**Appendix N-1**

**FAC-C Program Application Form**

**Memorandum**

TO: (Reviewing Official's name and title)

FROM: (Employee's name and title)

THROUGH: (Employee's supervisor's name

and title)

SUBJECT: Request for FAC-C Certification

I am submitting this form and the attached\* supporting documentation as
my application for FAC-C Level \_\_\_\_\_.

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

1\) Employee information:

  -------------------------- --------------------------------------------
  Title, series, grade       

  Current certification      
  level                      

  Office                     

  E-mail address             
  -------------------------- --------------------------------------------

Are you a warranted Contracting Officer? No \_\_\_\_\_\_ Yes
\_\_\_\_\_\_

(If yes, provide Warrant Level \_\_\_\_\_\_\_ and Approval Date
\_\_\_\_\_\_\_\_\_)

**Education:**

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 \_\_\_\_ 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 listing of
courses and the number of semester hour for each course if you do not
hav e a Bachelor's or Master's Degree in one of the previously listed
fields.)

I was\_\_\_\_\_\_\_ was not \_\_\_\_\_\_ in the GS-1102 series before
January 1, 2000.

**Experience:**

Minimum of one year contracting experience (SERIES 1102). Yes \_\_\_ No
\_\_\_

Minimum of two years contracting experience (SERIES 1102). Yes \_\_\_ No
\_\_\_

Minimum of four years contracting experience (SERIES 1102). Yes \_\_\_
No \_\_\_

**Training requirements**:

Attach all certificates for applicable courses to the FAC-C application
package and send the entire package to the Acquisition Career Manager.

**Method of Completion** (Check appropriate space and complete
applicable information). For course equivalencies, see Appendix D of the
DAU Catalog
([http://www.dau.mil/catalog/cat2007/DAU_2007_Catalog.pdf]{.underline}).\*

**FAC-C Level I**

+---------------------------------------------+------------------------+
| **Course name**                             | **Date completed or    |
|                                             | Date Fulfillment       |
|                                             | Approved**             |
+---------------------------------------------+------------------------+
| **CON 100 SHAPING SMART BUSINESS            |                        |
| ARRANGEMENTS** Actual course or             |                        |
| equivalent\*\*? (if equivalent provide      |                        |
| name)                                       |                        |
+---------------------------------------------+------------------------+
| **CON 110 MISSION SUPPORT PLANNING**        |                        |
|                                             |                        |
| Actual course or equivalent? (if equivalent |                        |
| provide name)                               |                        |
+---------------------------------------------+------------------------+
| **CON 111 MISSION STRATEGY EXECUTION**      |                        |
|                                             |                        |
| Actual course or equivalent? (if equivalent |                        |
| provide name)                               |                        |
+---------------------------------------------+------------------------+
| **CON 112 MISSION PERFORMANCE ASSESSMENT**  |                        |
|                                             |                        |
| Actual course or equivalent? (if equivalent |                        |
| provide name)                               |                        |
+---------------------------------------------+------------------------+
| **CON 120 MISSION FOCUSED CONTRACTING**     |                        |
|                                             |                        |
| Actual course or equivalent? (if equivalent |                        |
| provide name)                               |                        |
+---------------------------------------------+------------------------+
| **Elective**                                |                        |
+---------------------------------------------+------------------------+

**\*\* for equivalent courses, specify course provider and number of
training hours (CLPS)**

**FAC-C Level II (if applicable)**

+---------------------------------------------+------------------------+
| **Course name**                             | **Date completed**     |
+---------------------------------------------+------------------------+
| **CON 202 INTERMEDIATE CONTRACTING**        |                        |
|                                             |                        |
| Actual course or equivalent\*\*? (if        |                        |
| equivalent provide name)                    |                        |
+---------------------------------------------+------------------------+
| **CON 204 INTERMEDIATE CONTRACT PRICING**   |                        |
|                                             |                        |
| Actual course or equivalent? (if equivalent |                        |
| provide name)                               |                        |
+---------------------------------------------+------------------------+
| **CON 210 GOVERNMENT CONTRACT LAW**         |                        |
|                                             |                        |
| Actual course or equivalent? (if equivalent |                        |
| provide name)                               |                        |
+---------------------------------------------+------------------------+
| **Elective**                                |                        |
+---------------------------------------------+------------------------+
| **Elective**                                |                        |
+---------------------------------------------+------------------------+

**\*\* for equivalent courses, specify course provider and number of
training hours (CLPS)**

**FAC-C Level III (if applicable)**

  --------------------------------------------- -------------------------
  **Course name**                               **Date completed**

  **CON 353 Advanced Business Solutions for     
  Mission Support** Actual course or            
  equivalent\*\*? (if equivalent provide name)  

  **Elective**                                  

  **Elective**                                  
  --------------------------------------------- -------------------------

**\*\* for equivalent courses, specify course provider and number of
training hours (CLPS)**

![](media/image1.wmf){width="6.125in" height="2.0833333333333332e-2in"}

**MANDATORY SKILLS CURRENCY**

To maintain a FAC-C, GS-1102s, including all warranted Contracting
Officers regardless of series, shall earn 80 continuous learning points
(CLPs) every two years beginning January 1, 2008. ACMs shall monitor the
continuous learning requirements for employees holding FAC-Cs to ensure
they meet this requirement. A FAC-C will expire if the 80 CLPs are not
earned every two years, and the SPE or HCA may choose to revoke or
modify a warrant if this condition is not met.

Has the applicant met the mandatory skills currency? Yes \_\_\_ No
\_\_\_ N/A \_\_\_\_\_

(Provide documentation with your FAC-C application package that
indicates that skills currency has been attained).

![](media/image1.wmf){width="6.125in" height="2.0833333333333332e-2in"}

***(To be filled out by the employee's supervisor)***

2\) Employee's supervisor:

\_\_\_\_\_ Recommend Approval

\_\_\_\_\_ Recommend Disapproval

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Signature, Title and Date)

***(To be filled out by the reviewing official)***

3\) Reviewing Official:

\_\_\_\_\_ Recommend Approval

\_\_\_\_\_ Recommend Disapproval

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Signature, Title and Date)

***(To be filled out by the approving official)***

4\) Approving Official:

\_\_\_\_\_ Recommend Approval

\_\_\_\_\_ Recommend Disapproval

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Signature, Title and Date)

• Supporting documentation consists of:

Transcript or diploma to prove education, or documents to demonstrate in
series before 1/1/2000.

Training certificates and/or previous Acquisition Certificate

OF 612 or Resume

Most recent performance appraisal

Proof of Mandatory Skills Currency

Information on fulfillment if applicable (see Appendix R-7, "Fulfillment
of Mandatory Training Requirement". Fulfillment form is only required if
you are seeking to have an alternate course credited to meet the
training requirement. These forms aren't needed for courses already
determined equivalent by FAI or DAU.)