STATEMENT OF PRIOR FEDERAL CIVILIAN AND MILITARY SERVICE AND DETERMINATION OF COMPETITIVE STATUS

• Document Type: FOIA
• Keywords: PERSONNEL FILES
• Keywords: MAKSYMIEC MYROSLAW ANDREW
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0001517116
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: June 22, 2015
• Document Release Date: August 26, 2008
• Case Number: F-2008-00615
• Publication Date: November 27, 1961

STANDARD FORM 544
REVISED SEPTEMBER 1954 -%TEMENT OF PRIOR FEDERAL CIV AND MILITARY SERVICE
U. CHAPTERS SERVICE
APTERS I.I. R3, AND I.I. R3, AND CHD S2 S2 AND DETERMINATION OF COfti TITIVE STATUS
IMPORTANT: The information on this form will be used (1) in determining creditable service for leave purposes and retention
credits for reduction in force, and (2) in recording agency determination of competitive status. The employee
should complete Part I and the Personnel Office should complete Parts II through V.
PART I.-EMPLOYEE'S STATEMENT
PART 1I.-THIS COLUMN IS
FOR PERSONNEL OFFICE USE
iddle initial)
1. NAME (Last, first,
2. DATE OF BIRTH
9. RETENTION GROUP
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10. A. CSC STATUS YES NO
3. LIST THE FOLLOWING INFORMATION CONCERNING ALL FEDERAL AND DISTRICT OF COLUMBIA SERVICE YOU HAVE HAD
B. TYPE OF PRESENT
APPOINTMENT
PRIOR TO YOUR PRESENT APPOINTMENT (Do not include military service.)
FROM-
TO-
TYPE OF
APP
INTMENT
II. SERVICE
NAME AND LOCATION OF AGENCY
YEAR
MONTH
DAY
YEAR
MONTH
DAY
O
IF KNOWN
YEAR
MONTH
DAY
APPROVED FOR
(b)(3)
RELEASE^DATE:
(b)(6)
11-Aug-2008
4. LIST PERIODS OF ACTIVE SERVICE IN ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES. IF YOU HAD NO ACTIVE
MILITARY SERVICE. WRITE "NONE."
FROM-
TO-
DISCHARGE
BRANCH
(Hon. or dIS Of.?)
YEAR
MONTH
DAY
YEAR
MONTH
DAY
of p // v~1
pY
f~
off'
y'6,~
Tk~
l
fide ~Y
5. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3, DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE
12. TOTAL SERVICE
WITHOUT PAY. INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR? f YES NO
IF ANSWER IS "YES," LIST FOLLOWING INFORMATION.
13.
NONCREDITABLE SERVICE
TYPE IF KNOWN
FROM-
TO-
TOTAL
(Leave
(Leavepurpos urposesonly):
(LWOP, Furl, Susp, AWOL, Mar Mar)
YEAR
MONTH
DAY
YEAR
MONTH
DAY
YEARS
MONTHS
DAYS
14. NONCREDITABLE SERVICE
(RIF purposes only):
6. DURING THE FEDERAL SERVICE LISTED IN ITEM 3, DID YOU ACQUIRE A PERMANENT COMPETITIVE CIVIL SERVICE STATUS?
YES NO
15. REEMPLOYMENT RIGHTS
(If answer is "Yea," in what agency were you employed at the time status was acquired?)
^ YES [] NO
16. RETENTION RIGHTS
7. ARE YOU:
DYES fl NO
A. THE WIFE OF A DISABLED VETERAN? ^ YES NO
17. EXPIRATION DATE OF RETEN-
B. THE MOTHER OF A DECEASED OR DISABLED VETERAN? [J YES NO
TION RIGHTS
C. THE UNREMARRIED WIDOW OF A VETERAN? [] YES [] NO
8. TO BE EXECUTED BEFORE A NOTARY PUBLIC OR OTHER PERSONS AUTHORIZED TO ADMINISTER OATHS.
I swear (or affirm) that the above statements are true to the best of my knowledge and belief.