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Guidance for the FY 2012

Presidential Rank Awards Program

TABLE OF CONTENTS

........................................................The Presidential Rank Award Program 2

................................Statutory Basis for Presidential Rank Awards Program 2

....................................................................................Nomination Deadline 3

Nominating Senior Executives for a Presidential Rank Award

(Eligibility requirements and nomination criteria) 3

......................................

Nominating Senior Career Employees for a Presidential Rank Award

(Eligibility requirements and nomination criteria) 4

......................................

Eligibility Requirements and Nomination Criteria for Agencies

....................................................................................Exempt from the SES 6

...................................................................Preparing Nomination Packages 6

............................................................Agency Nomination Review Process 8

OPM Review

‾

How Review Boards Work

On-site Evaluations and Records Checks

(Investigation Inquiry Process)

Agency Head Final Review and Certification

(“Eyes Only” Process)

Withdrawing a Nomination

...............................................................Recommendations to the President 9

...............................................................Processing and Paying the Awards 9

................................................................Recognizing Award Recipients .. 10

………… .....................................................................FY 2012 Timeline .. 10

.................................................................................Nomination Templates 12

THE PRESIDENTIAL RANK AWARD PROGRAM

The Federal Government operates more effectively when agency leaders set measurable, outcome-

focused goals for their organizations, regularly engage in critical reviews of progress on these

goals, and are recognized for outstanding accomplishments in improving how the Government

serves the American people during their careers.

Each year, since the establishment of the Senior Executive Service (SES), the President has

conferred the ranks of Distinguished Executive and Meritorious Executive on a select group of

career senior executives who have provided exceptional service to the American people over an

extended period of time. These senior executives are outstanding leaders who consistently

demonstrate strength, integrity, industry, and a relentless commitment to public service. Through

their personal conduct and results-oriented leadership, they have earned and kept a high degree of

public confidence and trust. They have demonstrated their success in balancing the needs and

perspectives of customers, stakeholders, and employees with organizational results. Executives

from across Government are nominated for Presidential Rank Awards by their agency heads,

evaluated by citizen panels, and selected by the President.

Two categories of rank awards exist. The Distinguished rank is awarded to leaders who achieve

extraordinary results. The Meritorious rank is awarded to leaders for sustained accomplishments.

Since 1980, Distinguished Executive and Meritorious Executive Presidential Rank Awards have

been conferred on career members of the SES. In 2001, the rank award statute was amended to

extend eligibility for these prestigious Presidential awards to certain senior career employees who

have a sustained record of exceptional professional, technical, and/or scientific achievement

recognized on a national or international level. Beginning with awards granted in 2003, the

President has conferred the ranks of Distinguished Senior Professional and Meritorious Senior

Professional on a select group of senior career employees in a manner similar to that for career

members of the SES.

Only one percent of SES or senior career employees respectively may earn the Distinguished rank

award. Only five percent of SES or senior career employees respectively may receive the

Meritorious rank award. The percentage of SES or senior career employees respectively who may

receive each award is based on the Governmentwide number of career appointees in OPM-allocated

SES or Senior-Level (SL) and Scientific-Professional (ST) positions as of September 30

of the

previous fiscal year.

Inspectors General should nominate executives separately from the parent agency through the

Council of the Inspectors General on Integrity and Efficiency (CIGIE), as provided by section 14 of

the Inspector General Reform Act of 2008. All agencies, including CIGIE, may nominate up to nine

percent of their career SES and SL/ST populations respectively.

STATUTORY BASIS FOR PRESIDENTIAL RANK AWARDS PROGRAM

OPM’s statutory basis for administering the Presidential Rank Awards Program is found in:

· Title 5, Sec. 4507. Awarding of ranks in the Senior Executive Service; and

· Title 5, Sec. 4507a. Awarding of ranks to other senior career employees

NOMINATION DEADLINE

Nominees must meet the eligibility requirements by the nomination deadline of March 26, 2012.

