Fillable Fundamentals Registration Form (U.S. Office of Personnel Management)

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Fundamentals Registration Form (U.S. Office of Personnel Management)

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Fundamentals of Suitability for Suitability and Fitness Adjudicators – Registration Form
You must submit this registration form and a completed Payment Form to be registered.
Section A – Trainee Information
Desired Session
Trainee’s Last Name Middle Initial Work Email Birthdate
Trainee’s First Name Suffix Work Phone Ext.
Name as it is to appear on a certificate Personal Phone Number*
Home City State
*Number must be able to reach you to communicate class
delays, cancellations, etc., while the program is in session.
Do you require any special accommodations? Emergency Contact Name
If yes, please describe. Emergency Contact Day Phone
Medical Allergies (Optional) Emergency Contact Night Phone
Section B – Employment Information
All blocks must be completed
Name of Department/Agency Appointment Type
Agency Office Position Title
Mailing Address Floor/Suite/Unit Position Level
City State Zip Code Position Series
Education Level
Years of experience in adjudications?
Pay Plan Grade Step
Section C – Approval
All blocks must be completed
Supervisor’s Name Supervisor’s Email
Supervisor’s Number Ext. Supervisor’s Title
Supervisor’s Signature Date Approved
Tuition is $1,335 per student, which
includes all educational services and materials. Travel, meals, and lodging are not
included in tuition.
Access to the prerequisite Introduction to Suitability course will be provided in the Welcome Package sent prior to the start of
the registered session.
If you need help completing this form, please contact 724-794-7196. Submit upon completion to SuitEAtraining@opm.gov.
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Fundamentals Registration Form (U.S. Office of Personnel Management)

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Completed 22 July 2020

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