Exhibit 9. Selection Certificate
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SELECTION CERTIFICATE
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| Issuing Office
Div of Personnel Mgt |
Issue To |
Type of Refferal |
Grade Level Certified |
| Announcement No. |
Position To Be Filled (Title, Series, Grade) |
Duty Station |
| Type of Appt./Work Schedule (Mark One) :
____ PFT ____ PPT (No. of Hrs/Wk ____) ____ TEMP NTE __________ |
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Action
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Date Interviewed |
Name
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PRESENT POSITION
(Title, Series, Grade)
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PRESENT AGENCY &
DUTY STATION
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ISSUING OFFICER (SIGNATURE)
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TITLE |
DATE |
| OFFICE FOR HUMAN RESOURCES REVIEW: |
| THIS CERTIFICATE IS VALID
THROUGH CLOSE OF BUSINESS __________/__________/__________ |
SELECTING OFFICIAL (SIGNATURE)
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TITLE |
DATE |
CONCURRING OFFICIAL (SIGNATURE)
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TITLE |
DATE |
AUTHORIZING OFFICIAL (SIGNATURE)
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TITLE |
DATE |
***INSTRUCTIONS TO SELECTING OFFICIAL AND REQUIRED AREAS OF COMPLETION ON REVERSE ***
SECTION 1. INSTRUCTIONS TO SELECTING OFFICIAL
- For certificates of promotion eligibles, if one candidate on a certificate is interviewed, all should be
interviewed. Candidates on noncompetitive certificates may be interviewed at the selecting official's
discretion.
- Interviews may be conducted in person or by telephone. You may request an appropriate Service employee to
conduct an interview at a location near the candidate.
- Complete Section 2, below, concerning outreach and recruiting efforts.
- State specifically, under Section 3, the justification for selection of the successful candidate. Certificates will
not be processed without this information.
- Obtain approval of concurring official and authorizing official of your selection before returning the certificate
to the servicing personnel office. The exception to this approval order is that selections requiring the
Director's approval must be returned to the Chief, Branch of Headquarters Personnel Operations prior to being
forwarded to the authorizing official. Follow the procedures in your region for allowing review by the
Regional Office for Human Resources.
- Use the following in the Action block: S - Selected, D - Declined, NS - Not selected but considered
SECTION 2. DESCRIBE AFFIRMATIVE OUTREACH AND OTHER RECRUITING EFFORTS
SECTION 3. JUSTIFICATION FOR SELECTION OF THE SUCCESSFUL CANDIDATE
 
Revised: 6-16-99
U.S. Department of the Interior - Office of Personnel Policy
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