NOMINATING SENIOR EXECUTIVES (SES) FOR A PRESIDENTIAL RANK AWARD

SES Eligibility Requirements

Nominees must meet the following eligibility criteria by the nomination deadline:

· Hold a career appointment in the SES;

· Be an employee of the nominating agency on the nomination deadline; and

· Have at least three years of career or career-type Federal civilian service at the SES level.

Service does not have to be continuous. Qualifying service may include appointments in the

SES, Senior Foreign Service, FBI/DEA SES, Defense Intelligence SES, and other SES-

equivalent systems. Service under other than career-type appointments (e.g., noncareer,

limited, indefinite) or in Senior Level or Scientific-Professional or equivalent positions is not

qualifying.

Presidential Rank Awards recognize extraordinary long term achievements. One strong performance

rating may justify a performance bonus but not a Presidential Rank Award. In contrast, three

performance ratings demonstrating consistently high performance may indicate an executive is

deserving of nomination for a rank award.

An agency may nominate a reemployed annuitant who meets all eligibility requirements. Also, an

Executive Schedule employee who was appointed by the President with Senate Confirmation (PAS)

without a break in service from a career SES appointment and chose to remain eligible for rank awards

under 5 U.S.C. 3392(c) may be nominated, although 5 U.S.C. 4509 otherwise precludes a PAS

Executive Schedule employee from receiving the award. A part-time or intermittent executive may be

nominated but the agency must be prepared to pay the full award. It should not be pro-rated.

Agencies may consider a broad range of factors in exercising discretion to nominate executives for this

award, including: budgetary limits; policy considerations; Congressional concerns; and any public

affairs or suitability implications. Agencies will also need to decide whether an award to any proposed

nominee would be in the best interests of the agency and the Administration.

A nominee who meets the eligibility requirements but leaves the SES before being selected as a

recipient may still receive the honor, and the award amount must be based on the last rate of basic pay

received as a career member of the SES. The same applies to a nominee who dies after OPM has

received the nomination.

An individual who has received either rank award (i.e., Distinguished or Meritorious) may be

nominated for the other award in succeeding years; however, an individual may not receive the same

rank award more than once in any five-year period.

Year Award Received

Year Eligible to Receive the Same Award

2007 2012

2008 2013

2009 2014

SES Nomination Criteria

The law provides the rank of Distinguished Executive is awarded for “sustained extraordinary

accomplishment,” and the rank of Meritorious Executive for “sustained accomplishment.” Presidential

Rank Awards are reserved for career senior executives who have a record of achievement that is

recognized throughout the agency and/or is acknowledged on a national or international level. In

reaching the pinnacle of achievement, rank award recipients will also have demonstrated strong

leadership abilities, inspired their employees and earned the respect of those they serve. Nomination

criteria should focus more clearly on achievement of results and the effectiveness of the means by

which those results are achieved. The nomination criteria are as follows:

1. Program Results: The executive has an exceptional record of achieving major program

goals and exceeding customer expectations by marshaling internal and external resources to

attain high-quality outcomes that are technically sound and cost-effective, and that yield

rewards commensurate with the level of risk.

2. Executive Leadership: The executive possesses a sound strategic overview of the public

sector environment and has shown creativity, adaptability, and resilience in aligning program

efforts with the organization’s vision, mission, and goals, and in partnering with stakeholders

inside and outside the organization. The executive has also demonstrated the ability to lead

people effectively by fostering employee development, cooperation and teamwork, and making

optimal use of human, financial and information resources.

