903116-001 Form-3, App for Examination PER State Personnel Dept July 2019-2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your last four digits of your Social Security number in the designated field.
3. Fill in your full name, including first, middle, and last names. Ensure all information is printed legibly.
4. Complete your mailing address, including house number, street, city, state, county, and zip code.
5. Provide your email address and telephone numbers (home, cell, work) in the respective fields.
6. Indicate your date of birth and select your race and sex from the provided options.
7. In the education section, circle or bracket the highest grade completed and provide details of schools attended.
8. List any professional licenses or certificates you hold along with relevant courses completed related to the position.
9. Complete the work history section starting with your most recent employment. Include detailed descriptions of duties.
10. Finally, review all sections for accuracy before signing and dating the certification statement at the end of the form.

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