Cal Ng Form 690-2 - Nomination For Federal Employment

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NOMINATION FOR FEDERAL EMPLOYMENT

NAME

SSAN

DOB

VA #

PERMANENT

INDEFINITE

TEMPORARY NTE _________________

POSITION TITLE

PAY PLAN, SERIES, GRADE

POSITION DESCRIPTION NUMBER

PARA/LINE or FAC/MPCN

M-DAY ORGANIZATION

MILITARY GRADE/TITLE

MOS/AFSC

MILITARY UIC / PAS CODE

CURRENTLY AN EMPLOYEE/AGR?

PROPOSED EFFECTIVE DATE

VICE

PRIOR FEDERAL/MILITARY SERVICE

Yes (ATTACH SF144/DD214)

Yes (check Emp or AGR)

NAME OF POSITION’S ORGANIZATION

ADDRESS

UNIT POC/TELEPHONE/E-MAIL

NOMINEE’S WORK EMAIL ADDRESS

EMPLOYEE HIERARCHY INFORMATION

REMARKS

EMP SUPV/RATER:

EMP SENIOR RATER:

TO BE COMPLETED BY NOMINATING SUPERVISOR

I certify that this Position Description is an accurate statement of major duties and responsibilities of this position and its organizational relationships and that the

position is necessary to carry out Government functions for which I am responsible. This certification is made with the knowledge that this information is to be used

for statutory purposes relating to appointment and payment of public funds and that false or misleading statements may constitute violations of such statutes or

their implementing regulations.

NAME/TITLE

SIGNATURE

DATE

TELEPHONE

TO BE COMPLETED BY COMMANDER/DIRECTOR

NAME

SIGNATURE

DATE

CERTIFICATION OF FUND AVAILABILITY

NAME/TITLE

SIGNATURE