For Group Nomination only HAP Form No. 2-A INFORMATION ON TEAM/GROUP MEMBERS Reason for Name of Team Position/Status of Contribution/s of each member disqualification of the Members Appt./Agency (Including those of disqualified members) Team Members, if any. CERTIFICATION I hereby attest to all the facts herein, authorize the Committee on Awards to validate the accuracy of the information contained in this form and grant our consent to the conduct of background investigation. Any misrepresentation made by the signatory shall be ground for disciplinary action pursuant to applicable Civil Service laws and rules. CHAIR, PRAISE Committee Signature over printed name
For Group Nomination only HAP Form No. 2-A INFORMATION ON TEAM/GROUP MEMBERS Name of Team Members Position/Status of Appt./Agency Contribution/s of each member (Including those of disqualified members) Reason for disqualification of the Team Members, if any. CERTIFICATION I hereby attest to all the facts herein, authorize the Committee on Awards to validate the accuracy of the information contained in this form and grant our consent to the conduct of background investigation. Any misrepresentation made by the signatory shall be ground for disciplinary action pursuant to applicable Civil Service laws and rules. CHAIR, PRAISE Committee Signature over printed name
2016-hap-nomination-form-2-lb-and-pag_group1.docx