Common Contracts
1 similar Authorization, Agreement and Certification of Training contracts
ContractAuthorization, Agreement and Certification of Training • March 26th, 2012
AUTHORIZATION, AGREEMENT AND CERTIFICATION OF TRAINING A. Agency, code agency subelement and submitting office numberCLD 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 Number000-00- 3. Date of Birth (yyyy-mm-dd)N/A 4. Home Address (Number, Street, City, State, ZIP Code) (Optional) Human Resources and Organizational Management Branch (ARH) 3000 Marine Corps PentagonWashington, DC 20380 5. Home Telephone (Optional) (Include Area Code) N/A 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