SES Nomination Limits

Inspectors General should nominate executives separately from the parent agency through the Council

of the Inspectors General on Integrity and Efficiency (CIGIE), as provided by section 14 of the

Inspector General Reform Act of 2008. All agencies, including CIGIE, may nominate up to a total of

nine percent of their career SES populations for collective Distinguished and Meritorious awards, but

are not subject to any prescribed ratio of Distinguished to Meritorious nominations. Agencies should

keep in mind, however, the statute permits only one percent of the Governmentwide career SES

population to receive the Distinguished Rank award, and five percent to receive the Meritorious Rank

award. Agencies with fewer than 12 SES members may nominate one SES member.

NOMINATING SENIOR CAREER EMPLOYEES (SL/ST) FOR A PRESIDENTIAL RANK

AWARD

Senior Career Employees (SL/ST) Eligibility Requirements

Nominees must meet the following eligibility requirements by the nomination deadline:

· Hold a career OPM-allocated Senior-Level (SL) or Scientific-Professional (ST) position;

· Be an employee of the nominating agency on the nomination deadline; and

· Have at least three years of career or career-type Federal civilian service above GS-15. Service

does not have to be continuous. Qualifying service does not include appointments that are

time-limited or to positions that are excepted from the competitive service because of their

confidential or policy-making character.

Presidential Rank Awards recognize long term achievement. One strong performance rating may

justify a performance bonus but not a Presidential Rank Award. In contrast, three performance ratings

demonstrating consistently high performance may indicate an SL or ST employee is deserving of

nomination for a rank award.

Agencies may nominate a reemployed annuitant who holds a career appointment to an OPM-allocated

SL or ST position and meets all eligibility requirements. Agencies may also nominate a part-time or

intermittent employee, but in keeping with the prestige of the award, be prepared to pay the full (not

pro-rated) percentage of the recipient’s annual basic salary. Agencies may consider a broad range of

factors in exercising discretion to nominate SLs and STs for this award, including: budgetary limits;

policy considerations; Congressional concerns; and any public affairs or suitability implications.

Agencies will also need to decide whether an award to any proposed nominee would be in the best

interests of the agency and the Administration.

A nominee who meets the eligibility requirements, but leaves the SL or ST position before being

selected as a recipient, is eligible to receive the award and the award amount must be based on the last

rate of basic pay received as a career SL or ST. The same applies to a nominee who is deceased post

the agency nomination.

An individual who has received either rank award (i.e., Distinguished or Meritorious) may be

nominated for the other award in succeeding years; however, an individual may not receive the same

rank award more than once in any five-year period.

Year Award Received Year Eligible to Receive the Same Award

2007 2012

2008 2013

2009 2014

Senior Career Employee (SL/ST) Nomination Criteria

The law provides that the rank of Distinguished Senior Professional is awarded for “sustained

extraordinary accomplishment,” and the rank of Meritorious Senior Professional for “sustained

accomplishment.” Presidential Rank Awards are reserved for senior career employees who have a

sustained record of professional, technical, and/or scientific achievement that is recognized throughout

the agency and is acknowledged on a national or international level. In reaching the pinnacle of

achievement, rank award recipients will also have inspired their colleagues and earned their

stakeholders’ respect. The nomination criteria for Senior Career Employees are as follows:

1. Program Results: The senior professional has an exceptional record of achieving major

program goals and exceeding customer expectations by marshaling internal and external

resources as necessary to attain high-quality outcomes that are technically or scientifically

sound and cost-effective, and that yield rewards commensurate with the level of risk.

2. Stature in Professional Field: The senior professional is consistently recognized nationally or

internationally as a leader or authority in a field or discipline. He or she has influenced others

in or beyond the field or discipline; is regularly sought as an advisor and consultant on

scientific, technical, or professional programs and problems of fundamental interest and

extraordinary difficulty which extend well beyond his or her field or discipline; and has

received major honors or awards or published works that have had a major impact in the field

or discipline.

