Va Form 4078 - Application For Promotion Or Reassignment
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1APPLICATION FOR PROMOTION OR REASSIGNMENT
INSTRUCTION: Submit in accordance with the merit promotion announcement (in CO, to the Director, Central Office Human Rsources Service (05HRS)).
Please consider my qualifications as a candidate for the position identified below.
1. NAME OF APPLICANT (Type or print)
2. HIGHEST CIVIL SERVICE GRADE ATTAINED
3. PRESENT ORGANIZATION (Department or staff office, service, division, section, etc.)
4. APPLICANT'S TELEPHONE NO.
5. TITLE OF PRESENT POSITION
6. GRADE OF PRESENT POSITION
7. NAME AND TITLE OF SUPERVISOR
8. SUPERVISOR'S MAIL ROUTING SYMBOL
9. TITLE OF POSITION APPLIED FOR
10. GRADE OF POSITION
11. NO. OF PUBLISHED ANNOUNCEMENT
APPLIED FOR
12. SIGNATURE OF APPLICANT
13. DATE (MM/DD/YYYY)
VA FORM
4078
MAR 1993 (R)
ACKNOWLEDGMENT OF APPLICATION FOR PROMOTION OR REASSIGNMENT
NOTE TO APPLICANT: If you desire acknowledgment of your application, also complete items 14 through 18.
14. NAME OF APPLICANT
15. APPLICANT'S MAIL ROUTING SYMBOL
16. TITLE OF POSITION APPLIED FOR
17. GRADE OF POSITION
18. NO. OF PUBLISHED ANNOUNCEMENT
APPLIED FOR
19. ACTION ON APPLICATION
YOU ARE QUALIFIED AND WILL BE INCLUDED IN THE GROUP OF EMPLOYEES TO BE EVALUATED.
A REVIEW OF YOUR PERSONNEL FOLDER INDICATES YOU DO NOT MEET THE MINIMUM QUALIFICATIONS FOR THIS POSITION.
OTHER (Specify)
20. REMARKS
21. RECEIPT ACKNOWLEDGED BY
22. DATE
4078
VA FORM
MAR 1993 (R)
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