Professional Documents
Culture Documents
Ssa 45 2012 Update 1
Ssa 45 2012 Update 1
GRADE Ann.
Social Insurance Specialist (Claims Number Tuesday,
Representative)(Bilingual GS-0105- June 19,
09/11 2012 to
SN678090-12 ROII Wednesday,
169 CREDO July 11, 2012
I Would Accept A:
Promotion X Reassignment Change To Lower
Grade
Position Downtown Position In
Woodlawn
First 3 Letters Of Your Social Security Number
Your Last Name
1 2 3 21 22 23 24 25 26 27 28 29
M O L x x x x x 2 9 6 6
Name (Printed) Organization Location
1
Announcement Position Applied For Vacancy Grade Level Lowest
Number Location (s) Grade
Applied For Acceptable
San Juan P.R>
Social Insurance Carolina P.R> GS-11 GS-9
Specialist (Claims
SN678090-12 ROII Representative)(Bilingual
169 CREDO
You must specify the dates at each grade level if you have had a career ladder position. Be
sure to show all experience which is pertinent and related to your qualifications for the
positions for which you are applying. Any details to other positions should be described in
Part II-Details.
2
SSA SAN JUAN TSC Elsie Rivera
GS-9 525 FD ROOSEVELT 0 787 250-0665
787 250-0720
SUITE 500
SAN JUAN PR 00918-
8051
Detailed Description of Duties: (Do not attach Position Description)
3
to reduce misinformation and provided excellent and accurate
information to the public’s necessities. I ensure uniform and
proper application of Social Security laws, regulations, policies
and procedures. I reviewed and comments on new procedures,
assists in developing supplementary procedures and/or reminder
items for educate the TSR components. I explained and interpret
Social Security legislation, policies and procedures according to
the need of the inquiring callers. I provide precise, specific
information on eligibility and benefits paid under the Social
Security Program, SSI and Medicare Program. I assist and
coached the TSRS to provide accurate information and answer
questions to caller and claimant about Title II and Title XVI
programs and make coordinated referrals to other government
agencies, federal as well as local, for example Internal Revenue
Service’s (IRS) and Medicare. I also identified and investigated
the need of social services a particular claimant may have provide
general information for assistance programs like Medicaid, Food
Stamps, and Public Health Reform Act from the Government of
Puerto Rico and Fondos Unidos so the caller can obtain additional
help if needed. On daily basic I educated , trained and assisted
the TSR to providing education for learn and handle the Agency
guidelines in the POMS/MSOM, TSC Guide, Policy Net, Chip,
Internet and Intranet tools as eview , CPMs, Ors ,Nred,
paperless, RPS and Imain tools programs to coached, teaching
and guiding the TSRS for familiarized and handled all computer
4
tools available. I identify and audited laws and facts that support
my ideas that solve an organizational challenge and provide
proper and accurate information on timely manner as Social
Security Agency goals. My bachelor degree on Public
Communication acquires in Puerto Rico University provided me
the education, expertise and strengthens in the communication
skills for manage the CR and supervisory responsibilities. I keep
excellent relationship with all coworker and I handled difficult
situation with all type of claimant and diversity of publics.
As part of my daily performance, I evaluated and reviewed
monthly telephone interviews of the TSRs assigned, through
service observation through the phone tools(Teleset ) without
supervision.
5
I serve as technical advisor for TSRs in responding to very
unusual, difficult, sensitive’s cases. I provide guide on the use of
systems-related records and equipment for helps other
employees in resolving complex cases. I assists supervisor in
developing office work plans and assists in coordinating
Teleservice center (TSC) activities with those of Field offices,
PCAS in the TSC service area. I review and monitors workload
receipts, pending and backlogs; analyzes data; adjusts workloads
according to priorities and makes recommendations and
instruction in a positive manner for reducing backlogs and
improving the processing of work. I provide guidance,
constructive feedback or other form of instruction in a positive
manner open to discuss of ways of improve. I motivated the
employees recognizing individual efforts, goals and achievements.
