<p> DEPARTMENT OF THE ARMY COMMAND LETTERHEAD NAME OF HEADQUARTERS STREET ADDRESS CITY, STATE ZIP CODE</p><p>Office Symbol Date</p><p>MEMORANDUM FOR Secretary of the Army, 101 Army Pentagon, Washington, DC 20310-0101 </p><p>SUBJECT: Request for Hiring Freeze Exemption</p><p>1. References:</p><p> a. Deputy Secretary of Defense memorandum, dated 1 Feb 17, subject: Implementation of Civilian Workforce Hiring Freeze.</p><p> b. Senior Official Performing the Duties of the Assistant Secretary of the Army (Manpower and Reserve Affairs) memorandum, dated 16 Feb 17, subject: Department of the Army Civilian Hiring Freeze Implementation Guidance.</p><p>2. The information required for exemption consideration is provided below:</p><p> a. (Describe how the functions of the position are necessary to meet the Department’s national security or public safety responsibilities.)</p><p> b. (Given that the Department accepts risk with respect to every decision not to hire, identify the compelling circumstances that justify the grant of an exemption.)</p><p> c. (Document the alternatives considered in assessing how the national security or public safety responsibilities associated with the position would be performed if the exemption were not granted.)</p><p> d. (Certify that other personnel cannot be reallocated to perform the national security or public safety responsibilities of the position.)</p><p>3. The point of contact for this action is ______, (###) ###-####, DSN ###- ####, or email address.</p><p>Name Title </p>