GREENE COUNTY CIVIL SERVICE COMMISSION

411 MAIN STREET

CATSKILL, NY 12414

PHONE: 518-719-3253 -- FAX: 518-719-3772

www.greenegov.com

CROSS FILER FORM

The following information must be submitted with your application in order to notify the proper examination sites and forwarding of grades.

Have you filed or do you intend to file applications for exams with other agencies?

( ) YES ( ) NO

Do you wish to take your exam(s) in Catskill? ( ) YES ( ) NO

If no, at what exam site will you take this exam? ________________________________

List the other Civil Service Agencies where you have applied – COUNTY OR STATE

AGENCY EXAM #

_________________________________________________________________________

Important: Application for the Greene County exam qualifies you for the Greene County exam only. An application must be submitted to each agency, on the agency's own application form, and returned to that agency. The required filing fee must accompany each application submitted to be considered for appointment. When taking more than one exam at an exam site, make sure to include all the appropriate exam numbers on the Candidate ID form and the Answer sheet at the test site. Notification must be submitted to Greene County Civil Service at least 3 weeks prior to the test date. If notification is received less than 2 weeks prior to the test date, requests may not be granted.

If you are claiming Veteran’s Credits, an application must submitted along with documentary proof (DD-214) of your eligibility. Forms are available at the Civil Service Office.

_____________________________________ __________________________
Candidate Signature Social Security #

_____________________________________ __________________________

Please Print Name Date

Legal Address of Residency (include mailing address if different)