6
I clarified the doubt with fellow employees in a polite and
professional manner and preserve their personal dignity. I
coaches and guides employees when I serving as a mentor,
instructor or team leader. I keep focus on the goal of team and
minimize the style difference. I must substitutes as supervisor or
manager in the absence of those officials when designated to do
so. As required performs non-supervisory work of the same kind
and level as the TSRs when is necessary. I have performs other
technical or administrative duties as assigned. I handle multiple
and diverse tasks on an average day in a job, for determine
effectiveness.
7
and actually I was nominee and selected as EEOC collateral duty
Officer in the agency.
8
evaluated the procedure for new officer’s election for the 2007
year.
9
the agency Internet and Intranet other available tools to find
professional documentation or forms which a claimant or
beneficiary may needed.
10
concise manner and in an understandable format and courteous
and effective manner. I keep contacts with employees in the TSC
and other SSA offices daily. I have and keep direct
Communication with the TSC’s supervisor and management staff
is also frequently. In very complex, unusual or sensitive cases, I
may personally respond to public inquiries. I convinced with the
public may be difficult. I must deal with irritate or disturbed
individuals.
11
control reasons. I prepared and teach TSR training to new hiring
employees (TSRT) within timeframe required. I provide test
review and evaluation to supervisor. In the last new hiring class
TSR, I prepared and teach lessons as Computation which
generally is prepare and teach by CR or supervisor. I was
instructor of Annual Earning Test, Overpayment and SSI lessons,
Disability and others. I demonstrated capacity and skill to
analyze numeric problems. When I prepared the annual budget
for next fiscal year and prepare financial annual report for AFGE
local Union as elected financial Officer. As AFGE financial Officer, I
had the responsibility of explaining the annual financial report to
the all present active members for inform the financial status of
the AFGE local. I explained the financial transaction, I prepared
the New Year budget and response and explain any doubt or
question.
12
observation, to determine accuracy, completeness and
consistency of information.
13
When I work voluntarily I belong as part of Board of Directors of
the Condominium Monte Real as vocal, secretary and treasury
officer, I written the agenda for the Board and General
Assembly meetings, either extraordinary or routinely. I organized
and prepared Annual Meetings for election of Directors authorize
and write checks for payments of the expenses authorized by the
Board, keep records about resident’s good standing by paying
their quotas. Take inquiries of residents concerning day to day
issues of living in the Condominium. I kept track of changes in
the law that could affect the condominium. I prepared and
coordinated and written the annual assemble. I explain, oriented
a suggested about different issue to discuss and obtained agree
to particular situation for obtained the better decision for all
members of Monte Real Condominium. I prepared and written the
annual financial reports to inform all resident about final decision.
14
BilingualTeleservices Representative (TSR) Period when I
began GS-5 to GS-8 step 7
15
legislation, policies and procedures according to the need of the
inquiring callers. I provide precise, specific information on
eligibility and benefits paid under the Social Security Program and
Medicare Program. I answer questions about Title II and Title
XVI programs and make referrals to other government agencies,
federal as well as local, for example Internal Revenue Service’s
(IRS) and Medicare. I also identify the need of social services a
particular claimant may have and I provide general information
for assistance programs like Medicaid, Food Stamps, and Public
Health Reform Act from the Government of Puerto Rico and
Fondos Unidos so the caller can obtain additional help if needed.
16
waiver if applicable. I also use Electronic Forms, the agency
Internet and Intranet to find professional documentation or forms
which a claimant or beneficiary may need.
