Fillable RATING OF AIR TRAFFIC EXPERIENCE FOR AT MOVEMENT (Federal Aviation Administration)

Fill Online, Printable, Fillable, Blank RATING OF AIR TRAFFIC EXPERIENCE FOR AT MOVEMENT (Federal Aviation Administration) Form

Use Fill to complete blank online FEDERAL AVIATION ADMINISTRATION (DC) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

RATING OF AIR TRAFFIC EXPERIENCE FOR AT MOVEMENT (Federal Aviation Administration)

On average this form takes 46 minutes to complete

The RATING OF AIR TRAFFIC EXPERIENCE FOR AT MOVEMENT (Federal Aviation Administration) form is 4 pages long and contains:

  • 2 signatures
  • 5 check-boxes
  • 174 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Federal Aviation Administration

BROWSE FEDERAL AVIATION ADMINISTRATION (DC) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
RATING OF AIR TRAFFIC
EXPERIENCE FOR
AT MOVEMENT
IMPORTANT
Read the following instructions carefully
before filling out this application.
•
You must furnish all requested
information. The information you provide
will be used to determine you qualifications
and rating. Do not submit a resume in
lieu of completing this form.
•
If you fail to answer all questions fully and
accurately, you may lose employment
opportunities.
• So that it is understood that you did not
omit an item, please write the letters "N/A"
(not applicable) beside those items that do
not apply to you.
• Read the vacancy announcement (if
applicable) for the position advertised to be
certain that your experience and education
meet the requirements.
• Be sure to include all forms that may be
required.
- FAA Form 3330-42, Request for
Transfer Consideration and
Acknowledgement.
- FAA Form 3330-43-1, Rating of Air
Traffic Experience for AT Movement
-- Any other information required by the
position vacancy announcement.
• Submit the above along with a stamped
envelope, addressed as directed in the
vacancy announcement, to your rating
official on or before the vacancy closing date
(if applicable).
• This form is to be used for applications for
CPC/TMC/TMS positions only.
Read the Privacy Act Requirements Notice Below. Detach it and retain it for your records.
Please read the instructions below before completing this form
Do not make any entries in the shaded areas. They are reserved for the rating official. The TALLY is also for
the rating official's use. The upper right corner of the form pertains to the vacancy announcement, if applicable.
Enter the appropriate information exactly as it appears on the vacancy announcement. If you need more space
than has been provided for a given item, continue on an 8 1/2 x 11" sheet of paper with the items numbered to
correspond to the items continued. Place your name and vacancy number (if applicable) in the upper right hand
corner and attach to the form.
PRIVACY ACT REQUIREMENTS (P.L. 93-579)
This form is used to determine qualifications and is authorized under Title 5 of the U.S.
Code, Sections 3302 and 3361. It must be submitted in order for you to be considered for
the position being advertised or for consideration under a voluntary internal transfer request.
The information will be used for FAA human resource management related purposes and
will not be transmitted outside the agency except as provided by law. Providing the
information requested on this form is not mandatory, but if you fail to give us the complete
data, we cannot give you a rating. We must have your Social Security Number (SSN) to
keep your records straight because other people may have the same name.
INSTRUCTIONS
Rating of Air Traffic Experience for AT Movement
Candidate Information.
Self-explanatory.
S
elective Placement Factors.
Check the appropriate box. Candidates who have
not satisfied appropriate selective placement
factors are not qualified for the vacancy.
T
ALLY
For use of Rating Official only. Use Tally to record
values for each factor. Add up the total score and
enter it in the box at top right of form. Normally,
the employee's first-level supervisor is the rating
official.
FACTOR 1 - Facility Complexity Level. (Max. 42
pts.) Points are assigned for the highest level ATC facility
to which the applicant was permanently assigned and
facility/area certified as a CPC/TMC/TMS. Assign 3 points
times the highest level. For employees who are not
currently in an ATC facility, use the conversion table below
to get the ATC level equivalent. Use the table to convert
FPL level FG/GS to ATC levels. Award the point value that
would provide the maximum benefit to the employee.
Facility FPL Level
FG/GS
Equivalent
ATC Level
9
1
10
3
11
5
12
7
13
9
14
11
E
xample:
An applicant with 5 years as FG-13, and 1
year at ATC-10 facility. The FG-13 = 9 x 3 = 27 while ATC-
10 = 10 x 3 = 30 points.
For developmental applicants who have never achieved
CPC status, credit the following points for each
developmental stage successfully completed at the highest
ATC level facility to which they were permanently assigned.
[This section does not apply to CPCs in training status
(CPCIT)]
ATC
LEVEL
POINTS
ATC
LEVEL
POINTS
12
7
8
5
11
7
7
5
10
6
6
4
9
6
5
4
Example: A developmental employee successfully
completed 2 phases of training at an ATC-11 facility and
then moved to, and completed, 1 phase of training, at an
ATC-9 facility. This employee would receive points for
phases completed only at the highest ATC level facility:
ATC-11 = 7 X 2 phases completed = 14 points. Total for
Factor 2 would be 14.
F
ACTOR 2 - Aviation Experience
. (Max 5 pts.)
Points are credited for each certificate or rating obtained.
