Qualifications Rating Form

• Legal Form Number: BP-A0508
• Date: 2010-06
• Year: 2010
• Section: Federal Bureau of Prisons

QUALIFICATIONS RATING FORM U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

BP-A0508

JUN 10

(Replaces BP-508(33) of MAY 94.)

A. NAME: Vacancy Ann. #

Current Title, Series and Grade- (if Wage Schedule, include hourly rate):

Title, Series and Grade of position applied for:

B.

F. Annoucing Office Review Not QualifiedQualified

Comments/Justification:

Current Promotion Potential:

(What is the highest grade you can be promoted to in your current position?)

Lowest grade you are willing to accept:

Performance Rating: Date

(Include a copy of your most recent performance evaluation dated within the last 13 months.)

C. EXPERIENCE (Title, Series, Grade, Location)

From To All experience credited here should be detailed in your application.

application.

D. EDUCATION: (Include college/university, degree, date, major subject areas. (A copy of your transcipt if applicable.)

E. List any awards you have received within the last five years. Include the date and type of award.

Signature Date

I certify that, to the best of my knowledge and belief, all information

provided is true and correct.

*** ANNOUNCING OFFICE USE ONLY***

Under Operating Manual of Qualification Standards

Signature of Application Date

G. TIG Restrictions Met?

NoYes N/A

H. Proposed Nature of Action:

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Prescribed by P3308

09/23/1989