Application - Agencies • Go Government

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Application Instructions - Agency Partners

If you are unable to complete this application due to a disability, contact [email protected] to ask for an accommodation or an alternative application process.

Please note: this program is only accepting applications for assignments that can be fully funded by an agency

Step 1: Personal Information

The Partnership recommends that one individual from the participating agency fill out the host agency application form. To move forward with the rest of the application, that individual must click “Next Page” below and complete all fields on the ensuing page.

Step 2: Application Form

Hosting agency information. Applicants will be asked to provide contact information for the primary point of contact responsible for hiring the IPA. The Partnership for Public Service will coordinate the candidate matching and placement process through communications with this individual.

IPA Assignment Details. Agencies interested in hosting an IPA placement will need to convey the details of the potential IPA assignment, list the major duties and responsibilities to be performed by the IPA employee, and note any security concerns relevant to the completion of those duties. Placements must begin at the earliest in spring 2022 and must last for between 12-24 months. IPA placement roles and responsibilities must be consistent with a GS-14 (or high performing GS-13) level.

IPA Employee Benefits and Restrictions. Host agencies must affirm their ability to fully cover the cost of an IPA assignment. The Partnership also encourages the agency to identify potential ethical concerns of the project assignment in advance of the IPA’s placement and to add those concerns in this section.

Step 3: Submit Your Application

You will be able to review your application before final submission. Please remember to hit the “Submit” button at the very end of this application once your application is complete.

Save and Resume

At any point in this application, you may check the "Save and Resume" box (located at the top of every page) and follow those instructions to save your work and return later to complete it. You must use the same email address and password each time you return to your application.

We recommend writing your answer to short response questions (page 3) in a separate program and cutting/pasting into this application form when complete.

As you work on your application, we will not see or receive any interim updates until your application is complete and successfully submitted.

Use the page numbers in the upper right to navigate between pages. We do not recommend using your browser's back/forward buttons. You can skip pages and move back and forth at will using the page numbers.

Do not rely on browser bookmarks or similar means to return to your application. Use the Save and resume feature instead.

If you need to update your personal contact info (shown below), you can do that anytime before submitting your application.

When your application has been successfully submitted, you will receive an immediate on-screen confirmation as well as an email from [email protected]. Please remember to add this address as a safe sender in your spam filter.

If you close this application without clicking the "Save and Resume" box and following those instructions, you may have to start your application all over.

Click "Next Page" to begin your application

Hosting Agency Information

Agency Point of Contact information

First Name

Middle Initial

Last Name

Pronouns

She/herHe/himThey/themOther

Other pronouns, please list

Email Address

please enter only one (1) personal email address

Phone Number

Title

Federal Department or Agency

i.e. Department of Health and Human Services

Subcomponent

i.e. National Institutes of Health

Office Work Unit

i.e. Office of the Chief Information Officer

Mission Statement

Please detail the mission statement of your subcomponent.

This application is for agencies interested in participating in the Partnership for Public Service's IPA Talent Exchange. Please click the option that best represents your interest in this program.

I am an agency representative interested in receiving an IPA candidate from the Partnership’s IPA Talent Exchange Program. I am an agency representative who has already identified an IPA candidate, but would like that candidate to participate in the Partnership’s IPA Talent Exchange Program.

Please write the full name of the candidate whom your agency has identified.

Email questions or comments to [email protected]

At this time, the Partnership is only able to partner with agencies that can commit to funding the complete cost of an IPA candidate. Please do not continue this application if you answer to the following question is "No."

Will this IPA assignment be fully funded by the agency?

Yes, the agency can cover the full cost of the assignment based on the pay range anticipated for this role. No, the agency cannot cover the full cost of this assignment. I understand that by choosing this option, my office is not eligible to participate in this program.

IPA Assignment Details

The answers you provide in this section will be used to match you with a potential candidate from a pool of qualified individuals. The greater specificity you provide, the better the Partnership is able to match you with a candidate who meets your needs.

Type of Assignment

Please indicate the type of assignment of the incoming IPA

DetailAppointee Non-Federal employees who are appointed are considered federal employees, whereas non-Federal employees employed through a detail are not considered to be federal employees, and are thus bound by different and more specific rights and ethical concerns.

Start Date

Placement must begin after June 1, 2022.

End Date

Placement must last for between 12-24 months.

Time Commitment

Full timePart timeIntermittent

Please indicate the number of hours necessary to complete the work

Full-time commitment = 40

Please detail the goals of the IPA assignment. (Limit 100 words)

Indicate the reasons for the mobility assignment and discuss how the work will benefit the participating governments. In addition, indicate how increased knowledge/skills/abilities gained by the employee will be utilized at the completion of the assignment. (Limit 300 words)

Position Description

Incoming IPA's title

Immediate Supervisor Information

First Name

Last Name

Title

List the major duties and responsibilities to be performed while on the mobility assignment. Include percentage of time at Agency and roles and responsibilities. Indicate any required expertise, i.e. years in the field, programming languages, statistical proficiency, etc.(Limit 200 words)

Assignment Location

Assignment Location Title

i.e. Idaho Regional Headquarters Office

Street Address 1

Street Address 2 (Apt, Suite, etc.)

City

State

Zip Code

Please choose the candidate presence option that best reflects your agency's workforce plan for the next 6 months.

Completely virtual workCompletely in-person workA combination of virtual and in-person work (hybrid)

Security Concerns

What security clearance level will the IPA need to conduct their duties?

Will the IPA placement be required to complete a background check before joining the agency? Please note that the Partnership for Public Service does not conduct background checks, so by acknowledging any necessary background checks, you also acknowledge the need for your agency to complete said background check.

Yes, the IPA candidate will need to pass a standard federal background check and my agency is prepared to administer that background check.No, the IPA candidate will not need to pass a standard federal background check.

IPA candidates may only be approved for placement after the agency has verified the status of the candidate's home organization. Please upload a .pdf with the list of organizations already approved by your agency as home organizations of IPA placements.

Email questions or comments to [email protected]

IPA Employee Benefits and Restrictions

Pay

Anticipated GS Level (or equivalent) of incoming IPA

Incoming IPA responsibilities must be equivalent to GS-12 level work.

Other GS-Level or equivalent

Salary range low end (taking into account locational pay)

Salary range high end (taking into account locational pay)

Please only submit an application if your agency is able to fully fund the salary of an incoming candidate based on the pay range anticipated for the role.

What type of payment agreement are you willing to establish with the home organization of the IPA?

Reimbursable cost-sharing agreementNon-reimbursable cost-sharing agreement (the Partnership will be unable to support your search for an IPA candidate if you choose this option)

I anticipate that my agency will be able to cover ________ of the IPA candidate's salary outlined in the range listed above

AllNone (please only submit an application if your agency is able to fully fund the salary of an incoming candidate based on the pay range anticipated for the role)

Benefits

Check any of the following benefits for which the IPA employee will be eligible

Travel expensesRelocation expensesSupplemental payFringe benefitsOther benefits not listedThe IPA employee is not eligible for any supplemental benefits

Other benefits not listed

Ethics Concerns

Does your agency require any financial disclosure information in advance of candidate placement?

YesNoUnsure

Please list any financial disclosure forms whose completion is required by candidates before they can accept a position at your agency.

Will IPA candidates already engaged in research be able to continue that research outside of the federal workday?

YesNoUnsure

Please describe any restrictions that may limit the amount of type of research an IPA employee is eligible to complete during the time of their placement.

Email questions or comments to [email protected]

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