Aviation Experience
Certificate/ Rating
Points
Private Pilot
1
Commercial Pilot
1
Instrument Rating
1
CFI
1
Dispatcher Certificate
1
FACTOR 3 - Experience and Recency
. (Max. 50
pts.) Assign 2 points for each full year in an ATS-2152
position. Deduct 1 point for each full year since certification
was lost. For CPC/TMC/TMS positions, deduct 1 additional
point for each full year since the candidate served in an
ATS terminal or center CPC/TMC/TMS position.
Example: An applicant with 10 years ATS 2152 time; (5
years Terminal or Center CPC/TMC/TMS, 3 years facility
staff, 2 years regional office experience) is bidding on a
Terminal/Center CPC/TMC/TMS position. Credit
employee: ATS-2152 time = 10X2 = 20 points.
Certification not required as facility or regional office staff =
[-(3+2)} = -5 points. 5 Years since last a Terminal/Center
CPC/TMC/TMS=5 x (-1) = -5 points. Total=20 -5 -5 = 10
points total.
Example: Employee has 3 years ATS 2152
developmental experience in Terminal or Center option
bidding on an ATS Terminal/Center CPC position.
Employee is credited with ATS time, 3 X 2 = 6 points for
this factor.
(DoD 2152 time is not credited for Factor 3.)
FACTOR 4 - Education and Self
Development. (Max. 27 pts.) Complete all
appropriate items as listed on the for
m. Correspondence
courses are to be listed on a separate sheet by title and
dates completed.
F
ACTOR 5- Awards
. (Max. 10 pts.) This factor credits
awards and recognition. Complete all appropriate items as
listed on the form.
Rating of Air Traffic Experience for CPC Positions
Score of
Candidate
TALLY
Vacancy Number
Vacancy Position Title
Series and ATC and Career
Level Codes
FACTOR
Max.
Pts.
Score
AT-2152
-
1 42
Vacancy Closing Date
Facility
Location/Region
2 5
3 50
Name of Candidate
Present Series, ATC/Career Level/Loc
Social Security Number
4 27
XXX-XX-
5 10
Current Supervisor
Location/Region
Home/Cell Phone Number
Total Score
Office Phone Number
FACTORS 1
Facility Complexity Level (Assign 3 points times the highest ATC level facility)
Position, Title, ATC and Career Level
Facility
ATC
Level
Dates (Mo/Day/Yr) Credit
Time
(Mo.)
Value
Fac.
I. D.
Type Area/FAC
Certification
From To
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
Total
FAA Form 3330-43-1 Revised (4/2015)
0
0
0.0
0.0
0.0
0
FACTOR 2
Aviation Experience (One point for each rating or certificate checked; Maximum 5 points).
Private Pilot Commercial Pilot Instrument Rating Certified Flight Instructor Dispatcher Certificate
FACTOR 3 –Experience and Recency (Maximum 50 points)
3a. Exper
ience (Assign 2 points for each full year in an ATS 2152 series position.) 3a________ - 3b_________ =
3b. Recenc
y – (Deduct 1 point for each full year since certification was lost. For a CPC/TMC/TMS position deduct an additional 1 point for each full year
since in an ATS terminal or center CPC/TMC/TMS position.)
FACTOR 4 Education and Self-Development (Maximum 27 points)
4a. Credit undergr
aduate college work at 30 semester hours or 45 quarter credits = 1 year. Credit graduate college work at 18 semester hours or 27
quarter credits = 1 year. Education in increments of less than 1 year may be prorated in half-year increments in accordance with the following table. Award
credit only for the highest level attained by the applicant. Circle appropriate credit. (Must be from an accredited institution)
COLLEGE EDUCATION CREDIT TABLE
1 year of college 3
4 yrs. of college 9
1.5 yrs. of college 4
Bachelor’s Degree* 10
2 years of college 5
1 year of graduate work 12
Associate’s Degree 6
2 yrs. of graduate work 14
2.5 yrs. of college 6
Master’s Degree* 15
3 years of college 7
3 yrs. of graduate work 17
3.5 yrs. of college 8
Doctorate* 20
*Type of Degree: School: Date: Points
4b. FAA Correspondence Courses
List Course Titles and Dates
Completed on Separate Sheet
and attach to Application
(Maximum 2)
TOTAL 4b
4c. Long-Term Training
Date Completed
(5 points)
FACTOR 4 GRAND TOTAL
4a ___________ + 4b ___________ + 4c___________ =
(Maximum 27)
FACTOR 5
Awards (Maximum 10 points).
Award the following points for recognition granted to employees: Presidential Monetary Award = 5 pts. Outstanding Rating = 4; FAA
Award for Superior Achievement = 4; Quality Step Increase = 3; Exceptional Rating = 2; Special Achievement Award= 2; On-the-Spot
Cash Award, Certificate of Achievement, Time Off Award Official Letter of Commendation, Suggestion Award = .5 point for each (maximum 2 points);
NOTE: Quality Step Increases or Special Achievement Award given in conjunction with an Outstanding Rating receive outstanding rating credit
only.
Type Date
Value
Type
Date
Value
Type Date Value
O = Outstanding Rating SAA = Special Achievement Award OTS = On-the-Spot PMA = Presidential Monetary Award
Q = Quality Step Increase COM = Ltr. of Commendation CA = Certificate of Achievement
E = Exceptional Rating SUG = Suggestion Award TOA = Time Off Award
CERTIFICATION OF CANDIDATE: I certify that all of the statements made
in this application are true, complete, and correct to the best of my
knowledge and belief and are made in good faith.
CERTIFIC
ATION OF RATING OFFICIAL: I certify that this rating is true,
complete, and correct to the best of my knowledge and belief.
Date Signature of Candidate Date Signature of Rating Official
FAA FORM 3330-43-1 Revised (04/2015)
0
0.0
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

RATING OF AIR TRAFFIC EXPERIENCE FOR AT MOVEMENT (Federal Aviation Administration)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 8 February 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document