**Request for Waiver to the GS-1102 Qualification Standard Application
Form**

**Memorandum**

TO: Senior Procurement Executive (*Name and Title*)

FROM: Head of Contracting Activity (*Name and Title*)

THROUGH: Selecting Official (*Name and Title)*

SUBJECT: Request for Waiver to GS-1102 Qualification Standard

***(To be filled out by the employee)***

1\) Name of employee submitting the request for waiver, Title, Series,
Grade, HHS or FAC-C (specify which program) Acquisition Certification
Level:

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2\) Employee's work location (organization, division, city, state):

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3\) Employee's phone number, fax number, e-mail address:

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I have \_\_\_\_ do not have \_\_\_\_ a 4-year course of study leading to
a bachelor's degree with a major in any field.

I have \_\_\_\_ do not have \_\_\_\_ the 24 semester hours in a
combination of the following fields: accounting, business, finance, law,
contracts, purchasing, economics, industrial management, marketing,
quantitative methods, or organizational management. (Please provide a
list of courses and the number of semester hours for each course if you
do not have a Bachelors or Masters Degree in one of the previously
listed fields). Please attach a copy of your resume/OF 612.

***(To be filled out by the employee)***

4\) Waiver to the GS-1102 Qualification Standard

(Please reference Chapter 2 in the HHS Acquisition Workforce Training
and Certification Handbook). At HHS, if an employee does not meet the
minimum educational requirements as set forth in the GS-1102
Qualification Standard, a waiver may be issued, which allows the
employee to be promoted into a position, so long as the employee can
justify that he/she is still currently enrolled in a degree program and
is working on meeting the requirements.

"I am currently enrolled in the following degree program (*name
program)* at the following college/university (*name
college/university*). My planned date of graduation/completion of
education requirements is (*give date*). I have been enrolled in this
college/university since (*give date*). I acknowledge that, if granted
an educational waiver, failure to submit a completed Appendix M-1 and
documentation of completion of specified course/credits on an annual
basis to the Department's Acquisition Career manger may result in: a)
Revocation of the waiver and return to the grade and series held prior
to promotion; and b) if appropriate, return to warrant authority held
prior to promotion.

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(Signature of Employee and Date)

***(To be filled out by the selecting official and Head of Contracting
Activity)***

5\) Request for waiver to the GS-1102 Qualification Standard

This request is to waive the \_\_\_\_ 24 semester hours of
business-related courses, or \_\_\_\_\_ four years of college leading to
a college degree for the following employee or candidate (fill in name).
(Please identify the requirement(s) to be waived. For example, lacks 24
credit hours, but not the college degree, etc.)

Please provide justification for requesting the waiver. For example,
explain that a unique staffing situation exists, such as a difficult to
fill position or duty location where it is difficult to attract
qualified candidates that meet all of the standard requirements; a
description of why the individual was selected in place of a candidate
who meets the qualification standard (if applicable); and the impact of
the waiver disapproval on the organization; a description of the
position, location, grade and anticipated warrant level; and the
candidate's efforts to meet the standard and the estimated time frame
for completion of the standard. Also include a description of recruiting
efforts and results of those efforts and a copy of the previously
approved vacancy announcement (if applicable).

Also, include in the justification the following statement: "I certify
(*insert employee's or candidate's name*) has significant potential for
advancement to levels of greater responsibility and authority, based on
demonstrated analytical and decision making capabilities, job
performance, and qualifying experience and background to the
requirements of the position to be filled." Include copies of
documentation such as employee's/candidate's resume and/or application.
Include a statement that the employee/candidate intends to complete the
education and/or experience requirements by a specified timeframe
(specify the number of credits and course).

Selecting Official Endorsement: Head of Contracting Activity

Endorsement:

"I hereby endorse this request for a waiver." "I hereby endorse this
request for a

waiver."

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(Signature and Date) (Signature and Date)

***(To be filled out by the Procurement Executive)***

6\) Senior Procurement Executive Decision:

\_\_\_\_\_\_\_ Approved

\_\_\_\_\_\_\_ Disapproved

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(Signature and Date)

Attachments: (as applicable):

Justification for requesting the waiver

Vacancy Announcement

Position Description

Description of recruiting efforts

Employee's application/resume/OF 612

Plan for meeting the GS-1102 Qualification Standard