FULTON COUNTY
MULTIPLE EXAMINATIONS
SAME DAY CROSS-FILER FORM
May 19, 2010
INSTRUCTIONS: Candidates who have filed applications for multiple Civil Service examinations on the same date
must complete this form to take all exams at one test site.
CANDIDATE’S NAME: ______________________________________________________________
LAST 4 DIGITS OF SOCIAL SECURITY NO.: XXX-XX-
ADDRESS: __________________________________________________________________________
HOME PHONE: ________________________________ BUSINESS PHONE: ___________________
You have indicated on your application that you are taking multiple Fulton County exams and/or another County,
City or New York State exam on the same date. To process your request, you must provide the information
below and return this form to this department as soon as possible but no later than two weeks before the
exam date.
EXAMINATION DATE: _________________________
❑ I HAVE APPLIEDFOR MORE THAN ONE (1) FULTON COUNTY EXAM ON THE SAME EXAM DATE.
Fulton County Exams:
Exam #1 No.: __________ Title: _____________________________________
Exam #2 No.: __________ Title: ______________________________________
❑ I HAVE APPLIED FOR BOTH A NEW YORK STATE AND A LOCAL GOVERNMENT EXAMINATION,
AND MUST MAKE ARRANGEMENTS TO TAKE ALL EXAMINATIONS AT THE STATE
EXAMINATION CENTER BY NOTIFYING THE FULTON COUNTY PERSONNEL DEPARTMENT NO
LATER THAN TWO WEEKS BEFORE THE TEST DATE.
Fulton County Exam:
Exam #1 No.: __________ Title: _____________________________________
State Exam:
Exam #2 No.: __________ Title: ______________________________________
❑ I HAVE APPLIED FOR EXAMS WITH BOTH FULTON COUNTY AND ANOTHER JURISDICTION
(NOT A NYS EXAM).
Fulton County Exam:
Exam #1 No.: __________ Title: _____________________________________
Other Local Exam:
Municipality: ____________________________________________________
Exam #2 No.: __________ Title: ______________________________________
(Attach additional sheets as needed)
I REQUEST TO TAKE ALL EXAMS AT THE _________________________________ SITE.
____________________________________________________________ ___________________
SIGNATURE DATE
If approved for taking multiple exams on the same day, candidates must bring Notices to Appear from each
jurisdiction to the test center the day of the exam.