Senior Career Employees Nomination Limits

Inspectors General should nominate senior employees separately from the parent agency through the

Council of the Inspectors General on Integrity and Efficiency (CIGIE), as provided by section 14 of

the Inspector General Reform Act of 2008. All agencies, including CIGIE, may nominate up to a total

of nine percent of their career SL/ST populations for collective Distinguished and Meritorious awards,

but are not subject to any prescribed ratio of Distinguished to Meritorious nominations. Agencies

should keep in mind, however, the statute only permits one percent of the Governmentwide career

SL/ST population to receive the Distinguished Rank award, and five percent to receive the Meritorious

Rank award. Agencies with fewer than 12 senior career employees may nominate up to one senior

professional.

ELIGIBILITY REQUIREMENTS AND NOMINATION CRITERIA FOR AGENCIES

EXEMPT FROM THE SES

Several agencies have senior career executives who meet the SES definition at 5 U.S.C. 3132(a)(2),

but their positions are placed in the Senior-Level (SL) system because the agency is exempt from SES

coverage. These agencies receive Senior-Level (SL) space allocations from OPM for these appointees.

These agencies include, but are not limited to:

· Export-Import Bank of the United States

· Federal Election Commission

· Federal Financial Institutions Examination Council

· National Security Council

· Pension Benefit Guaranty Corporation

· U.S. Holocaust Memorial Council

These agencies should use the nomination criteria established for members of the Senior Executive

Service when nominating their career senior executives for rank awards but indicate on the template

the Agency is applying the SES nomination criteria for the nominees. Similarly, these agencies should

use the nomination criteria established for senior career employees when nominating employees in the

Senior-Level system who do not meet the statutory SES definition.

PREPARING NOMINATION PACKAGES

Agencies should send OPM a cover letter signed by the agency head and an alphabetical list of

nominees for each award category (SES and Senior Career Employee) – with the required number of

nomination folders, as specified below – for each nominee. Agencies should include the last four

digits of the Social Security number for each nominee on the alphabetical listsm, and include in the

cover letter the name, phone number, and email address of the agency’s Presidential Rank Awards

Program coordinator.

Agencies should prepare nomination folders to accompany the cover letter and alphabetical list of

nominees per the following guidelines.

Nomination Folders

Agenices should send each nomination in standard letter-size folders, with tabs (second or third cut are

preferable). For each Distinguished and Meritorious nominee, agencies should provide five (5)

identical folders, secured together using elastic bands. Agencies should specify whether nominations

are for the SES rank award or the Senior Professional rank award. Each folder must include the

following:

1. Label on the Folder Tab

NAME OF NOMINEE (First, Middle Initial, Last)

AGENCY NAME

DISTINGUISHED SES or SP 2012 - or - MERITORIOUS SES or SP 2012

2. Presidential Rank Awards Program Nomination Template. Complete the appropriate

template for each nominee. You must check all the boxes that apply to the nominee’s current

employment status. There is a block that requires the nominee’s immediate supervisor’s

signature. There is also a block for the agency head’s signature. If the agency head prefers

signing only the cover letter, indicate as such, e.g., “/s/ cover ltr.”

3. Biographical and Career Summary. In bullet format, summarize the nominee’s

accomplishments as an SES member or SL/ST employee, which serve as the basis for

nomination for a Rank Award. Also briefly list the nominee’s career highlights, and other

biographical information, including significant honors, awards, etc. Use no more than one

page of text. Text should be no smaller than an 11-point type and at least 0.8 inch margins.

4. Justification Statement. Concisely describe the nominee’s career achievements for each of

the Presidential Rank Award criteria, as described above, in the same order as the criteria are

listed. Use no more than three pages of text. Text should be no smaller than an 11-point type

and at least 0.8 inch margins.

You should not include SF-50 or equivalent personnel forms in the nominee’s folders. Additionally,

do not staple or paper clip any of the pages in the folder. OPM will return folders that do not meet

the specified format.

