HR - STATEMENT OF PRIOR FEDERAL CIVILIAN AND MILITARY SERVICE AND DETERMINATION OF COMPETITIVE STATUS - VINCENT, EOLENE F.
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
0005255208
Release Decision:
RIPPUB
Original Classification:
U
Document Page Count:
2
Document Creation Date:
June 22, 2015
Document Release Date:
August 10, 2009
Sequence Number:
Case Number:
F-2008-00919
Publication Date:
November 18, 1957
File:
Attachment | Size |
---|---|
DOC_0005255208.pdf | 105.47 KB |
Body:
APPROVED FOR RELEASE DATE: 03-Aug-2009
(b)(3)
(b)(6)
STANDARD FORM 144
REVISED SEPTEMBER 1954 STATEMENT OF PRIOR FEDERAL Cl' AN AND MILITARY SERVICE
U. S. CIVIL SERVICE COMMISSION AND DETERMINATION OF C644PETITIVE STATUS
FPM CHAPTERS LI, R3. AND S2
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 II.-THIS COLUMN IS
FOR PERSONNEL OFFICE USE
1. NAME (Last, first, middle initial)
2. DATE OF BIRTH
9. RETENTION GROUP
I
/ I . 1 yl e .e ;~
/Y i 3 ( 1O
10. A. CSC STATUS YES NO
3. LIST THE FOLLOWING INF RMATION CONCERNING ALL FEDERAL AND DISTRICT OF COLUMB SERVICE YOU HAVE HAD
B. TYPE OF PRESENT
APPOINTMENT
PRIOR TO YOUR PRESENT APPOINTMENT (Do not include military service.)
FROM-
TO-
TYPE OF
P
ENT
11. SERVICE
NAME AND LOCATION OF AGENCY
YEAR
MONTH
DAY
YEAR
MONTH
DAY
POINTM
A
IF KNOWN
YEAR
MONTH
DAY
I
195 9
N(
1457
jVov
/6
rC Q~
(c
l J~
0 ~-
MA
Q
.
4. LIST PERIODS OF ACTIVE SERVICE IN ANY BRACH OF THE ARMED FORCES OF THE UNITED STATES. IF YOU AD NO ACTIVE
MILITARY SERVICE, WRITE "NONE."
FROM-
TO-
DISCHARGE
BRANCH
(Hon. or dishon.?)
YEAR
MONTH
DAY
YEAR
MONTH
DAY
5. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3, DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE
12. TOTA
SERVICE
WITHOUT PAY, INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR? [j YES ? NO
i9
IF ANSWER IS "YES," LIST FOLLOWING INFORMATION.
13. NONCREDITABLE
RVICE
FROM-
TO-
TOTAL
(Leave purposes only):
TYPE IF KNOWN
(LWOP, Furl, Susp, AWOL, Mer 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 "Yes," in what agency were you employed at the time status was acquired?)
El YES [] NO
I
16. RETENTION RIGHTS
7. ARE YOU:
YES [] NO
A. THE WIFE OF A DISABLED VETERAN? YES NO
17. EXPIRATION DATE OF RETEN-
B. THE MOTHER OF A DECEASED OR DISABLED VETERAN? YES 0 NO
TION RIGHTS
C. THE UNREMARRIED WIDOW OF A VETERAN? E] 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 k e e and belief.
(DATE) 34 L/ I IGNATUR
Subscribed and sworn to before me on this day of_ 9-a
(MONTH) (STATE)
SEAL
NOTE: If oath is taken before a Notary Public, the date of expiration of his Commission should be n.
INSTRUCTIONS: File this form on the permanent side of the employee's official personnel folder immediately before or after the personnel
action involved.
Part III.-DETERMINATION OF COMPETITIVE STATUS. (Complete for noncompetitive hires based on competitive status as re-
quired by instructions in FPM Chapter S2.) Employee has a competitive status. This determination is based upon the following
evidence:
NAME OF AGENCY
SIGNATURE AND OFFICIAL TITLE
DATE
PART IV.-DETERMINATION OF CREDITABLE S
ERVICE AND SERVICE COMPUTATION DATE FOR LEAVE PURPOSES
TOTAL SERVICE
(Item 12)
NONCREDITABLE
SERVICE
(Item 13)
CREDITABLE
SERVICE
(Leave Purposes)
ENTRANCE ON
DUTY DATE
(Present Agency)
LESS CREDITABLE
SERVICE
(Leave Purposes)
SERVICE COM-
PUTATION DATE
(Leave Purposes)
Years
Months
I
Days
PART V.-DETERMINATION OF CREDITABLE SERVICE AND SERVICE COMPUTATION DATE FOR REDUCTION IN FORCE PURPOSES. (Complete only in
those cases when the amount of creditable service for reduction in force purposes differs from the amount creditable for
leave purposes.)
TOTAL SERVICE
(Item 12)
NONCREDITABLE
SERVICE
(Item 14)
CREDITABLE
SERVICE
(RIF Purposes)
ENTRANCE ON
DUTY DATE
(Present Agency)
LESS CREDITABLE
SERVICE
(RIF Purposes)
SERVICE COM-
PUTATION DATE*
(RIF Purposes)
Years
Months
Days
Enter as the "Service Computation Date" on the employee's "Service Record Card," SF 7
REMARKS: