Master PSO Certification Doc.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- Protective Security Officer (PSO)
- Solicitation number
- HSHQEC-12-R-00014
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Master PSO Certification Spreadsheet
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| MASTER PSO CERTIFICATION FILE | ||||
| Region # | 11 | |||
| Last Updated | ||||
| Contract # | ||||
| Contractor Name | ||||
| Last Name | First Name | Middle Initial | Last 4 of SSN | Contract |
Anniversary Date Non-Disclosure Agreement Form 1100-6 amwalker: Date of Signature Photograph (current) amwalker: Yes or No NSI Clearance Level amwalker: National Security Clearance (NSI) Level (if applicable)
Example: Secret, Top Secret, etc.
NSI Clearance Expiration Date Copy of Current Drivers License amwalker: DL Date Expiration HSPD-12 Card Expiration Date Proof of Education amwalker: Date of Certificate Suitability Final Clearance Letter amwalker: Date of Expiration Suitability Preliminary Date Verified Alien/Immigration (I-9 or E-Verify) Status amwalker: Provide date of signature.
Citzenship Lautenberg (Domestic Violence) Statement amwalker: Date of Expiration.
Medical Exam amwalker: Date of Expiration.
Pre-Employment Drug Screening amwalker: Please provide date.
Post-Employment Drug Screening amwalker: Please provide date.
(random or cause directed) CPR Expires AED Expires First Aid Expires Initial Weapons Training amwalker: Date training completed.
State Weapons Permit amwalker: Date of Expiration.
State Security Officers License or Certification amwalker: Date of Expiration.
Local Permits amwalker: Date of Expiration.
State Weapons Qualifications (if applicable) amwalker: Date of Expiration State Weapons SCORE Baton Certification amwalker: Date of Expiration.
OC Spray Certification amwalker: Date of Expiration.
Contractor Basic Training amwalker: Date training completed.
Contractor Provided Refresher Training amwalker: Date of re-certification FPS Orientation (8 hours) amwalker: Date of completion
| Initial | |||
| X-Ray/Mag Training Date | FPS Firearms Qualification Expiration Date | FPS Firearms Qualification SCORE | Weapon |
| SERIAL NO. | Supervisor |
Training Completion Date SGIM Test Score SGIM Test Score Date Military DD-Form 214 amwalker: YES, NO, or N/A
Whitestone15: Whitestone15:
date completed amwalker: Date of Signature amwalker: Yes or No amwalker: National Security Clearance (NSI) Level (if applicable)
Example: Secret, Top Secret, etc.
amwalker: DL Date Expiration amwalker: YES, NO, or N/A amwalker: Date of Certificate amwalker: Date of Expiration amwalker: Provide date of signature.
amwalker: Date of Expiration.
amwalker: Date of Expiration.
amwalker: Please provide date.
amwalker: Please provide date.
(random or cause directed) amwalker: Date training completed.
amwalker: Date of Expiration.
amwalker: Date of Expiration.
amwalker: Date of Expiration.
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