USDA is an equal opportunity provider, employer, and lender.

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 FSIS 4410-33 (02/13/2023)

OFO Workforce Investment Initiative Application Form 

Instructions for Application Completion

1. Please review each section of the application thoroughly and answer each question carefully. 

 Be sure to fill out the application completely. All four questions must be answered to be 

 eligible for consideration in the program. 

2. Personal information, track selection, and supervisor endorsement sections are all mandatory. 

 The work experience section is highly recommended, but not mandatory, and the additional 

 space for references and accolades are optional. 

3. Note that you are able to select two potential tracks; a primary and an alternate. You will need 

 to respond to the essay question as it relates to BOTH tracks if you choose to select an 

 alternate. If there is only one track you are interested in, please only select that track and 

 respond to the question as applicable to that track. 

4. Please respond to the short essay questions in a clear and concise manner. Please respond 

 as authentically as possible to provide the best insight to your personality, strengths, areas 

 of potential, and motivations. 

5. You will need to work with your supervisor to complete the application. There is an endorsement 

 form for your supervisor to complete. If at all possible, have your direct or acting supervisor 

 complete this section. If this isn't an option, it is acceptable to have your next-line supervisor 

 complete the endorsement. Once completed by the supervisor, the application will need final 

 concurrence from the District Office. 

6. Submission of application form by District Management to program mailbox will be considered 

 proof and record of concurrence authentication. 
USDA is an equal opportunity provider, employer, and lender.

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OFO Workforce Investment Initiative Application Form

 Date Application Completed: District:

Last Name First Name Middle

Job Title Duty Station State

Name (Last, First, MI)

Phone Number Cell Number 

Title Phone Number

Position Duties Dates of Employment

Name (Last, First, MI) Title Phone Number E-mail

Name/Type of Award Date Received Monetary Non-Monetary

First Training Track Choice: Select one of the following from the List: 

Alternate Training Track Choice: Select one of the following from the List: 

 Work E-mail Address

Personal Information 

Office of Field Operations 

Food Safety and Inspection Service 

Current or Acting Supervisor Information 

References (Optional) 

Accolades (Past 18 months) 

 Work E-mail Address

Most Recent (last 5 years) of Work Experience

 FSIS 4410-33 (02/13/2023)
USDA is an equal opportunity provider, employer, and lender.

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Essay Questions

Q1. How do you envision yourself contributing to OFO 's mission 2-3 years from now?

Q2. What do you see as your strengths for competitive selection into your selected tracks?

OFO Workforce Investment Initiative Application Form

Office of Field Operations 

Food Safety and Inspection Service 

Pts.

 Pts.

 FSIS 4410-33 (02/13/2023)
USDA is an equal opportunity provider, employer, and lender.

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Q3. What do you desire to be the most important outcomes of your participation in the Workforce Investment 

 Initiative Program? 

OFO Workforce Investment Initiative Application Form

Office of Field Operations 

Food Safety and Inspection Service 

Q4. Describe a time when you received constructive feedback. In your response, please address how you 

 responded to this feedback, any challenges you faced in receiving this feedback (if any), and how you 

 integrated this feedback.

 Pts.

 Pts.

 FSIS 4410-33 (02/13/2023)
USDA is an equal opportunity provider, employer, and lender.

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OFO Workforce Investment Initiative Supervisor Endorsement Form 

*Note to the Supervisor: Please be open and honest in this assessment of the candidate for this training 

program. This form will not to be shared with the candidate. 

I, endorse this candidate, for the OFO Training 

Initiative. I find this candidate to be reliable, hard-working, and capable of managing this commitment alongside the 

current work-load. This candidate is motivated, is a self-starter, and can work on a project to completion independently 

without significant input or oversight. This candidate is an eager learner and readily seeks out and accepts feedback and 

constructive advice from supervisor(s) and peers. This candidate has demonstrated personal responsibility and has put 

forth effort and/or shown interest in improving themselves in their current position. 

*This next section is optional. In the space provided below please provide a short personal statement of endorsement. 

This should include specific strengths and abilities with examples supporting the statement above. You may also include 

any notable hesitations or reservations. 

If you are not endorsing this candidate it is mandatory to provide a short statement indicating the reason in the 

space provided below. 

 Date:

Supervisor Name:

Candidate Name:

Supervisor Signature Date

Statement:

No, Candidate NOT Recommended at this time. Comments are mandatory and must be discussed with Program Manager.

Yes, Candidate Recommended. District Management confirmed candidate is non-probationary; last rating at least fully 

successful and no adjudicated discipline in last 12 months (i.e. Letter of Reprimand, Suspension, etc.); no active Last 

Chance Agreements; and not currently on an active Demonstration Opportunity. 

Office of Field Operations 

Food Safety and Inspection Service 

 FSIS 4410-33 (02/13/2023)

District Office Endorsement
USDA is an equal opportunity provider, employer, and lender.

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The U.S. Department of Agriculture prohibits discrimination against its customers, employees, and applicants for 

employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and 

where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an 

individual's income is derived from any public assistance program, or protected genetic information in 

employment or in any program or activity conducted or funded by the Department. 

 Signature Date

APPLICATION REVIEW 

Were all the questions answered? 

Total Score (1 - 20):

Reviewer's Comments:

 Yes No

Office of Field Operations 

Food Safety and Inspection Service 

OFO Workforce Investment Initiative Supervisor Endorsement Form 

 FSIS 4410-33 (02/13/2023)