3330 Air Carefully Details

Aircraft mechanics and other professionals who work with aircraft often need to submit the Faa Form 3330 43 1. This form is used to apply for an exemption from regulations, and those who need it should know how to complete it properly. The instructions for this form can be tricky, so make sure you have all the information you need before starting. In this blog post, we'll provide a step-by-step guide on how to fill out the Faa Form 3330 43 1. We'll also talk about some of the common mistakes people make when completing this form.

In the listing, there's some information in regards to the faa form 3330 43 1. You can learn its size, the actual time to complete the form, the blanks you should fill in, and so on.

QuestionAnswer
Form NameFaa Form 3330 43 1
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesform 3330 10, form 3330 43 1, faa 3330 43 1 form, atc form faa

Form Preview Example

RATING OF AIR TRAFFIC

EXPERIENCE FOR

AT MOVEMENT

IMPORTANT

Read the following instructions carefully

before filling out this application.

You must furnish all requested information. The information you provide will be used to determine you qualifications and rating. Do not submit a resume in lieu of completing this form.

If you fail to answer all questions fully and accurately, you may lose employment opportunities.

So that it is understood that you did not omit an item, please write the letters "N/A" (not applicable) beside those items that do not apply to you.

Read the vacancy announcement (if applicable) for the position advertised to be certain that your experience and education meet the requirements.

Be sure to include all forms that may be required.

-FAA Form 3330-42, Request for Transfer Consideration and Acknowledgement.

-FAA Form 3330-43-1, Rating of Air Traffic Experience for AT Movement

--Any other information required by the position vacancy announcement.

Submit the above along with a stamped envelope, addressed as directed in the vacancy announcement, to your rating official on or before the vacancy closing date (if applicable).

This form is to be used for applications for CPC/TMC/TMS positions only.

Read the Privacy Act Requirements Notice Below. Detach it and retain it for your records.

Please read the instructions below before completing this form

Do not make any entries in the shaded areas. They are reserved for the rating official. The TALLY is also for the rating official's use. The upper right corner of the form pertains to the vacancy announcement, if applicable. Enter the appropriate information exactly as it appears on the vacancy announcement. If you need more space than has been provided for a given item, continue on an 8 1/2 x 11" sheet of paper with the items numbered to correspond to the items continued. Place your name and vacancy number (if applicable) in the upper right hand corner and attach to the form.

PRIVACY ACT REQUIREMENTS (P.L. 93-579)

This form is used to determine qualifications and is authorized under Title 5 of the U.S. Code, Sections 3302 and 3361. It must be submitted in order for you to be considered for the position being advertised or for consideration under a voluntary internal transfer request. The information will be used for FAA human resource management related purposes and will not be transmitted outside the agency except as provided by law. Providing the information requested on this form is not mandatory, but if you fail to give us the complete data, we cannot give you a rating. We must have your Social Security Number (SSN) to keep your records straight because other people may have the same name.

INSTRUCTIONS

Rating of Air Traffic Experience for AT Movement

Candidate Information.

Self-explanatory.

Selective Placement Factors.

Check the appropriate box. Candidates who have not satisfied appropriate selective placement factors are not qualified for the vacancy.

TALLY

For use of Rating Official only. Use Tally to record values for each factor. Add up the total score and enter it in the box at top right of form. Normally, the employee's first-level supervisor is the rating official.

FACTOR 1 - Facility Complexity Level. (Max. 42 pts.) Points are assigned for the highest level ATC facility to which the applicant was permanently assigned and facility/area certified as a CPC/TMC/TMS. Assign 3 points times the highest level. For employees who are not currently in an ATC facility, use the conversion table below to get the ATC level equivalent. Use the table to convert FPL level FG/GS to ATC levels. Award the point value that would provide the maximum benefit to the employee.

Facility FPL Level

Equivalent

FG/GS

ATC Level

9

1

10

3

11

5

12

7

13

9

14

11

Example: An applicant with 5 years as FG-13, and 1 year at ATC-10 facility. The FG-13 = 9 x 3 = 27 while ATC- 10 = 10 x 3 = 30 points.

For developmental applicants who have never achieved CPC status, credit the following points for each developmental stage successfully completed at the highest ATC level facility to which they were permanently assigned. [This section does not apply to CPCs in training status (CPCIT)]

Example: A developmental employee successfully completed 2 phases of training at an ATC-11 facility and then moved to, and completed, 1 phase of training, at an ATC-9 facility. This employee would receive points for phases completed only at the highest ATC level facility: ATC-11 = 7 X 2 phases completed = 14 points. Total for Factor 2 would be 14.

FACTOR 2 - Aviation Experience. (Max 5 pts.)

Points are credited for each certificate or rating obtained.

Aviation Experience

Certificate/ Rating

Points

Private Pilot

1

Commercial Pilot

1

Instrument Rating

1

CFI

1

Dispatcher Certificate

1

FACTOR 3 - Experience and Recency. (Max. 50

pts.) Assign 2 points for each full year in an ATS-2152 position. Deduct 1 point for each full year since certification was lost. For CPC/TMC/TMS positions, deduct 1 additional point for each full year since the candidate served in an ATS terminal or center CPC/TMC/TMS position.

Example: An applicant with 10 years ATS 2152 time; (5 years Terminal or Center CPC/TMC/TMS, 3 years facility staff, 2 years regional office experience) is bidding on a Terminal/Center CPC/TMC/TMS position. Credit employee: ATS-2152 time = 10X2 = 20 points. Certification not required as facility or regional office staff = [-(3+2)} = -5 points. 5 Years since last a Terminal/Center CPC/TMC/TMS=5 x (-1) = -5 points. Total=20 -5 -5 = 10 points total.

Example: Employee has 3 years ATS 2152 developmental experience in Terminal or Center option bidding on an ATS Terminal/Center CPC position. Employee is credited with ATS time, 3 X 2 = 6 points for this factor.

(DoD 2152 time is not credited for Factor 3.)

FACTOR 4 - Education and Self Development. (Max. 27 pts.) Complete all appropriate items as listed on the form. Correspondence

ATC

 

LEVEL

POINTS

12

7

11

7

10

6

9

6

ATC

LEVEL

8

7

6

5

POINTS

5

5

4

4

courses are to be listed on a separate sheet by title and dates completed.

FACTOR 5- Awards. (Max. 10 pts.) This factor credits awards and recognition. Complete all appropriate items as listed on the form.

 

 

 

 

 

Rating of Air Traffic Experience for CPC Positions

 

 

 

 

Score of

 

 

 

 

 

 

 

 

 

 

 

 

Candidate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TALLY

 

 

Vacancy Number

Vacancy Position Title

 

 

 

 

Series and ATC and Career

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Level Codes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FACTOR

 

Max.

 

Score

 

 

 

 

 

 

 

 

 

AT-2152-

 

 

 

 

Pts.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

42

 

 

Vacancy Closing Date

Facility

 

 

 

 

Location/Region

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

50

 

 

Name of Candidate

 

 

Present Series, ATC/Career Level/Loc

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

XXX-XX-

 

 

4

 

 

27

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

10

 

 

Current Supervisor

 

 

Location/Region

 

 

Home/Cell Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Score

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FACTORS 1  Facility Complexity Level (Assign 3 points times the highest ATC level facility)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facility

 

ATC

Dates (MO/DAY/YR)

 

 

 

Credit

 

 

 

 

 

Position, Title, ATC and Career Level

 

 

 

 

 

 

 

 

 

Time

 

Value

 

 

 

 

 

 

 

 

 

Fac.

Type

Level

Area/FAC

From

 

To

 

(Mo.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I. D.

 

 

 

Certification

 

 

 

 

 

 

 

 

 

 

(1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(6)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(7)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(8)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(9)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(10)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(11)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(12)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

FAA Form 3330-43-1 Revised (4/2015)

FACTOR 2  Aviation Experience (One point for each rating or certificate checked; Maximum 5 points).

Private Pilot

Commercial Pilot

Instrument Rating

Certified Flight Instructor

Dispatcher Certificate

FACTOR 3 –Experience and Recency (Maximum 50 points)

3a. Experience (Assign 2 points for each full year in an ATS 2152 series position.)

3a________ - 3b_________ =

3b. Recency – (Deduct 1 point for each full year since certification was lost. For a CPC/TMC/TMS position deduct an additional 1 point for each full year since in an ATS terminal or center CPC/TMC/TMS position.)

FACTOR 4  Education and Self-Development (Maximum 27 points)

4a. Credit undergraduate college work at 30 semester hours or 45 quarter credits = 1 year. Credit graduate college work at 18 semester hours or 27 quarter credits = 1 year. Education in increments of less than 1 year may be prorated in half-year increments in accordance with the following table. Award credit only for the highest level attained by the applicant. Circle appropriate credit. (Must be from an accredited institution)

 

 

 

COLLEGE EDUCATION CREDIT TABLE

 

 

 

 

 

1 year of college 3

 

 

4 yrs. of college 9

 

 

 

 

 

 

1.5 yrs. of college 4

 

 

Bachelor’s Degree* 10

 

 

2 years of college 5

 

 

1 year of graduate work 12

 

 

Associate’s Degree 6

 

 

2 yrs. of graduate work 14

 

 

2.5 yrs. of college 6

 

 

Master’s Degree* 15

 

 

3 years of college 7

 

 

3 yrs. of graduate work 17

 

 

3.5 yrs. of college 8

 

 

Doctorate* 20

 

 

 

 

 

 

 

 

 

 

*Type of Degree:

School:

Date:

Points

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4b.

FAA Correspondence Courses

 

 

 

List Course Titles and Dates

 

 

 

Completed on Separate Sheet

 

 

 

and attach to Application

 

 

 

(MAXIMUM 2)

TOTAL

4b

4c. Long-Term Training

Date Completed

(5 points)

FACTOR 4 GRAND TOTAL

4a ___________ + 4b ___________ + 4c___________ =

(MAXIMUM 27)

FACTOR 5 Awards (Maximum 10 points).

Award the following points for recognition granted to employees: Presidential Monetary Award = 5 pts. Outstanding Rating = 4; FAA Award for Superior Achievement = 4; Quality Step Increase = 3; Exceptional Rating = 2; Special Achievement Award= 2; On-the-Spot

Cash Award, Certificate of Achievement, Time Off Award Official Letter of Commendation, Suggestion Award = .5 point for each (maximum 2 points);

NOTE: Quality Step Increases or Special Achievement Award given in conjunction with an Outstanding Rating receive outstanding rating credit only.

Type

Date

Value

Type

Date

Value

Type

Date

Value

O = Outstanding Rating

SAA = Special Achievement Award

OTS = On-the-Spot

PMA = Presidential Monetary Award

Q = Quality Step Increase

COM = Ltr. of Commendation

CA = Certificate of Achievement

 

E = Exceptional Rating

SUG = Suggestion Award

TOA = Time Off Award

 

CERTIFICATION OF CANDIDATE: I certify that all of the statements made in this application are true, complete, and correct to the best of my knowledge and belief and are made in good faith.

CERTIFICATION OF RATING OFFICIAL: I certify that this rating is true, complete, and correct to the best of my knowledge and belief.

Date

Signature of Candidate

Date

Signature of Rating Official

FAA FORM 3330-43-1 Revised (04/2015)

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