Many Qualified Full-time Firearms Examiners Are in Your Lab and Actively
Working Cases?

R

Related Occupational Experience

Year

Date

How Many Trainees for Your Position Are Presently in Your Lab?

Are You Currently Following A Trainng Syllabus? If Yes, Which One.

Date

Supervisor’s Signature

D

Applicant’s Signature

Degree

AF
T

Major

Please mail or e-mail this form to:

National Firearms Examiner Academy
National Laboratory Center
6000 Ammendale Road
Ammendale, MD 20705-1250
[email protected]

Questions Please Contact:

(202) 648-6061
Privacy Act Information

1. Purpose. The information requested on this form is necessary to process requests from prospective students to attend the ATF National Firearms
Examiner Academy and to acquire firearms and toolmark examiner training.
2. Routine Uses. The information will be used solely to process the student application form.
3. Disclosure of Social Security Number. The supplying of this information is voluntary. The information is used to accurately verify the applicant’s
identity. Failure to do so will result in a delay in processing the application.
Paperwork Reduction Act Notice
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used to determine the eligibility of the applicant to attend the ATF
National Firearms Examiner Academy.
The estimated average burden associated with this collection of information is 10 minutes per respondent or recordkeeper, depending on individual
circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be address to Reports
Management Officer, Document Services Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

ATF Form 6330. 1
Revised (
)