Purpose statement and addressee
A statement that the person identified has been appointed to or applied for the position shown, and that the answers help determine suitability for Federal employment, followed by the ADDRESSEE block.
GSA3650
Inquiry for US Government Use Only (Educational Inquiry)
- Agency
- GSA
- Revision
- Rev. 8/1994
- Fillable fields
- 25
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 3650: Inquiry for United States Government Use Only (Educational Inquiry)
GSA Form 3650, Inquiry for United States Government Use Only (Educational Inquiry), is a one-page GSA form. The footer reads GENERAL SERVICES ADMINISTRATION and GSA Form 3650 (Rev. 8/94), and GSA hosts it in its forms library.
The form says the person identified on it has been appointed to or is an applicant for the position shown, and asks the addressee to answer all questions as fully and specifically as possible to help determine whether this person is suitable for Federal employment. It lists the attendance claimed in a day school, evening school, extension school, industry training program or other program, with from and to dates. The addressee then says whether the claimed dates are correct, gives the date and place of birth shown on school records, and says whether the person graduated and received a diploma or degree. The certification says the person being investigated has given written consent, with a copy attached.
You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 3650
Certification and notes
The certification of written consent, a statement that the inquiry is in full compliance with the Privacy Act of 1974, and a note that a delay in returning the form could prolong a decision.
Applicant or appointee
The block naming the person being investigated, beside a note to use the form when replying or show the case number in a letter reply. A postage-free envelope is enclosed.
Attendance claimed
Day school, evening school, extension school, industry training program or other (specify), each with from and to dates.
Items 1 to 3: the addressee's answers
Whether the claimed dates of attendance are correct and, if not, the correct dates; the date and place of birth shown on school records; whether the person graduated and received a diploma, and the degree and date conferred.
Date, signature and title
Under PLEASE SIGN YOUR NAME BELOW, the addressee enters the date, signature and title. The form says more space can be continued on a separate sheet of paper.
The form is one page with these blocks.
How to complete GSA Form 3650
- 1
Check the attendance claimed
Compare the type of school or program and the from and to dates listed under Attendance is claimed in your with the school's records.
- 2
Answer item 1
Check Yes or No for whether the claimed dates of attendance are correct. If the answer is No, the form asks for the correct dates.
- 3
Give the birth details in item 2
Enter the date and place of birth as shown on school records.
- 4
Answer item 3
Check whether the person graduated and received a diploma. If Yes, give the degree and the date it was conferred. The form says to continue on a separate sheet if more space is needed.
- 5
Sign, date and add a title
Fill in the date, signature and title boxes at the bottom of the form.
- 6
Return it
The form says to use it when replying, or to show the case number if the reply is a letter, and that a postage-free envelope is enclosed for the reply.
These steps follow the addressee section of the form.
Why fill Form GSA3650 on indox
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Reply, consent and privacy
Where it goes
The PDF prints no mailing address. It says a postage-free envelope is enclosed for the reply and asks the addressee to reply promptly.
Replying by letter
The form asks that a reply by letter show the case number.
Consent
The certification says the person being investigated has given written consent for this investigative inquiry, and a copy of the written consent is attached.
Who sees the answers
The form says the information provided, including the addressee's identity, will be disclosed to the person being investigated on request, unless the addressee asks that their identity be kept confidential.
Privacy Act
The form says the inquiry is in full compliance with the Privacy Act of 1974 and other laws protecting the civil rights of the person being investigated. It prints no OMB number or burden estimate.
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Who fills out GSA Form 3650?
The form is addressed to the school or program where attendance is claimed, and the addressee answers the bottom section.
Official sources and the blank
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Questions about Form GSA3650
Who issues GSA Form 3650?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA Form 3650 (Rev. 8/94). GSA hosts it in its forms library.
Who completes the bottom section?
The addressee. The section headed TO BE COMPLETED BY ADDRESSEE ON THIS INQUIRY holds items 1 to 3, followed by the date, signature and title.
Has the person agreed to this inquiry?
The certification says the person being investigated has given written consent for this investigative inquiry, and that a copy of the written consent is attached.
Will the person being investigated see the answers?
The form says the information provided, including the addressee's identity, will be disclosed to that person on request, unless the addressee asks that their identity be kept confidential.
What if the claimed dates are wrong?
Item 1 asks whether the claimed dates of attendance are correct. If the answer is No, the form asks for the correct dates.
How is the form returned?
The form says to use it when replying, or to show the case number in a reply by letter. It says a postage-free envelope is enclosed and prints no mailing address.