ContractTraining and Reimbursement Agreement • August 14th, 2002
Contract Type FiledAugust 14th, 2002REQUEST, AUTHORIZATION, AGREEMENT, CERTIFICATION OF TRAINING AND REIMBURSEMENT (Abbreviated) A. AGENCY CODE AND SUBELEMENT, AND SUBMITTING OFFICE NUMBER (xx-xx-xxxx) B. STANDARD DOCUMENT NUMBER(Org identifier/ FY, Doc./ type code/ Serial number) C. REQUEST STATUS OR PROCESS CODE (X one) D. AMENDMENT NO. (1) Initial (2) Resubmission (3) Correction (4) Cancellation SECTION A - TRAINEE / APPLICANT INFORMATION 1. NAME (Last, First, Middle Initial) 2. 1st 5 LETTERS OF LAST NAME 3. SOCIAL SECURITY NUMBER 4. ED. LEVEL 5. CONTINUOUS FEDERAL SVC. a. Years b. Months 6. HOME ADDRESS (Street, City, State and ZIP Code) (optional) 7. TELEPHONE NUMBERS (Include area code) 8. POSITION TITLE a. Home b. Office 9. POSITION LEVEL (X one) 10. PAY PLAN/SERIES/GRADE/STEP(Rank/ MOS/AFSC/or Navy Designator) 11. ORGANIZATION NAME (1) Commercial a. Executive (2) DSN b. Manager 12. ORGANIZATION MAILING ADDRESS (Include ZIP Code) 13. ORGANIZATION UIC c. Supervisory 14. TYPE OFAPPOINTMENT 15. NO. PR