Attachment 10 - Intelligence Background Form.pdf
PDF 20 KB Posted
- Attached to
- FBI Fingerprinting Channeler Services Federal contract opportunity
- Solicitation number
- 1145PC24Q0024
- Issued by
- Peace Corps
About this file
This document is an Intelligence Background Form required by the Peace Corps for applicants with intelligence-related backgrounds. It details the eligibility requirements for employment by the Peace Corps, including permanent ineligibility for those formerly employed by the Central Intelligence Agency and potential ineligibility for up to 10 years or longer for those employed by other intelligence agencies or connected to intelligence activities. Applicants are required to disclose any prior employment or connection to intelligence work and certify the information provided.
The related federal contract opportunity is for FBI Fingerprinting Channeler Services, solicitation number 1145PC24Q0024, issued by the Peace Corps. The solicitation has an extended response deadline of July 13, 2024 at 4:00pm EST, with questions due by July 10, 2024 at 4:00pm EST. No other details about the required products or services, pricing, set asides, or award information are provided.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 2 - QA Spreadsheet RFQ ANSWERS 1145PC24Q0024.xls | XLS spreadsheet | |
| Attachment 4 - Quality Assurance Surveillance Plan.pdf | ||
| Attachment 6 - Peace Corps Manual Section 892.docx | DOCX document | |
| Attachment 7-Tax Check Waiver Consent Form.pdf | ||
| Attachment 9-Fair Credit Form.pdf | ||
| 1145PC24Q0024 Fingerprinting RFQ.docx | DOCX document | |
| Attachment 5 - Peace Corps Manual Section 899.docx | DOCX document | |
| Attachment 11 - OF-306.pdf | ||
| Attachment 1 - Pricing Spreadsheet Fingerprinting.xlsx | XLSX spreadsheet | |
| Attachment 3 - Past Performance Questionnaire.doc | DOC document | |
| Attachment 2 - QA Spreadsheet RFQ 1145PC24Q0024.xls | XLS spreadsheet | |
| Attachment 8 -Background Investigation Clearance Form.pdf |
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Text version
PEACE CORPS
INTELLIGENCE BACKGROUND
The following information is required by Peace Corps Manual Section 611 entitled "Eligibility for Peace Corps Employment or Volunteer Service of applicants with Intelligence backgrounds." If you have any questions, please contact the Peace Corps Office of General Counsel, 1111 20th St., N.W., Room 8205, Washington, D.C., 20526; Telephone (202) 692-2150.
Eligibility for employment by the Peace Corps, MS 611, Part 4.
• Permanent Ineligibility - Persons formerly employed by the Central Intelligence Agency shall be permanently ineligible for employment by the Peace Corps.
• Ineligibility for a Minimum of Ten Years - Any person who had been employed by an agency or division of an agency, other than the Central Intelligence Agency, a substantial part of whose mission has been determined by the Peace Corps General Counsel to include intelligence activities, shall be ineligible for employment for a period of ten (10) years from the last date of employment by such agency.
• Ineligibility for a Period in Excess of Ten Years - Individuals may be ineligible for employment for a period in excess of ten
(10) years where the General Counsel determines that their background or work history with regard to intelligence activities warrants such actions.
• Related Work - Applicants for employment whose background or work history discloses a substantial connection with an intelligence activity or related work other than through employment shall be ineligible to serve as employees of the Peace Corps for a period of time ordinarily not to exceed 10 years from the date of their last connection with the agency or activity.
For the purpose of this provision, family relationship to an employee of an intelligence agency may be considered a disqualifying connection.
Have you ever been employed by an intelligence organization or otherwise engaged in or been connected with intelligence related activities.
Yes No If yes, please explain below giving dates, nature of connection, and other details.
ATTENTION
I have completed this statement with the knowledge and understanding that all items contained herein may be subject to investigation and verification prescribed by law or regulation.
I have read the paragraph relating to eligibility for a position as an employee, expert, consultant, or personal services contractor with the Peace Corps. I understand that a false answer or false information may be grounds for not employing me or for dismissing me after I have been hired, and may be punishable by fine or imprisonment. (US Code, Title 18, Section 1001).
CERTIFICATION
I certify that all of the statements made by me are true, complete, and correct to the best of my knowledge and belief, and are made in good faith.
Signature (sign in ink) Date
PC Form 1336 7/90 Stocked by: M/PM Authority: MS 611
| Have you ever been employed by an intelligence organization or otherwise engaged in or been connected with intelligence related activities Yes No If yes please explain below giving dates nature of connection and other details: |
| undefined_2: |
| Check Box2: Off |
| Check Box3: Off |
File details come from the government source that posted it. Updated .