17
meets all the requirement I initiate a claim by making an
appointment in the 800# system referencing the claimant
earnings record for any discrepancies, including information of
any auxiliary on the application and explaining the necessary
evidence needed, which the Claims Representative (CR) will
utilize to help with the application. If it is a retirement claim,
surviving spouse, lump sum death payment (LSDP) claim or any
other as defined by the Immediate Claim Taking Unit (ICTU), the
SSA Policy and system guidelines, I refer the lead to the next
available CR for immediate expedition of services. The creation
of the ICTU in the San Juan Teleservice Center has allowed me to
develop a wide range of understanding about the claims referral
process. In addition I provide callers detailed information about
the application process for disability. Information is gathering
from the caller to verify if the requisites are meet and are
complete for eligibility. Utilizing the Disability Insured Status
Calculator Online (DISCO) I am able to verify when the person is
insured for disability benefits. I also provide information about
the necessary evidence needed in order to process an application,
and facilitate the collection of medical information so Disability
Determination Services (DDS) can verify the appropriate medical
condition. If the person wishes to apply I set an appointment thru
the 800# appointment/Referral to the Field Office of jurisdiction.
18
On a daily basis I answer questions and provide assistance
about the Medicare Program. I help with the preparation of
Medicare claim forms as well as appeal forms; refer any incidents
of dissatisfaction with Medicare reimbursement rates.
I use available systems queries like Master Beneficiary
Record (MBR) and HQRS to provide solutions with problems of
eligibility, enrollment and premiums that could involve the
Common Working File, share by Social Security Administration
and Centers for Medicare and Medicaid Services (CMS). In
addition, I explain the different options provide by law to request
Medicare at the Initial Enrollment Period (IEP), General
Enrollment Period (GEP) or Special Enrollment Period (SEP) as
appropriate. This information provides the future beneficiary the
ability to decide whether they are going to apply or not.
Enrollment and withdrawal applications are processed by me
using the information retrieved by CHIP software and fill the
forms CMS-40B or HCFA-1763. I also explain the general rules
about State buy-in benefits and complete form SSA-5002
referring to CMS the termination of benefits when the claimants
moves to Puerto Rico or US Virgin Island, avoiding by these
means the continuation of premiums by the State when a
beneficiary has lost eligibility. Available pamphlets and literature
on Medicare benefits or services are sent to the general public
who calls us.
19
Even though Supplemental Security Income is not available
in Puerto Rico, I advise about eligibility factors and post
entitlement situation that may arise when a beneficiary has
moved to our jurisdiction. This includes referring by way of
administrative massage utilizing the Modernized Development
Worksheet (MDW) to the Field Office and processed through SSI
workflow jurisdiction for the termination of SSI payments when a
claimant moves from the US to PR. Also, I identify whenever the
person may qualify under the Black Lung Benefit or Railroad
program.
20
the FO with jurisdiction in order to solve special situation of
overpayments and/or representative payee changes that may
require an appointment.
21
Dates Of Employment In This Position Exact Title Of Your
(Specify The Dates At Each Grade Level) Position
Grade Fromm (Mo., Da, Tú (Mo., Da, Ir.) Contact Rep (TSR-Bilingual) Part Time
Ir.) Mixed Tour
07 07/18/1999 07/29/2000 Average Hours Per Week 40 Hrs
Civil Employer (Name And Number And Kind Of Name And Telephone
Service Address) Employees You Of Immediate
Series Supervised Supervisor
SSA San Juan TSC OS AWILDA
GS 525 FD Roosevelt Suite 0 CINTRON
500 (787) 758-9043
San Juan PR 00918-8051
Detailed Description of Duties: (Do not attach Position Description)
22
On a daily basis I provided information about specific
options for retirement. I computed estimated monthly benefits
payable at different ages of eligibility to enable the individual to
make retirement decisions that will affect their future income.
23
literature and pamphlets with information about Social Security
and Medicare services and benefits.
24
In addition, I utilized the information obtained through the
SSA queries to determine the status of claims or SSA actions,
beneficiary payments history, and process input regarding SSA
post entitlement actions, such as change of address, death input
and direct deposit. I also established claim leads on the 800#
appointment/referral for retirement, survivors or disability for
children and adults that are eligible under the program. I advised
callers about the evidence needed for the claims to be processed
without delays. I informed other components of the agency, such
as the Field Office (FO), of any special situations, like earnings
discrepancies or any factors that requires additional action by the
Claims Representative. In addition, I established post entitlement
appointment to the FO for CDR, Representative Payee changes or
special situation that requires an appointment in order to provide
efficient service to the public.
