TRAINING NOMINATION FORM
Initial Delegated Examining Certification Training
First Choice
Location of Training:
First Choice (MM/DD/YY)
Training Dates:
Second Choice (MM/DD/YY)
Title:Pay Plan:
Series: Grade:
Length of Federal Staffing Experience:
Agency Name:
DEU ID Number:
Agency Point-of-Contact
(if different from nominee): Phone:
Nominee's Signature:
Date:
Supervisor's Name:
Supervisor's Signature:
Date:
OPM 1674
October 2014
Second Choice
Agency Address:
Name of Nominee:
Type of Employment:
ContractorCurrent Federal Employee
If length of Federal staffing experience is less than 6 months, please indicate below the titles of Federal staffing
courses you have successfully completed. (You may be asked to provide a copy of the certification for verification.)
U.S. Office of Personnel Management
Months
Years
Do you need special accommodations?
No
Yes (specify):
Email:
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