Transcription of Examination / Employment Application
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Examination / Employment Application
applications will be processed ONLY for classifications where an Examination is in progress and the published final filing date has not passed, or for vacant positions where a department requests an OR TYPE--PLEASE SEE INSTRUCTIONS ON BACK PAGEFIRST 3 LETTERS OF LAST NAME AT BIRTHMONTH OF BIRTHDAY OF BIRTHLast 4 DIGITS OF SOCIAL SECURITY NUMBEREASY IDAPPLICANT'S NAME (Last)(First)( )SOCIAL SECURITY NUMBERMAILING ADDRESS (Number) (Street)E-MAIL ADDRESSWORK TELEPHONE NUMBER(City)(County)(State)(Zip Code)HOME/VRS/TTY TELEPHONE NUMBEREXAMINATION(S) OR JOB TITLE(S) FOR WHICH YOU ARE APPLYINGANSWER THE FOLLOWING QUESTIONS:PERSONNEL USE ONLY1. Enter the county in which you would like to take the Examination if different from the county of your residence:2. Do you need reasonable accommodation to take an interview or written test?YesNo4. Are you now employed by the State of California? (If "YES", fill in the information below.)
process your application for purposes of granting Veteran's Preference, Career Credits, written test waivers, or to check for eligibility in promotional examinations and job positions.
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