25
I used CHIP, a system that integrates SSA policy to
adequately identify a caller, improved my abilities in this
important task. At the same time, I preserve the privacy of
people, in compliance with the Privacy Act provisions. In addition,
programs like SSA’s Intranet, Internet Explorer, Microsoft
Outlook, and Policy Net keep me up to date with the latest
information on policy and guidelines of the agency, including
implemented changes. Following these appropriate guidelines I
report any fraud or misuse of any SSA programs, whenever
necessary, by telephone and for e-mail to Office of Inspector
General (OIG). Also, OIG telephone number is provided to the
public, so they may have direct access.
26
Dates Of Employment In This Position Exact Title Of Your
(Specify The Dates At Each Grade Level) Position
Grade From (Mo., Day, To (Mo., Day, Contact Rep (TSR Bilingual) Part Time
Ir.) Yr.) Mixed Tour
06 07/18/1998 07/17/1999 Average Hours Per Week 40 Hrs
Civil Employer (Name And Number And Kind Of Name And Telephone
Service Address) Employees You Of Immediate
Series Supervised Supervisor
SSA San Juan TSC OS Lillian Oquendo
GS 525 FD Roosevelt Suite 0 787-759-4403
500
San Juan PR 00918-8051
Detailed Description Of Duties: (Do not attach Position Description)
27
payable at various ages of eligibility to enable the individual to
make retirement decisions that will affect their future income.
28
Through on-the-job experience I have been able to acquire
knowledge and develop abilities to analyze overpayments,
determine and compute any quantity paid in excess. This allows
the beneficiary to get oriented with correct information and
finalize overpayment either by recovery of debt or by waiver
using the applicable procedures, which include determination of
claimants are without fault and if so, sending the appropriate
form SSA-632BK and making the necessary notations thru the
Debt Management System.
29
death input and direct deposit action. I also establish claim lead
on the 800# appointment/referral system for retirement,
survivors or disability benefits, for children and adults that are
eligible under the program. I advise of the necessary evidence for
the processing of claims without delays. I advise other
components of the agency, such as the Field Office of any special
situation like earnings discrepancies in the record or any factor
that requires additional action by the Claim Representative. In
addition I establish post entitlement appointment to the FO for
CDR, Representative Payee changes or special situation that
require an appointment in order to provide efficient service to the
public.
30
preserve the privacy of people, which allows me to comply with
the Privacy Act provisions. In addition, the Internet system of
SSA and programs like Internet Explorer, Lotus CC Mail 6.0, and
Policynet allow me to obtain the latest information on policy and
guidelines of the agency including implemented changes.
Following this appropriate guideline I report any fraud or misuse
of any SSA programs; whenever necessary the telephone number
and e-mail address of Office of Inspector General are provided to
the public so they may have direct access.
31
Dates Of Employment In This Position Exact Title Of Your
(Specify The Dates At Each Grade Level) Position
Grade From (Mo., Day, To (Mo., Day, Contact Rep (TSR Bilingual)
Yr.) Yr.) Part Time Mixed Tour
05 07/06/1997 07/19/1998 Average Hours Per Week 40 Hrs
Civil Employer (Name And Number And Kind Of Name And Telephone
Service Address) Employees You Of Immediate
Series Supervised Supervisor
SSA San Juan TSC OS Lillian Oquendo
GS 525 FD Roosevelt Suite 0 787-759-4403
500
San Juan PR 00918-8051
33
I process other actions of post entitlement, which affect
the payments of beneficiaries. Accessing and using the NS Elite
inputs and changes are made such as change of address, direct
deposit, development of representative payee and debt
management systems among others. I also provide explanations
on changes made and how it affects their benefits. Assistance and
interpretation are provided to callers when they received notices
from the Agency about their benefits or pending claims. This is
especially important for our population, which is Spanish
speaking, because the majority of the information, which the
received is in English, and they require or help on understanding
the content of the letters. Thru this type of calls I am able to
utilize my excellent bilingual skills.
