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Clinton County Department of Personnel
Clinton County Application for Promotional Exam/Appointment
Contact Information
Promotional Exam Applicant Name
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Exam Information
Select Exam Title and Number
- Select -
75576-010: 'Housing Tenant Relations Coordinator (PHA) (PROM) - 75576-010'
Conflicting Exams
Conflicting Exams
I have applied for a NYS Civil Service Exam or another Local Exam being offered on the same day, excluding New York City:
Yes
No
Indicate the titles of the exams and whether they are offered by another Local agency or the State. If you are taking two Local exams, indicate in which county you want to take the exams. If you are taking a Local and State exam, you must take the exams at the State site.
Veteran Information
Veterans Credit
Would you like to claim War Time Veterans Credits for this exam? If YES, you MUST complete an
Application for Veterans' Credits
.
Yes
No
Affirmation of Accuracy
Under penalties of perjury, I affirm that all information concerning my exempt volunteer firefighter status, veteran status,
citizenship, arrests and convictions, dismissal from employment, and discharge from the Armed Forces
listed on my application on file is current and accurate.
Correct Application Accuracy
If not current and accurate, I am providing the following updated information and affirm it is true and accurate.
Special Arrangements
Special Arrangements for Civil Service Exam:
If you need special arrangements in order to participate in this exam, you must notify this agency by
EITHER
indicating the special arrangements you require below or in writing to this agency no later than the last date of filing for this exam. Your request must include exam title and number and the type of special arrangements required. If your request involves a medical condition, provide documentation from your physician explaining the need for your request.
Promotional Exam Signature
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