CS-9 REV. 6/09
EDUCATION & EXPERIENCE:
Read the minimum qualifications of the exam announcement before completing these sections.
EDUCATION:
CIRCLE HIGHEST GRADE COMPLETED
Are you a high school graduate?
Yes____ No _____
8 9 10 11 12
1 2 3
1 2 3 4
1 2 3 4
High school equivalency (GED)?
Yes____ No______
Elem/high school
post high school/
college
grad. School
Are you a college graduate?
Yes ____ No _____
vocational
List in reverse chronological order (most recent education first): Colleges and universities, technical, vocational, or trade schools, and high schools attended.
Name and address
Major and/or
Dates attended
Type of diploma or
If no degree,
of Institution
course of study
From
To
degree earned
# of credits
Courses pertinent to this exam:
State In-service Training Courses
(give course title and number of credits)
(give course title and number of credits)
_______________________________________________
_________
__________________________________________________________________
_______________________________________________
_________
__________________________________________________________________
_______________________________________________
_________
__________________________________________________________________
_______________________________________________
_________
__________________________________________________________________
_______________________________________________
_________
__________________________________________________________________
Professional licenses held:_________________________________________________________________________________
_________________________________________________________________________________
EXPERIENCE
: Begin with your most recent or current employment experience. List all experience in detail, including all requested information
for each period of employment appearing on this application. Describe the duties personally performed by you and include information about the
number and types of employees supervised, if any. Resumés may be attached to provide supplemental information, and additional sheets may
be included if necessary.
DATES EMPLOYED:
A. EMPLOYER NAME & ADDRESS:______________________________________________________________
FROM: _____________
TO: ________________
SUPERVISOR’S TITLE:
TOTAL TIME IN POSITION
YOUR POSITION TITLE:
__________ YEARS
DUTIES_______________________________________________________________________________________
__________ MONTHS
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
# of hours per week _______
______________________________________________________________________________________________
______________________________________________________________________________________________
ANNUAL SALARY:
______________________________________________________________________________________________
$________________________
______________________________________________________________________________________________
NUMBER AND TYPES OF EMPLOYEES SUPERVISED: ____________________________________________________________________
______________________________________________________________________FOR HOW LONG? ________________________________