MCC_BioData_Form.docx

MCC PROPOSED CONTRACTOR BIOGRAPHICAL DATA SHEET

1. Name (Last, First, Middle)

2. MCC Program Area on Job Announcement

3. Contractor’s Address (include ZIP code)

4. Contractor Proposed Hourly Rate

Contractor Proposed Pay Supplement in Lieu of Fringe Benefits (if any): % of Proposed Hourly Rate

5. Telephone Number (include area code)

6. Place of Birth

7. Citizenship (If non-U.S. citizen, give visa status)

Speaking Proficiency Reading

10. EMPLOYMENT HISTORY

1. For last three (3) years list salaries separate for each year. Continue on separate sheet of paper, if required, to list all employment related to duties of proposed assignment.

2. Salary definition – basic periodic payment for services rendered. Exclude bonuses, profit-sharing arrangements, commissions, consultant fees, extra or overtime work payments, overseas differential or quarters, cost of living or dependent education allowances.

POINT OF CONTACT &TELEPHONE #

11. SPECIFIC CONSULTANT SERVICES (give last three (3) years)

POINT OF CONTACT, PHONE #

Rate Daily Rate In Dollars

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

INSTRUCTION

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

2. Limited working proficiency

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

R Sufficient comprehension to read simple, authentic written material in a form equivalent to usual printing or typescript on familiar 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.

MCC-16-RFQ-0090 2