Suggestions

Since Review Board members are private citizens, they will not know the intricacies of each nominee’s

program responsibilities or even the general context of Federal Government work. Statements must be

clear, organized, and well-written to make it easier for your nominee’s achievements to receive the

consideration they deserve. We have found that it helps if you take the following actions:

· Organize the justification statements in the same order as the PRA criteria, and number the

pages of the justification statement (i.e., 1,2,3);

· Ensure examples are specific and supported. Provide information on results achieved (e.g.,

actions taken, impact on stakeholders, staffing levels, budget amounts, cost-savings –

specifying the source of such information, organization size, results, etc). Include information

about customer and employee feedback, as appropriate; and

· Use commonly-understood terms. Avoid acronyms, abbreviations, and jargon–laden terms.

THE REVIEW PROCESS - EVALUATING AGENCY NOMINATIONS

OPM Review

OPM verifies that each nominee meets the eligibility requirements. OPM also reviews each

nomination package for completeness. A complete package must include:

· Five identical folders for each Distinguished and Meritorious nomination.

· A cover letter with a list of nominees signed by the agency head.

· A PRA nomination template.

· A one-page Biographical and Career Summary.

· A justification statement three pages or less addressing the award criteria.

· An Express Billing form.

Information contained in the Executive and Schedule C System (ESCS) database is used to verify

eligibility and record scores from the Review Board deliberations.

How Review Boards Work

OPM administers the Presidential Rank Award Review Boards which are composed of private citizens.

Each Board has three members who individually evaluate and rate the accomplishments described in

the justification statement. Each member makes an independent judgment on the cases presented. The

nominee’s score is the sum of each board member’s ratings. There is no appeal of review board

determinations.

The Review Boards for the Distinguished Rank and the Meritorious Rank will meet in various

locations each year. On-site evaluations are conducted on select Distinguished and Meritorious

nominees the Review Boards recommend as finalists for approval, and agencies will bear the costs of

these inquiries.

On-site Evaluations (Investigation Inquiry Process)

All Distinguished and Meritorious finalists recommended by the Review Boards for approval are

subject to on-site evaluations conducted by OPM’s Center for Federal Investigative Services in

coordination with the Presidential Rank Award coordinators at each agency. During these on-site

evaluations, OPM will review relevant records, and conduct interviews with appropriate persons, about

the nominees’ performance and professional accomplishments. All finalists are also subject to a

criminal records check. Agencies will bear the cost of on-site evaluations and the criminal records

check. For FY 2012, the estimated cost will be $550 per nominee.

When submitting nominations, each agency is required to submit an obligating document to cover the

investigation costs for each agency’s finalists. Each agency must also complete and submit the OPM

Presidential Rank Awards Express Billing Form attached to the end of this guidance. The Express

Billing Form must be completed by the Financial Management Staff at each agency and signed by a

Financial Manager along with the obligating document. Note the financial data requested in OPM’s

Express Billing Form may not be necessary for certain payment methods selected by an agency;

however, the information is required for records documentation. Payment is due when the

investigation of each finalist is complete; at that time, OPM will initiate IPACS or charge a

government purchase card for the appropriate agency.

Agency Head Final Review and Certification (“Eyes Only” Process)

After Review Boards complete their evaluations and OPM receives the results of the inquiry process,

OPM will consolidate the board scores and prepare a ranked list, and the Director of OPM will

establish the minimum scores determining finalists in each rank award category, in compliance with

statutory limitations. The OPM Director will provide agency heads or their designees another

opportunity to certify the final nominees are not involved in any situations that adversely impact their

nomination or would cause embarrassment to the agency or the Administration after the awards are

announced. Situations that could cause a withdrawal of the nomination might include being the subject

of an unfavorable finding in an investigation, conflict of interest, EEO complaint, or adverse legal

action. (Please note that simply bringing an EEO complaint that does not succeed does not make one

“the subject of an unfavorable finding.” In other words, agencies may not disqualify employees

because they brought but did not prevail upon such claims). We also ask agencies to consider the

potential reaction of employees, customers, and other stakeholders.

