ATCH_4_Instructor_Qualificaton_Checklist_21-R-0007.pdf

INSTRUCTOR QUALIFICATION CHECKLIST

Solicitation #: Course Title:

Proposed Instructor Name:

INSTRUCTIONS

The Contract Specialist will enter the Performance Work Statement (PWS) paragraph number and corresponding qualification criteria in the blocks provided.

The Instructor shall select the appropriate response from the drop down in the “Meets Requirements” column. The instructor shall also provide a narrative of how he/she meets the qualification criteria, and the date range of the described qualification. If additional space is needed for any qualification, use the Qualification Narrative Continuation Page or add a blank page. Indicate the PWS paragraph number on each narrative that is being continued.

**A separate Instructor Qualification Checklist shall be completed by EACH instructor identified in the proposal.**

ATCH 2

52.212-2 Addendum

Para. #:

Qualification Meets

Requirement Date Range

From To

Instructor Narrative

Instructor Narrative

Instructor Narrative

Instructor Narrative

Instructor Narrative

Qualification Narrative Continuation Page

PWS Paragraph Number:

Narrative:

Instructor certification. I hereby certify that the qualifications entered above are true and accurate to the best of my knowledge and belief.

Instructor’s Printed Name Instructor’s Signature Date

Verification. I have validated that the above-named instructor possesses the experience stated above.

Validating Official’s Printed Name & Title

Validating Officials’ Signature Date

PWS ParagraphRow1:

2.2.2.5.1