34
earnings to the appropriate Field Office, using the Earnings
Modernization System and MDW with the guidelines furnished by
the Agency. On a daily basis I use all available workbooks,
guides, policies and regulations to assist and perform effectively
my Job, this includes the TSC Guide, POMS/MSOM, memos
among others.
35
Dates Of Employment In This Position Exact Title Of Your
(Specify The Dates At Each Grade Level) Position
Grade From (Mo., Day, To (Mo., Day, Administrative Assistant
Yr.) Yr.)
01/07/1997 04/15/1997 Average Hours Per Week 40 Hrs
Civil Employer (Name And Number And Kind Of Name And Telephone
Service Address) Employees You Of Immediate
Series Supervised Supervisor
López, O’Neil & Co. Roberto L. López
CPA Firm One messenger and O’Neill
PO Box 21051 client Liaison Chairman and Co.
San Juan, PR 00928-1051 President
(787) 764-0902
Detailed Description of Duties: (Do not attach Position Description)
36
For the completion of these tasks I used the Company’s
Personal Computers IBM with the available software, at the time,
WordPerfect 6.0 for DOS and Windows, typing memoranda,
letters and reports in final form from handwritten notes. I
occasionally used specialized accounting software called ACCPA
and QuickBooks.
37
Dates Of Employment In This Position Exact Title Of Your
(Specify The Dates At Each Grade Level) Position
Grade From (Mo., Day, To (Mo., Day, Office Clerk
Yr.) Yr.)
01/10/87 09/10/94 Average Hours Per Week 40 Hrs
Civil Employer (Name And Number And Kind Of Name And Telephone
Service Address) Employees You Of Immediate
Series Supervised Supervisor
Scotiabank of Puerto Ramona Rivera
Rico 0 (787) 758-8989
273 Ave Ponce de León
San Juan PR 00918
Detailed Description Of Duties: (Do not attach Position Description)
38
for compliance and accuracy of the forms. If the claimant did not
agree with the carrier’s decision, I would identify the exact
discrepancy [if any] between employee and the decision taken by
the carrier and develop the claim to resolve the situation. I would
re-contact claimant to provide him/her with an explanation of the
action taken. In this trait, I would deal with many aged
39
From 1989 to 1990
I was also assigned to work with the Student Loan
Division I had oral and written guidelines and specific instructions
to advise and help loan applicants which I used while conducting
personal interviews explaining the requirements for the loan,
detailed how the form was to be completed and gave them a list
of the required documents and evidence to furnish with the
application.
40
In all bank’s financial departments that I worked, I required to
follow the established guidelines either dealing with the public or
the specific instruction regarding the financial or administrative
situation of the client. Written manuals were available and I
consulted them in order to resolve the case at hand.
41
List all details or developmental assignments you have participated in for 30
calendar days or longer which are relevant to the position being filled.
Specify beginning and ending dates and give a brief description of the duties
performed. If more space is needed, provide information in same format on
blank sheet or use Continuation Form-45A
42
Date Ended Duties While On Detail
09/2009 (MM/DD/YY
03/2008
At present On daily basic I identified , prepare and teach all kind of training include
mandatory for TSR’s
12/03/2009 I was training teacher to new hiring TSR. I prepare assigned lessons as
10/2005 Computation, Annual Earning Test, Disability, Communication Skill and
other. I provided refresher to trainer and other TSR.
10/2007 I was nominee as Parliamentarians Officer of the New York Region Advisory
council for employee with Disability (NYRACED). As member of NYRACED
I coordinated and organized workshop about sensibility with disability people
07/21/2007
for celebrated National Awareness month for handicap people. I get as recourse
able personnel from Procurator government office of Puerto Rico.
08/11/2007 I assisted the Agency with their goal and reducing backlogged workloads in
ODAR by providing assistance to certain ODAR office on Saturday overtime.