Withdrawing a Nomination

You may withdraw a nomination at any time before the President approves the awards.

· To withdraw a nomination before the agency head’s final certification, agencies should send

OPM a letter signed by the agency head or their designee, asking to withdraw the nomination.

Agencies should state the nominee’s name and the award for which he/she was nominated. No

reason is required.

· To withdraw a nomination at the time of the agency head’s final certification, agencies should

draw a line through the nominee’s name on the list, have the agency head initial the

withdrawal, and sign the list. Subsequently, agencies should return the list to OPM along with

a cover letter requesting withdrawal of the nomination.

· The withdrawal of a nomination following the agency head’s final certification should rarely

occur but may be necessary in extraordinary circumstances. To withdraw a nomination,

agencies are further requested to call the OPM Presidential Rank Award Program Manager at

(202) 606-8046, and immediately follow the phone call with a letter signed by the agency head

or designee asking that the nomination be withdrawn. Agencies should state the nominee’s

name and the award for which the nominee was recommended.

RECOMMENDATIONS TO THE PRESIDENT

After agency heads certify finalists, the OPM Director sends the names of the reconfirmed,

recommended finalists to the President to make final decisions before the end of September.

Nominees can not be added or removed from the list once the President has approved.

OPM will notify the agency head and other appropriate agency contacts as soon as the White House

informs us the President has approved the Rank Award winners. At this time, agencies are authorized

to notify award recipients of their selection and distribute rank award checks – no internal ceremonies

are authorized. Public announcement of the award winners is reserved for the President, and OPM will

advise agencies once publicity is authorized.

PROCESSING AND PAYING THE AWARDS

Each agency pays for their executives’ rank awards. You should consider and plan for awards as part

of executive compensation each year. The amount of the award should be based on the last rate of

basic pay received as a career member of the SES or SL/ST. Your agency should anticipate the need

to pay winners and budget accordingly.

OPM will issue guidance on Presidential Rank Awards and Aggregate Compensation in the SES,

which provides information about payment of the awards. The memo will advise you to take the

precaution of having rank award checks drawn and ready for the SES appointees and senior career

employees on the list that will be provided to your agency head to certify your agency’s finalists. This

will allow you to pay awards with current fiscal year funds.

In order to capture award payments accurately, use the appropriate Nature of Action Codes (NOAC)

for Rank Awards as described in the Guide to Processing Personnel Actions, which is available online

at http://www.opm.gov/feddata/gppa/Gppa29.pdf.

Distinguished Rank Award recipients receive 35 percent of their rate of basic pay; Meritorious Rank

Award recipients receive 20 percent of their rate of basic pay. The award is paid as a lump-sum

payment, and the payment is subject to the applicable annual aggregate limitation on pay under

5 U.S.C. 5307. Section 5307(d) permits agencies with certified performance appraisal systems for

members of the Senior Executive Service (SES) and Senior-level (SL) and Scientific-Professional (ST)

employees (senior professionals) to apply a higher annual aggregate limitation on pay for those

employees. The higher aggregate limitation on pay is equivalent to the total annual compensation

payable to the Vice President under 3 U.S.C. 104. Agencies without certified performance appraisal

systems for their SES members or senior professionals must apply an annual aggregate limitation on

pay equivalent to the rate for level I of the Executive Schedule. Any portion of a rank award that

would cause aggregate compensation in a calendar year to exceed the applicable aggregate limitation

on pay is rolled over for payment at the beginning of the following calendar year.

The lump-sum award payment that is paid in the following calendar year is in addition to basic pay.

The lump-sum payment is not subject to retirement, health benefits, or life insurance deductions. It is

not included in the “high three” average pay computation for retirement benefits or in basic pay for

thrift savings plan computation. However, the payment is subject to income tax withholding and also

FICA tax withholding if the executive is in the Federal Employees Retirement System (FERS) or

subject to Civil Service Retirement System (CSRS) Offset.

