Response

Contact Information

Prefix

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip

Cell Phone

Tell us about you...

Please select at least one of the following: Veteran
Spouse of a veteran, member of the military, or member of the Guard or Reserves
Member of the Guard or Reserves
Employed with the Department of Veterans Affairs

If you are a veteran or member of the Guard or Reserves, how many years of service have you had? Were you hired under veterans preference?

What was/is your occupation and job title? What were some of your responsibilities? If you are considering working for the federal government, please note what type of position you had been or are still considering.

Please share any information you are comfortable sharing regarding the agency or department you worked for and what office/department/team you worked for within that entity. Same for trainees and contractors. If you are considering working for the federal government, please note where you had planned to apply to work.

As of January 20, 2025, was your team understaffed? If so, please explain. If not, will your team now be understaffed based on terminations or reassignments since January 20, 2025?

Were you or are you a probationary employee? If yes, how much time was/is left in your probationary period? Are you in a probationary period because of a recent promotion or change from one agency to another?

If you were terminated since January 20, 2025, how much advance notice of your termination did you have?

If you were terminated since January 20, 2025, are you considering pursuing an appeal of your termination? Why or why not?

If you were terminated since January 20, 2025, is the SES closest to you in your chain of command appealing your termination?

Do you have documentation of performance feedback, such as from an annual review? Yes, and am willing to share with the Senator's office
Yes, but not willing to share with the Senator's office
No

If yes and willing to share please attach copies of any relevant documents here. Allowed file types include .doc, .docx, .jpeg, .pdf, or .txt. Total file size limit is 15MB.

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Attach copies of any relevant documents or notices here. Allowed file types include .doc, .docx, .jpeg, .pdf, or .txt. Total file size limit is 15MB.

Upload FileNo file chosen

How did you hear about this form? Optional. We would appreciate knowing how you found this form. Did someone you know send it to you? Did you find it on social media? etc.

By selecting "yes" below and submitting this form, you confirm that the information you have shared here is to the best of your knowledge.