Broome County Applications

Open Competitive Examination Application

This application is necessary when applying to take a civil service examination.  If you have applied for both a Broome County examination and an examination for another jurisdiction, both of which are scheduled for the same date, you must also submit a Broome County Cross-filing Form indicating the site at which you intend to take your examination.

Open-Competitive Examination Application

Promotional Examination Application

Promotional examinations are restricted to current employees of the participating appointing authority who meet the service requirement and minimum qualifications as cited on the announcement.

Promotional Exam Application

Continuous Recruitment Examination Application

Applications for Continuous Recruitment examinations are accepted continuously, with no application deadline. Examinations are conducted periodically for positions where there is usually a need for qualified individuals.

The scores for these examinations are inter-filed with existing candidate scores to form a constantly changing eligible list. An eligible's name remains on the list for one year.

Department Applying To
Type Position
Preferred Shift
PERSONAL INFORMATION

No person shall be denied equal protection of the laws of this County, State, Nation or any subdivision thereof.  No person shall, because of race, color, creed, religion, age, sex, national origin or sponsor, be subjected to any discrimination in his civil rights by any person, department or any institutional, agency or subdivision of Broome County.  
The NYS Human Rights Law prohibits discrimination because of age.  Broome County Government does not discriminate on the basis of physical or mental disability and will make reasonable accommodations for individuals with disabilities during application, examination, interviewing and employment.

BROOME COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER

A clear understanding of your background and work history will aid us in placing you in a position that best meets your qualifications.  

DIRECTIONS:  Please answer all questions.  Write "No" or "None" where applicable.
NAME
LEGAL ADDRESS
MAILING ADDRESS
(if different than above)

Include all Phone Numbers (Home, Office or Cell)
(Please notify immediately of any changes.)
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EDUCATION
EDUCATION (Last grade completed)
Graduated High School
Name and School Location
Graduated?
Graduated?
Name and School Location
Graduated?
Name and School Location
Graduated?
EMPLOYMENT EXPERIENCE
List all permanent employment since high school.  List any summer, part-time, temporary employment, which includes experience that may qualify you for the position sought.  If additional space is required please include it in your attached documents that are uploaded to this application.  Start with your most recent or current position.
Was the position
Was the position
Was the position
Was the position
APPLICATION AFFIRMATION
The New York State Department of Health requires all skilled nursing facilities to complete criminal background checks on all employees. It is important for you to disclose any information regarding any type of finding of resident/patient abuse, conviction of a crime including type of finding/conviction and conviction date. Please answer the questions below and include a brief explanation.
Do you have a finding of resident or patient abuse?
Do you have a conviction of a crime (misdemeanor or felony) in New York State or any other jurisdiction?
PERSONAL DATA
Do you have the legal rights to accept employment in the United States?
Non-citizens will be required to produce 1-151 or 1-551 alien registration cards at time of appointment.
Have you ever been convicted of a misdemeanor or felony?
If a motor vehicle license is required for the position, please indicate the license you presently possess:
If a license, certificate or other authorization to practice a trade or profession is a requirement for the position for which you are applying, please enter it here:
For reference purposes do you have any objections to our contacting present or past employers?
Do you qualify as an Exempt Volunteer Fireman as set forth by the criteria in section 200 of the General Municipal Law?
Did you serve in the armed forces of the United States?
Did you receive a discharge which was honorable or were you released under honorable circumstances?
What made you aware of this vacancy or Broome County employment opportunities?
DECLARATION
I agree, if employed, to abide by all the rules and regulations relative to my position.  I agree to undergo a physical examination and authorize the examining physician to render to the Department of Personnel the results of the examination.  I declare that the statements made in this application (including statements made in any accompanying papers) have been examined by me and to the best of my knowledge and belief, are true and correct.  I understand that any omission, misrepresentation and/or falsification of information contained in this application may constitute grounds for my dismissal.  I give the employer the right to investigate all references and to secure additional job related information about me.  I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.
By checking the Acknowledgement box and typing your name in the signature field you are agreeing to the above declaration and verifying all information is accurate.
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Please fill in all relative information for position applying for in fields provided.
Unlimited number of files can be uploaded to this field.
500 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

The Immigration Reform and Control Act of 1986, requires that all individuals must provide acceptable documentation that proves identity and employment eligibility.  A listing of acceptable documents can be obtained from the Department of Personnel.  Failure to provide this documentation will affect your chances for employment with Broome County.

APPLICATIONS WILL BE HELD ON FILE FOR ONE YEAR FROM FILING DATE.

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