Form OPM 1300 OPM 1300 Presidential Management Fellows (PMF) Program Nomination

U.S. Office of Personnel Management
OPM Form 1300 (Revised 09/2006)

OMB Approved No. 3206-0082
Expires: XXXXX

Presidential Management Fellows (PMF) Program Nomination Form
INSTRUCTIONS TO APPLICANT: Application to the PMF Program requires formal nomination by an accredited graduate
school by a Nominating Official (Dean, Chairperson, or Academic Program Director). Provide these instructions and form to
your Nominating Official so that he/she may fax the signed form if a decision is made to nominate you. If you would like to
submit supporting documentation for claiming veterans’ preference (e.g., DD-214, VA letter, etc.) by fax, please use the
standard fax cover sheet which can be found at http://staffing.opm.gov/pdf/usascover.pdf. After your Dean, Chairperson,
or Academic Program Director makes a decision to nominate you, your Nominating Official must fax the signed form
by Midnight (Eastern Time) on Tuesday, October 31, 2006.
NOTICE TO NOMINATING OFFICIAL: The applicant shown on the second page (fax-back form) is a graduate student at
your school who must be formally nominated by you to be considered for the PMF Program. Information about the PMF
Program and Guidance to Colleges/Universities can be found on the PMF website at www.pmf.opm.gov. By signing the
form, you certify that your academic institution is a qualified college or university that is accredited by an accrediting
organization recognized by the Secretary of the U.S. Department of Education; has acquired “pre-accreditation” or “candidate
for accreditation status” that is recognized by the Secretary of the U.S. Department of Education; or, offers education that,
upon review by a U.S. organization that specializes in interpretation of foreign educational credentials (commonly called a
credential evaluation service), would be deemed equivalent to that gained in conventional/accredited U.S. education
programs.
You certify that you have the authority to approve this nomination into the PMF Program and your school has conducted a
competitive screening process to evaluate your graduating applicants interested in the PMF Program. Your school's
nomination process takes into consideration that your students must demonstrate the following: breadth and quality of
accomplishments, capacity for leadership, and a commitment to excellence in the leadership and management of public
policies and programs. You understand that you must fax this signed form to 478-757-3144 by Midnight (Eastern Time), on
Tuesday, October 31, 2006, for your student to be considered nominated. NOTE: You are only required to sign and fax
the form if you ARE nominating this student. If you decide NOT to nominate, do not sign nor fax the form. To ensure
proper processing, send only one nomination form per fax transmission.
PRIVACY ACT STATEMENT: Executive Order 13318, PMF Program, authorizes solicitation of this information, which will
be used primarily to select finalists for participation in the PMF Program. The information may also be used to publicize your
selection for and participation in the PMF Program, and may also be furnished to the agency wherein employed in hard copy
and electronic formats. Names and home addresses may be released in hard copy and electronic formats to other PMF
Program participants such as Federal Agencies and alumni to foster interaction and communications.
The information we collect by using your Social Security Number (SSN) will be used for employment purposes and also for
studies and statistics that will not identify you. Information we have about you may also be given to Federal, State and local
agencies for checking on violations of law or for other lawful purposes. We may send your name and address to State and
local government agencies, Congressional and other public offices, and public international organizations, if they request
names of people to consider for employment. We may also notify your school placement office if you are selected for a
Federal job. Giving us your SSN or any of the other information is voluntary. However, we cannot process your application,
which is the first step toward getting a job, if you do not give us the information we request. In addition, incomplete
addresses, invalid email addresses, and ZIP Codes(s) will slow processing. We may confirm information from your records
with prospective nonfederal employers concerning tenure of employment, civil service status, length of service, and date and
nature of action for separation as shown on personnel action forms of specifically identified individuals.
We must have your SSN to identify your records because other people may have the same name and birth date. The PMF
Program Office may also use your SSN to make requests for information about you from employers, schools, banks, and
others who know you, but only as allowed by law or Presidential directive. We request your SSN under the authority of
Executive Order 9397 (November 22, 1943). This Executive order allows us to collect SSN's to uniquely identify you.
PUBLIC BURDEN STATEMENT: We estimate the public reporting burden for this collection will be approximately 10
minutes for completing this nomination form, including time for reviewing instructions, gathering data, and obtaining a
nomination. Send comments regarding the burden statement or any other aspect of the collection of information, including
suggestions for reducing this burden to: U.S. Office of Personnel Management, Forms Officer (3206-0082), Washington, DC
20415-7900. The OMB number, 3206-0082, is currently valid. The U.S. Office of Personnel Management may not collect
this information, and you are not required to respond, unless this number is displayed. Do NOT mail the nomination form to
this address; please follow the instructions above.
NOTE: Use the fax-back form only (next page); do NOT include this page when faxing.

NO COVER SHEET NEEDED; FAX THIS PAGE ONLY IF NOMINATING

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U.S. Office of Personnel Management
OPM Form 1300 (Revised 09/2006)

OMB Approved No. 3206-0082
Expires: XXX

Presidential Management Fellows (PMF) Program Nomination Form
Vacancy Identification Number (VIN):
Social Security Number:

-

-

First Name:

Middle Initial:

Last Name:

Graduate School Information:
Federal Title IV School Code:
Expected Graduate Degree Date:
Graduate Degree:
Claiming Veterans' Preference:
You certify that you have the authority to approve this nomination into the PMF Program and your school has
conducted a competitive screening process to evaluate your graduating applicants interested in the PMF Program.
Your school's nomination process takes into consideration that your students must demonstrate the following:
breadth and quality of accomplishments, capacity for leadership, and a commitment to excellence in the leadership
and management of public policies and programs. You further certify that as a Dean, Chairperson, or Academic
Program Director for the school, that you have the authority to approve this nomination into the PMF Program for
the Class of 2007. You understand that you must fax this signed form to 478-757-3144 by Midnight (EST),
Tuesday, October 31, 2006, to nominate this applicant. You are only required to sign and fax this form if you
ARE nominating this student. If you decide NOT to nominate, do not sign nor fax this form. Once nomination
decisions are submitted, they become final and cannot be changed. Please fax only ONE form per fax transmission.
NOMINATING OFFICIAL'S FIRST AND LAST NAME:

EMAIL ADDRESS:

NOMINATING OFFICIAL'S SIGNATURE (please sign in black ink):

DATE (mm/dd/yyyy):

FAX YOUR SIGNED NOMINATION TO 478-757-3144

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NO COVER SHEET NEEDED; FAX THIS PAGE ONLY IF NOMINATING