J.2. Bio-Data Form.pdf

MCC PROPOSED CONTRACTOR BIOGRAPHICAL DATA SHEET | PERSONAL SERVICES CONTRACTORS

1. NAME (Last, First, Middle)

2. MCC SOLICITATION NUMBER

3. CONTRACTOR’S ADDRESS (include ZIP code)

4. TELEPHONE NUMBER (include area / country code)

5. EMAIL ADDRESS

6. COUNTRY OF CITIZENSHIP

7. CONTRACTOR PROPOSED SALARY (Include proposed pay supplement based on the solicitation.)

Basic Hourly Rate of Pay (US$ per hour within the designated Pay Band): Click here to enter text.

Pay Supplement (%): 15% of the employee's direct labor cost in lieu of fringe benefits.

Full Hourly Labor Rate (Basic Rate of Pay + 15% Pay Supplement) (US$ per hour): Click here to enter text.

Total Salary (Full Hourly Labor Rate * Total Number of Hours per Period) (US$): Click here to enter text.

8. PROPOSED SALARY JUSTIFICATION (Your salary will be based on your education, skills, and the years of relevant experience to the position. Provide a detailed justification on how your proposed salary is fair, reasonable, and competitive in the market for this position. Continue on a separate page if necessary.)

Click here to enter text.

9. EDUCATION (Include all college or university degrees.) 10. LANGUAGE PROFICIENCY (See Page 2 for the Instruction.)

Name, City, and Country of Institution

Major Degree Date of Grad.

Language Proficiency Speaking

Proficiency Reading

11. MILLENNIUM CHALLENGE ACCOUNT (MCA*) INVOLVEMENT (Check the appropriate box.)

I have engaged, am engaging, and/or plan to engage in any MCA work. (If Yes, complete the table below.) Yes ☐ No ☐ *An MCA is MCC’s counterpart country entity that implements the Compact or Threshold Programs

Country Position Title Dates of Past, Current, and Planned Future MCA Work

From To

12. CERTIFICATION: To the best of my knowledge, the above facts as stated are true and correct.

Signature of Proposed Contractor:

Date:

INSTRUCTION

Indicate your language proficiency in Block 9 using the following numeric Interagency Language Roundtable scales (Foreign Service Institute Levels). Also, the following provides brief descriptions of proficiency levels 1, 2, 3, 4, and 5. Level 0 is omitted on purpose. “S” indicates speaking ability and “R” indicates reading ability.

1. Elementary proficiency

S Able to satisfy minimum courtesy requirements and maintain very simple face-to-face conversations on familiar topics.

R Able to read very simple connected written material in a form equivalent to usual printing or typescript.

2. Limited working proficiency

S Able to satisfy routine social demands and limited work requirements.

R Able to read simple, authentic written material in a form equivalent to usual printing or typescript on subjects within familiar contexts.

3. General professional proficiency

S Able to speak the language with sufficient structural accuracy and vocabulary to participate effectively in most formal and informal conversations on practical, social, and professional topics.

R Able to read within a normal range of speed and with almost complete comprehension of a variety of authentic prose material on unfamiliar subjects.

4. Advanced professional proficiency

S Able to use the language fluently and accurately on all levels normally pertinent to professional needs.

R Able to read fluently and accurately all styles and forms of the language pertinent to professional needs.

5. Functional native proficiency

S Speaking proficiency is functionally equivalent to that of a highly articulate well-educated native speaker and reflects the cultural standards of a country where the language is natively spoken.

R Reading proficiency is functionally equivalent to that of the well-educated native reader.

The information requested by this form provides MCC an indication of qualifications and helps determine reasonableness of proposed salary. Completion of this form is estimated to average thirty minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

https://www.govtilr.org/Skills/ILRscale1.htm https://www.govtilr.org/Skills/ILRscale1.htm