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Authorization, Agreement, and Certification of Training …

Office of Personnel Management Standard Form 182 Revised December 2006 All previous editions not 1 authorization , agreement AND Certification OF Training B. Request status (Mark (X) one) ResubmissionInitialCorrectionCancellatio n1. Applicant's Name (Last, First, Middle Initial) Security Number/Federal Employee Number3. Date of Birth (yyyy-mm-dd)6. Position Level (Mark (X) one) 4. Home Address (Number, Street, City, State, ZIP Code) (Optional)5. Home Telephone (Optional) (Include Area Code)7. Organization Mailing Address (Branch-Division/Office/Bureau/Agency))1 0. Position Title12. Type of Appointment8. OfficeTelephone (Include Area Code and Extension)a.

B.Request Status Section A – Trainee Information 1.Applicant's Name (Last, First, Middle Initial) 2. Social Security Number (###-##-####) (Agency Use Only) 3. Date of Birth (Enter Date as yyyy-mm-dd) (Agency Use Only) ... Certification of Training Completion and Evaluation section. 2. Electronic Requirements - An agency should only submit ...

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