Fillable Opm Form 1306 - Appointment Intake Form printable pdf download

Presidential Management Fellows (PMF) Program

Appointment Intake Form

PRIVACY ACT STATEMENT:

Authority: 5 CFR 362.103 authorizes participating Federal agencies to make an appointment under the Pathways Programs (including the Presidential

Management Fellows (PMF) Program) to a position defined in 5 CFR 213.3402.

Purpose: This PMF Appointment Intake Form is used to collect appointment information (including acceptance of a tentative PMF appointment offer) of

a Finalist or Fellow, and submit to the Agency PMF Coordinator and PMF Program Office, including any updates to the initial appointment or

reappointments.

Routine Uses: The information will be used by the PMF Program Office and Agency PMF Coordinator to process PMF appointments (e.g., initial

appointment, reappointment, or updates) within their agency and record in the PMF Program’s Talent Management System (PMF TMS).

Disclosure: Use of this form and furnishing this information is optional; however, it is designed to ensure accurate information is collected and

recorded. Agencies may use alternative formats.

INSTRUCTIONS:

Fellows: A newly appointed Finalist or reappointed Fellow may obtain this form from the PMF website at Upon accepting or

starting an initial PMF appointment, the Finalist/Fellow should fill out this form and submit a copy to their Agency PMF Coordinator and

fax/email a copy to the PMF Program Office at 202-606-3040 or pmfapplication@opm.gov. The Fellow can confirm proper recording by

contacting their Agency PMF Coordinator. A list of Agency PMF Coordinators can be found on the PMF website. Use this form to also submit

updated appointment information (e.g., work email/phone number upon starting appointment).

Agency PMF Coordinator: Upon receipt, record appointment information within your agency’s human resources system and log into the PMF

TMS to record the appointment, reappointment, or update. The PMF Program Office may have initially recorded the appointment information;

however, you should ensure all such information is accurate. Once the appointment is recorded, ensure other program requirements are

followed (e.g., signed Participant Agreement, creation of an Individual Development Plan, issuance of Performance Standards, assignment of a

Mentor, and reimbursement of PMF placement fee). Please ensure the appointing office submits reimbursement to the PMF Program Office.

Retain copy for your records.

PMF Program Office: Upon receipt, record information in the PMF TMS.

Reason (check one):

Initial Appointment

Reappointment

Update

Other

PMF’s Name (first and last):

PMF’s Class Year (yyyy):

Appointment Opportunity Announcement Number

(this is needed to associate your appointment to an announcement):

Full Agency Name (headquarters):

Full Sub-Agency Name (if applicable):

Hosting Organization Name (if applicable):

Target Entry on Duty (EOD) Start Date

Actual Entry on Duty (EOD)

(if actual start date is unknown; mm/dd/yyyy):

Start Date (mm/dd/yyyy):

Pay Schedule and Grade Level Upon Initial Appointment

Job Series of Position (e.g., 0343):

(e.g., GS-9, 11, 12, or equivalent):

Position Title

Target Grade Level of Position (e.g., GS-13):

(e.g., Program Analyst):

PMF’s Work Phone Number:

PMF’s Work Email Address:

(###-###-####)

PMF Supervisor’s Name

PMF Supervisor’s Phone Number:

(first and last):

(###-###-####)

PMF Supervisor’s Work

PMF’s Work Duty Location (City, State):

Email Address:

Any Recruitment Incentive Associated to this Appointment (e.g., student loan repayment, relocation, etc.; Yes or No):

Level of Background Investigation/Security Clearance Associated to this Appointment

(e.g., Public Trust, Confidential, Secret, Top Secret, Top Secret/SCI, or Other; enter appropriate category):

Comments (if any):

U.S. Office of Personnel Management

OPM Form 1306

Presidential Management Fellows Program

08/2017

Opm Form 1306 - Appointment Intake Form

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