The workload chosen consist of associating paper mail with folders printing
05/2007
application and queries, folder assembly; photocopying, and preparing folder
for ALJS streamlined pulling and other similar work.
05/2007 I coordinated and organized the activity “Bring Children at Work”. I contribute
11/6/2002 with the agency with their mission to improved good relationship in work
place.
.
12/2002 I coordinated and prepared all social activities celebrated in our office to
improved good relationship in my work place. For example, Father’s Day
12/02 Celebration, Social Security Proclaim week, happy birthday celebrations,
Christmas among other.
Nov/02 `12/02 I conducted a Chip Training refresher to two co-workers for provide more
understanding to manage the CHIP and developed knowledge and efficiency to
manageable this system. I maxims my capability to offer one high quality
service.
10/16/2002 12/31
I participated as menthol programs to guide new trainer. I teach good skills
and techniques to offer the best service to our customer.
10/19/2002 I prepared and organized Medicare training to new TSR. I explained and
oriented about procedures, policies and law about Social Security and
Medicare.
04/2001
43
III. TRAINING AND SELF-DEVELOPMENT RELEVANT TO POSITION VACANCY
Training and self-development activities may include but are not limited to OPM training courses,
SSA
Training courses , Adult Education courses, training received in private industry, courses at Trade
or
Vocational Schools, Armed Forces training, and Business College courses, as well as formal
education.
44
Sociology of
Communications
– Study of social
yes 3 groups and how
to develop
effective
communication
with them, I
learned to
develop empathy
with social
groups I serve.
Introduction to
Public Relations
– developed
skills to offer an
image of an
yes 3 entity favorable
to the public,
how to solve
situations
rapidly.
Psycholinguistics
– psychological
effect and
changes in
perception by use
of words, images
yes 3 in messages,
contrast between
message and
instrument used.
Public Relations
– strategy to
yes 6 develop an image
or to change an
established one.
Resolve any
45
company or
agency problem
and promote the
good relation
with the
community.
Group Dynamics
yes 3 – study blend of
ideas, behavior,
relations among
groups and
understand them.
Statistical
yes 5 Analysis-
analysis of the
mathematical
methods used to
classify and
quantify facts in
a same order to
obtain a
scientific result.
yes 3
Introduction to
Speech
Communications
– how to deliver
exact and proper
message.
yes 6 Conversational
Temple University Communications
– skill of
effective
communication
in a multicultural
setting.
46
Social
yes Communication
3
and Civil Rights
– importance of
Civil Rights &
the media.
47
Duties
yes
AFGE Local 2608 02/2009 Financial Officer (AFGE) 80hr
yes
SSA/SJTSC 03/2008 SLC TA SJU TSC
40hr
yes
SSA/SJTSC
08/22/2007 Chip (Customer Help
Information System) 2 hr
enhancement
yes
SSA/SJTSC 05/15/07 Social Income Training
3 hr
yes
SSA/SJTSC 01/2007 Work Compensation W/C
1 hr
yes
SSA/SJTSC
2006 Annual Earnings Test
2 hrs
48
yes
SSA/SJTSC
10/07/04 Super Bundle Training –
how use PCOM emulator 4 hrs
Software
yes
SSA/SJTSC 03/06/03
Disability Control File 2 hrs yes
SSA/SJTSC 07/23/03
Medicare Billing Process
yes
SSA/SJTSC
05/23/01
Benefits and Values of 4 hrs
Eliminating Sexual yes
Harassment
SSA/SJTSC 07/18/00
4 hrs
Internet Explorer use for
Intranet 800 Number yes
SSA/SJTSC Training NY Region (IVT-
11/9/00 on hand IWS-LAN)
2 hrs yes
49
and effective use of
operational software.
50
San Juan TSC 07/07/97 to Teleservice Representative Basic 320 Yes
08/29/97 Training Course – introduction to hrs
all duties performed as TSR and
the base of my current
professional development.
