Faa Form 3330-43-1 Rating Of Air Traffic Experience For At Movement Page 3
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1
2
3
4Score of
Rating of Air Traffic Experience for AT Movement
TALLY
Vacancy Number
Vacancy Position Title
Series and ATC and Career
Level Codes
Max.
FACTOR
Score
AT-2152-
Pts.
Vacancy Closing Date
Facility
Location/Region
1
42
2
5
Name of Candidate
Present Series, ATC/Career Level, and Loc.
Social Security Number
3
50
4
25
Current Supervisor
Location/Region
Office Phone Number
5
10
Selective Placement Factor
Not
Not
Satisfied
Not
ot
Total Score
Applicable
Satisfied
Sati
Satisf
Applic
FACTORS 1
Facility Complexity Level (Assign 3 points times the highest ATC level facility)
Value
Dates (Mo/Day/Yr)
Position, Title, ATC and Career Level
Facility
Level
Cred.
Fac. I. D.
Type
Area/FAC
From
To
Time
(Mo.)
Certification
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
Electronic Version (Adobe)
1
FAA FORM 3330-43-1 (10/11)
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