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Fields marked with a * are required.

Required: You MUST use the same first and last name that shows on your government issued ID or you will not be able to test.

First Name *

Middle Name

Last Name *

Maiden Name

Present Address *

City *

State/Province*

Zip *

SSN not required for Canadian candidates.

Social Security Number *

Social Security Number Confirm *

Birth Date (MM/DD/YYYY)*

Do you have a valid driver’s license? * Yes No

State/Province Issued

Drivers License

Are you willing to work:*

Full Time
Part Time
Either

Email *

Email Confirm *

Password *

Password Confirm *

Primary Phone *

Secondary Phone

Military and Foreign Service

Are you active military?* Yes No

Are you active Reserve?* Yes No

Are you claiming veteran status?* Yes No
If so, From:
To:

Are you a disabled veteran?* Yes No

Have you served in the Peace Corp?* Yes No

Other military or foreign service:

Will you need any accommodation due to disability?* Yes No

Please describe the accommodation requested.

Additional documentation is required to be considered for Reasonable Testing Accomodation. You can download the Accommodation Request form here.

If you require an accommodation, do not schedule your test. Your accomodation request must be approved before scheduling.

Do you speak or read any language other than English?* Yes No

Please list the language(s).

How did you hear about us?

How were you informed by the Department/City?

Which Department?

Which School/Academy/Institution

Which Website?

Which form of media?

Who did you hear from?

The following questions are optional, if you do not wish to identify please choose "undisclosed"

Gender*

Male
Female
Undisclosed

Ethnicity*

American Indian or Alaskan Native
Asian
Black / African American
Pacific Islander / Hawaiian
White
Hispanic or Latino
Undisclosed