IV. PERTINENT OUTSIDE ACTIVITIES (Refer to Factors and Weights for Position
Vacancy)
Outside Activities generally fall in the category of pertinent civic, welfare, service and
organizational activity performed either with or without compensation. List all outside
activities which you have participated in, and which you believe are relevant to the position
for which you are applying, as mere membership alone will not be given credit. Please be
specific as to your actual degree of participation. Include the amount of time (weekly,
monthly, etc.) spent on these activities.
51
Date Began Date Ended Organization Position Briefly Describe Your Amount
(mm/dd/yy) (mm/dd/yy) Held Participation Of
Time
Spent
08/2011 At present EEOC EEOC I am Ability to Present
Collateral establish effective
working
Duty relationships with
and gain the
confidence of
managers and
supervisors at all
levels of the
agency, as well as
with employees
regardless of their
occupation, race,
sex, ethnic
heritage, or
socioeconomic
background;
52
07/01/00 09/09/00 Contemporary Student Art Appreciation 3
Art Museum months. I development
of Puerto Rico the skill to observed
University and identified the
institution. occulted message of
human thinking
53
oriented a suggested
about different issue to
discuss and obtained
agree to particular
situation for obtained
the better decision for
al members of Monte
Real Condominium. I
prepared the final
reports to present the
residents about final
decision.
54
Performance Award(ROC) 8/11 GS -9 Recognition because as TA I
demonstrated resourcefulness and
initiative in performing my
assigned duties. I am self-motivated
and maintained a high level of
performance and I keep good
outstanding on personal
relationship with different level of
understanding.
Individual Cash Award 7/10 GS-9 For assist to handling correctly and
with compassion a potential case of
suicide focused in saved his life . I
kept assisting TSR until help
provided to claimant.
55
Recognition because as TA I
Recognition of 06/09 GS9 demonstrated resourcefulness and
Contribution Performance initiative in performing my
Award assigned duties. I am self-motivated
and maintained a high level of
performance and I keep good
outstanding on personal
relationship with different level of
understanding.
Recognition of
Contribution Performance 04/08 GS 9 Recognition because I
Award demonstrated resourcefulness and
initiative in performing my
assigned duties. I am self-motivated
and maintained a high level of
performance.
Recognition of
Contribution Performance Recognition because I
Award 04/07 GS 8 demonstrated resourcefulness and
initiative in performing my
assigned duties. I am self-motivated
and maintained a high level of
performance.
56
Recognition of
Contribution Performance 04/05 GS 8 Recognition because I
Award demonstrated resourcefulness and
initiative in performing my
assigned duties. I am self-motivated
and maintained a high level of
performance.
Recognition of
Contribution Performance 04/04 GS 8 Recognition because I
Award demonstrated resourcefulness and
initiative in performing my
assigned duties. I am self-motivated
and maintained a high level of
performance.
Recognition of
Contribution Performance 04/03 GS 8 During this period, I demonstrated
Award resourcefulness and initiative in
performing other assigned duties. I
am self-motivated and maintained a
high level of performance.
Recognition of
Contribution Performance 07/02 GS 8 Recognition because I
Award demonstrated resourcefulness and
initiative in performing my
assigned duties.
I am self-motivated and maintained
Individual Cash Award 02/01 GS 8 a high level of performance.
Management recognition of my
outstanding performance in my job.
CASA Award 06/99 GS 6 Performance Service Award
Service Award for knowledge and
Service during September 1998 to
may 1999.
GS 5
On The Spot Award 05/98 For handling correctly and with
compassion a potential suicide
caller whom saved his life when
Police arrived. I kept assisting him
57
VI. HIGHEST GRADE HELD
VII. SKILLS
SSA Test Title Score Date OPM Test Title Score Date
I certify that the statements made by me on this form are true, complete, and correct to the
best of my knowledge and belief and are made in good faith. Falsification of any
information on this form is punishable by fine or imprisonment under U.S. CODE TITLE
18, SEC. 1001.
Signature: Myrna I Molina Date: 7//03/2012
Information Regarding Disclosure of Your Social
Security Number Under Public Law 93-579 Section 7 (b)
58
59