APPLICATION FOR APPOINTMENT AS A CONTRACTING OFFICER

I.  IDENTIFICATION.

a.  Office Code:

b.  Name of Appointee:

c.  Series/Grade or Rank:

d.  Office telephone Number:

e.  Organizational Position Title:

f.  Brief Description of Duties:

II.  EDUCATION. Identify any education or special training in accounting, business finance, law, contracts, purchasing, economics, organization and management.

Number of Years of Successfully Completed College:_________________________

Undergraduate Study_________________________________________________

Major__________________________ Minor__________________________

Degree Conferred__________________________ Date_____________________

Post Graduate Study__________________________ Major_________________________

Degree Conferred__________________________ Date __________________________

24 or more Semester Credit Hours in Business-Related

Disciplines _____Yes ______No

III.  EXPERIENCE. Identify any experience in Government contracting and administration, or commercial purchasing or related fields.

a.  Number of Years as full-time Contract Specialist/Administrator_____________

Date(s):_____________________________ Grade: _________________________

Position:____________________________ Duties: __________________________

b.  Number of Years as Supervisory Contract Specialist/Administrator_______________

c.  Number of Years as Contracting Officer_____________________________________

Date(s):_____________________________ Grade:___________________________

Position_____________________________ Duties: __________________________

d.  Number of Years of Other Directly Pertinent Experience _______________________

IV.  TRAINING. Identify satisfactory completion of acquisition requirements reflected in DFARS 201.603-2 and implemented by the Defense Acquisition Workforce Improvement Act (DAWIA).

a.  DAWIA Certification Level: ___________________________________________

b.  DAWIA Certification Career Field: ______________________________________

V.  NECESSITY FOR APPOINTMENT. (Provide sufficient rationale to justify both the need for appointment and the appointment level to include the information required by DARS 1.603-1 (S-92) (1) and (2)).

VI.  REQUESTED CONTRACTING OFFICER AUTHORITY AND LIMITATIONS.

(Identify type of authority being requested including maximum dollar authority, and identify any limitations using the applicable SF 1402 Limitations Statement identified in Table 1-1.).

VII.  FILE VERIFICATION.

The applicant's information was verified against their personnel file. (State if any information was not verifiable).

VIII.  SIGNATURES.

* Provide name exactly how the applicant intends to sign contractual documents.

(S-92)  Application review.

Upon submission of the nomination package by the HCO to PL23, PL23 will review the package for completeness to ensure the candidate meets the minimum qualification criteria for the requested appointment. If the candidate meets the minimum qualification criteria, PL23 will forward the nomination package to the HCA, through PL2 and the PLD Deputy Director, and request HCA authorization to proceed with a contracting officer appointment review board for unlimited appointment requests (see DARS 1.603-3(90)) or a contracting officer appointment test for limited appointment requests (see DARS 1.603-3(91)). Upon HCA authorization to schedule a contracting officer appointment review board for a candidate seeking an unlimited appointment, PL23 will provide a copy of the candidate's nomination package to all review board members as identified by the HCA. PL23 will notify the HCO of the HCA's authorization to proceed to the review board. It is the responsibility of the HCO and candidate to coordinate the schedule of the review board with the review board chairperson. For limited contracting officer appointment requests, upon authorization from the HCA to proceed with the contracting officer appointment test, PL23 will notify the HCO and request the HCO to schedule the test with the candidate.