Faa Form 3330-43-1 Rating Of Air Traffic Experience For At Movement Page 4
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4FACTOR 2
Aviation Experience (One point for each rating or certificate checked; Maximum 5 points).
Private Pilot
Commercial Pilot
Instrument Rating
Certified Flight Instructor
Dispatcher Certificate
(points)
FACTOR 3 –Experience and Recency (Maximum 50 points)
3a. Experience (Assign 2 points for each full year in an ATS 2152 series position.)
3a
- 3b
=
(points)
3b. Recency – (Deduct 1 point for each full year since certification was lost. For a CPC position deduct an additional 1 point for each full year since in an
ATS terminal or center CPC position.)
FACTOR 4
Education and Self-Development (Maximum 25 points)
4a.
Credit undergraduate college work at 30 semester hours or 45 quarter credits = 1 year. Credit graduate college work at 18 semester hours or 27
quarter credits = 1 year. Education in increments of less than 1 year may be prorated in half -year increments in accordance with the following table. Award
credit only for the highest level attained by the applicant. Circle appropriate credit. (Must be from an accredited institution)
COLLEGE EDUCATION CREDIT TABLE
1 year of college
3
4 yrs. of college
9
1.5 yrs. of college
4
Bachelor’s Degree*
10
2 years of college
5
1 year of graduate work
12
Associate’s Degree
6
2 yrs. of graduate work
14
2.5 yrs. of college
6
Master’s Degree*
15
3 years of college
7
3 yrs. of graduate work
17
3.5 yrs. of college
8
Doctorate*
20
*Type of Degree:
School:
Date:
(points)
4c.
Long-Term Training
4b.
FAA Correspondence Courses
Date Completed
List Course Titles and Dates
(points)
Completed on Separate Sheet
and attach to Application
TOTAL
4b
(Maximum 2)
FACTOR 4 GRAND TOTAL
(points)
4a
+ 4b
+ 4c
=
FACTOR 5
Awards (Maximum 10 points ). Award the following points for recognition granted to employees: Presidential
Monetary Award = 5 pts. Outstanding Rating = 4; FAA Award for Superior Achievement = 4; Quality Step Increase = 3;
Exceptional Rating = 2; Special Achievement Award= 2; On-the-Spot Cash Award, Certificate of Achievement, Time Off
Award Official Letter of Commendation, Suggestion Award = .5 point for each (maximum 2 pts.); (NOTE: Quality Step Increases or Special Achievement
Award given in conjunction with an Outstanding Rating receive outstanding rating credit only.
Type
Date
Value
Type
Date
Value
Type
Date
Value
Type
Date
Value
O = Outstanding Rating
SAA = Special Achievement Award
OTS = On-the-Spot
PMA = Presidential Monetary Award
Q = Quality Step Increase
COM = Ltr. of Commendation
CA = Certificate of Achievement
E = Exceptional Rating
SUG = Suggestion Award
TOA = Time Off Award
CERTIFICATION OF CANDIDATE : I certify that all of the statements
made in this application are true, complete, and correct to the best of my
knowledge and belief and are made in good faith.
CERTIFICATION OF RATING OFFICIAL: I certify that this rating is true,
complete, and correct to the best of my knowledge and belief.
Date
Signature of Candidate
Date
Signature of Rating Official
Electronic Version (Adobe)
2
FAA FORM 3330-43-1 (10/11)
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