Common Contracts
2 similar Authorization, Agreement and Certification of Training contracts
ContractAuthorization, Agreement and Certification of Training • October 23rd, 2015
AUTHORIZATION, 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 completeing this form 1. Applicant`s name (Last-First-Middle Initial) Smith, Michael 2. Social Security Number 3. Date of birth (Year and month) 4. Home Address (Number, street, city, State, ZIP code)1111 Connecticut Ave NW Washington DC 20036 5. Home Telephone555-555-5555 6. Position Level (Mark (X) one only) X a. Non-supervisory c. Manager b. Supervisory d. Executive 7. Organization mailing address (Branch-Division/Office/Bureau/Agency) 1111 Florida Ave NW Washington DC 20036 8. Office Telephone 555-555-5555 9. Work Email Address smith.michael11@brookings.edu 10. Position Title Program Analyst 11. Does applicant need special accomodation?Yes x No If yes, please describe below 12. Type of Appointment 13. Educ
ContractAuthorization, Agreement and Certification of Training • October 23rd, 2015
AUTHORIZATION, 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 completeing this form 1. Applicant`s name (Last-First-Middle Initial) Smith, Michael 2. Social Security Number 3. Date of birth (Year and month) 4. Home Address (Number, street, city, State, ZIP code)1111 Connecticut Ave NW Washington DC 20036 5. Home Telephone555-555-5555 6. Position Level (Mark (X) one only) X a. Non-supervisory c. Manager b. Supervisory d. Executive 7. Organization mailing address (Branch-Division/Office/Bureau/Agency) 1111 Florida Ave NW Washington DC 20036 8. Office Telephone 555-555-5555 9. Work Email Address smith.michael11@brookings.edu 10. Position Title Program Analyst 11. Does applicant need special accomodation?Yes x No If yes, please describe below 12. Type of Appointment 13. Educ
