ContractJune 25th, 2024
FiledJune 25th, 2024AUTHORIZATION, AGREEMENT AND CERTIFICATION OF TRAINING A. Agency, code agency subelement and submitting office number B. Request Status (Mark (X) one)Resubmission InitialCorrection Cancellation Section A - TRAINEE INFORMATIONPlease read instructions on page 6 before completing this form 1. Applicant's Name (Last, First, Middle Initial) 2.Social Security Number/Federal Employee Number 3. Date of Birth (yyyy-mm-dd) 4. Home Address (Number, Street, City, State, ZIP Code) (Optional) 5. Home Telephone (Optional) (Include Area Code) 6. Position Level (Mark (X) one) a. Non-supervisory b. Manager ✖ c. Supervisory d. Executive 7. Organization Mailing Address (Branch-Division/Office/Bureau/Agency)) 8. OfficeTelephone(Include Area Code and Extension) 9. Work Email Address 10. Position Title 11. Does applicant need special accomodation?Yes ✖ No If yes, please describe below 12. Type of Appointment 13. Education Level(click link to view codes or go to page 7) 14. Pay Plan 15. Series 16. Grade 17