**SF-52#** **CPP/MS#**

<table>
<colgroup>
<col style="width: 36%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 4%" />
<col style="width: 8%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 3%" />
<col style="width: 6%" />
<col style="width: 22%" />
<col style="width: 0%" />
</colgroup>
<tbody>
<tr class="odd">
<td><strong>POSITION TITLE/SERIES/GRADE:</strong></td>
<td colspan="3"><strong>CODE:</strong></td>
<td><strong>PPP:</strong></td>
<td colspan="4" rowspan="2"><strong>AREA OF CONSIDERATION:</strong></td>
<td><p><strong>OPENS:</strong></p>
<p><strong>CLOSES:</strong></p></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"><strong>TRAVEL AUTHORIZED:</strong> <strong>Yes</strong>
<strong>No</strong></td>
<td colspan="2"><strong>100 APPROVAL:</strong> <strong>Yes</strong>
<strong>No</strong></td>
</tr>
<tr class="odd">
<td colspan="2"><strong>MAJOR DUTIES:</strong></td>
<td colspan="4"><strong>KSAOC'S REQUIRED</strong></td>
<td><strong>CRIT</strong></td>
<td colspan="3"><strong>EXAMPLES (KSAOC'S REQUIRED)</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>OUTSTANDING :</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>SUCCESSFUL:</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>OUTSTANDING :</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>SUCCESSFUL:</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>OUTSTANDING :</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>SUCCESSFUL:</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>OUTSTANDING :</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>SUCCESSFUL:</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="3"><strong>SELECTING OFFICIAL'S SIGNATURE</strong></td>
<td colspan="5"><strong>TYPED NAME AND TITLE</strong></td>
<td colspan="2"><strong>DATE</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3"><strong>HUMAN RESOURCES MANAGEMENT SPECIALIST’S
SIGNATURE</strong></td>
<td colspan="5"><strong>TYPED NAME</strong></td>
<td colspan="2"><strong>DATE</strong></td>
<td></td>
</tr>
</tbody>
</table>

> Page of

**SF-52#** **CPP/MS#**

<table>
<colgroup>
<col style="width: 36%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 4%" />
<col style="width: 8%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 3%" />
<col style="width: 6%" />
<col style="width: 22%" />
<col style="width: 0%" />
</colgroup>
<tbody>
<tr class="odd">
<td><strong>POSITION TITLE/SERIES/GRADE:</strong></td>
<td colspan="3"><strong>CODE:</strong></td>
<td><strong>PPP:</strong></td>
<td colspan="4" rowspan="2"><strong>AREA OF CONSIDERATION:</strong></td>
<td><p><strong>OPENS:</strong></p>
<p><strong>CLOSES:</strong></p></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"><strong>TRAVEL AUTHORIZED:</strong> <strong>Yes</strong>
<strong>No</strong></td>
<td colspan="2"><strong>100 APPROVAL:</strong> <strong>Yes</strong>
<strong>No</strong></td>
</tr>
<tr class="odd">
<td colspan="2"><strong>MAJOR DUTIES:</strong></td>
<td colspan="4"><strong>KSAOC'S REQUIRED</strong></td>
<td><strong>CRIT</strong></td>
<td colspan="3"><strong>EXAMPLES (KSAOC'S REQUIRED)</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>OUTSTANDING :</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>SUCCESSFUL:</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>OUTSTANDING :</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>SUCCESSFUL:</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>OUTSTANDING :</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>SUCCESSFUL:</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>OUTSTANDING :</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="3"><strong>SUCCESSFUL:</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="3"><strong>SELECTING OFFICIAL'S SIGNATURE</strong></td>
<td colspan="5"><strong>TYPED NAME AND TITLE</strong></td>
<td colspan="2"><strong>DATE</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3"><strong>HUMAN RESOURCES MANAGEMENT SPECIALIST’S
SIGNATURE</strong></td>
<td colspan="5"><strong>TYPED NAME</strong></td>
<td colspan="2"><strong>DATE</strong></td>
<td></td>
</tr>
</tbody>
</table>

> Page of
>
> **[PANEL MEMBERS]{.underline}**

  ------------------------- ----------------------- ------------ ---------------
  **NAME**                  **TITLE/GRADE**         **CODE**     **EXTENSION**

  1\.                                                            

  2\.                                                            

  3\.                                                            

  4\.                                                            

  5\.                                                            
  ------------------------- ----------------------- ------------ ---------------

> **[Selective Factor(s) Justification:]{.underline}
> [KSA#]{.underline}** **[KSA#]{.underline}**
>
> **The identified Selective Factor(s) is/are critical to the successful
> performance of this position. The duties and responsibilities could
> not be successfully accomplished without such prior
> experience/knowledge. Such experience/knowledge cannot be gained
> through formal or on-the-job training in less than** **years.**