RECOGNIZING AWARD RECIPIENTS

Each award recipient receives a framed certificate signed by the President. The Distinguished

certificate features a gold emblem; the Meritorious certificate features a silver emblem. Each winner

receives a Rank Award pin – gold for the Distinguished winners and silver for the Meritorious

winners.

Agencies should notify award recipients of their selection, however, agencies may not make any public

announcement or hold any ceremonies in honor of the award winners until agencies receive

notification by OPM they are authorized to recognize recipients.

When possible, the President or Vice President will hold a recognition ceremony for the Distinguished

and Meritorious Executives and Senior Professionals. We will advise you about any recognition

ceremony scheduled by the White House.

The Senior Executives Association (SEA) holds an annual banquet recognizing Distinguished Rank

Award winners. SEA will contact winners for this event.

FY 2012 PRESIDENTIAL RANK AWARDS TIMELINE

March 26, 2012

· Nominations due to OPM.

May-June

· Presidential Rank Awards Review Boards convene

· Background inquiries conducted on award finalists

July-August

· Agency Heads review and sign off on their agency’s award finalists.

· OPM Director forwards award finalists recommendations to the President.

September

· Decision made by the President.

TBD

· Agencies notified to pick up certificates and lapel pins from OPM.

Presidential Rank Awards Program

Nomination Template – SES Appointee (Revised 11/2011)

SECTION I - Nominee Information

(Type Information) Year of Nomination FY 2012

Name (exactly as it should be spelled on the award) Position Title

Agency and Post of Duty Address (include division)

Current Residence (City, State, & Zip Code only)

Current Employment Status (Check all that apply)

Full-time Part-Time Intermittent

Re-employed Annuitant PAS with SES Benefits retained (5 U.S.C. 3392)

Date of Entry into the SES Type of Award for Which Candidate is Being Nominated for (mark one box only)

Distinguished Executive Meritorious Executive

List any previous Presidential Rank Award(s) Received by Nominee (continue on a blank sheet of paper if more space is needed)

Year Received Distinguished Meritorious Year Received Distinguished Meritorious

Executive Level Positions Nominee has held (continue on a blank sheet of paper if more space is needed)

From/To (month & year) Position Title Agency

SECTION II - Agency Information

Name and Title of Agency Presidential Rank Awards Program Coordinator Telephone Number (include area code) and Email Address

Name and Title of Immediate Supervisor Signature of Immediate Supervisor

Name and Title of Nominating Agency Official Signature of Nominating Agency Official

As the nominating agency official, I certify the information contained in the nominee’s justification is accurate and true

Nomination Template – Senior Career Employee (Revised 11/2011)

SECTION I - Nominee Information (Please Type Information) Year of Nomination FY 2012

Name Position Title

Agency and Post of Duty Address (include division)

Current Residence (City, State, & Zip Code only)

Current Employment Status (Check all that apply)

Full-time Part-Time Intermittent

Re-employed Annuitant Other

Date of Entry into SL/ST Position Type of Award for Which Candidate is Being Nominated for (mark one box only)

Distinguished Senior Professional Meritorious Senior Professional

List any previous Presidential Rank Award(s) Received by Nominee (continue on a blank sheet of paper if more space is needed)

Year Received Distinguished Meritorious Year Received Distinguished Meritorious

Senior Level and/or Scientific/Professional Positions Nominee has held (continue on a blank sheet of paper if more space is needed)

From/To (month & year) Position Title Agency

SECTION II - Agency Information

___________________________

Name and Title of Agency Presidential Rank Awards Program Coordinator Telephone Number (include area code) and Email Address

Name and Title of Immediate Supervisor Signature of Immediate Supervisor

Name and Title of Nominating Agency Official Signature of Nominating Agency Official

As the nominating agency official, I certify the information contained in the nominee’s justification is accurate and true

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