Office, Board, Division, Bureau:
Name of Appointee:
Title and Organizational Location of Appointee:
Evaluation of Qualifications Based on Completed Federal Application or Resume:
Statement of Duties and Justification of Need for the Position as an Expert or Consultant:
Daily or Hourly Rate of Pay and Justification of Rate:
Tour of Duty:
||Estimated Number of Days to be Worked_____ |
|Regular Tour of Duty ___
||Description of Tour__________________ |
Effective Date of Appointment:
Appointment Authority: 5 U.S.C. 3109
Certificate of Understanding: A Certificate has been
obtained from the appointee.
YES ___ NO ___
Expert/Consultant Certificate: A Certificate has been completed.