Pa Civil Application Form PDF Details

The Commonwealth of Pennsylvania State Civil Service Commission's Application for Employment/Promotion, also known as SCSC 2 Rev 06/12, is an essential tool for those looking to join the state's civil service workforce. This application is designed to be comprehensive, guiding applicants through the process of applying for a wide variety of state employment and promotion opportunities. It requires applicants to provide detailed personal information, including social security numbers for confidentiality reasons, contact details, qualifications related to educational background and work experience, and specific job titles and codes for which they are applying. The form emphasizes the importance of meeting the minimum requirements for desired positions, as outlined in the corresponding test announcements, which can be accessed through several avenues including the commission's website. Applicants must also choose a test location from a list provided, with the commission offering accommodations for those with disabilities. Furthermore, Pennsylvania residency requirements are clearly stipulated, with various ways to meet these listed, benefiting even former residents or those with certain affiliations to the state. The form also includes provisions for claiming Veterans' Preference, which could impact a candidate's test score and preference in hiring. Additionally, candidates must attest to their driver's license status if required for the position, and provide any other licenses or certifications that are pertinent to the job they are applying for. This application underscores the commission's commitment to equal employment opportunities, and it serves as a critical first step for prospective employees to enter the civil service system in Pennsylvania.

QuestionAnswer
Form NamePa Civil Application Form
Form Length10 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 30 sec
Other namescivil service pa search, civil service application employment, pennsylvania form civil service, pa civil service application

Form Preview Example

SCSC 2 Rev 06/12

Commonwealth of Pennsylvania

State Civil Service Commission

P.O. Box 569

Harrisburg, PA 17108-0569

Instructions for the Application for

Employment/Promotion

Please use blue or black ink to complete your application.

1Print your social security number in the boxes provided. Make sure you enter your social security number at the top of each page of the application. If you attach additional pages, print your social security number at the top of each page. Your social security number will be kept confidential.

2Print your name, address and telephone numbers, etc. If you provide us with an e-mail address, the Commission will use the e-mail address to contact you. Otherwise, we will use your mailing address.

3Obtain and read the test announcement. Make sure you meet the requirements listed on the test announcement. The test announcement contains other information that you will need to complete your application.

Current test announcements are available on our website (www.scsc.state.pa.us), from our offices in Harrisburg, Philadelphia and Pittsburgh and at Team Pa CareerLink offices.

For most tests, your qualifications will not be reviewed until after you have taken the test. If you do not meet the requirements, your test score will not be counted and you will have wasted your time.

If a Supplement is required, the test announcement will tell you where you can obtain one. Make sure you use the correct form. Complete this form fully and accurately. It will be used to help determine your test score.

4Print the Test Announcement Number and the Job Title(s) and Job Code(s) for which you are applying. Job titles may not be added after you have tested

5Select a test location. See the section labeled, “Where To Submit Your Application” for mailing instructions.

Most written tests/tests administered on a computer are given Monday through Friday at Commission offices in Harrisburg, Philadelphia and Pittsburgh.

Written tests/tests administered on a computer are also given Tuesdays, Wednesdays (some evenings) and every other Saturday at our centers in Allentown, Erie, Lock Haven, Johnstown and Scranton.

Oral tests are usually held in Harrisburg.

When written tests/tests administered on a computer or oral tests are being used, you will be notified a week or two in advance of where and when to report.

Ratings of experience and training do not require you to go to a place to be tested. Your test score is based on your background, as reported on your application and (if required) a supplement. When this type of test is used, it is important that you provide complete and accurate information.

6Indicate if you meet the Pennsylvania residency requirement. For most jobs you must be a Pennsylvania resident or a former resident who meets certain requirements. The test announcement will state if residency is required.

Indicators of Pennsylvania residency include:

renting, leasing, or owning property in Pennsylvania which you use as your primary residence

paying Pennsylvania state and local taxes

having registered personal property such as bank accounts, stocks, bonds, and an automobile in Pennsylvania

possessing a current Pennsylvania driver's license

being registered to vote in Pennsylvania

I

As a former resident of Pennsylvania you meet the requirements of Pennsylvania residency if you

relocated out of state for educational or employment purposes and will establish residency as defined in the preceding paragraph within six months of beginning employment and:

you graduated from a secondary school in Pennsylvania or you completed home education program requirements under Pennsylvania law within five years of application, or

you attended a school in Pennsylvania at least 80% of the time while enrolled in grades one through twelve and attended such school within five years of application, or

you graduated from or attended a secondary school (grades 7 through 12) in Pennsylvania or you completed home education requirements under Pennsylvania law and graduated from a postsecondary institution in Pennsylvania within five years of application

As a current student at a college, university, or technical school or as an active duty member of the armed forces, you meet the requirements of Pennsylvania residency if you:

are a student outside of Pennsylvania, were a resident of Pennsylvania prior to your current enrollment, and have a Pennsylvania mailing address, or

are a student from another state who is currently residing at and enrolled in a Pennsylvania college, university, or technical school, and have a Pennsylvania mailing address, or

are an active duty member of the armed forces, were a Pennsylvania resident immediately prior to your enlistment, and are scheduled to be discharged within ninety (90) days, or

are an active duty member of the armed forces residing in Pennsylvania during your current enlistment, and are scheduled to be discharged within ninety (90) days

7Indicate if you are claiming Veterans’ Preference.

Credit for Veterans’ Preference means that ten points will be added to your test score if you pass the test, but points will not be added to enable you to pass. You also may receive preference in hiring. If you are a current civil service employee, you will not receive veterans’ preference unless you are in a temporary position. Your separation must have been under Honorable or other acceptable conditions.

Credit will be granted if you are: a veteran, the widow or widower of a veteran, or the spouse of a disabled veteran, and submit the following documents with your application:

Veterans: Photocopy, not the original, of DD Form 214 or other military document showing dates of entry and separation and character of service.

Widows and Widowers: Photocopy, not the original, of the spouse’s DD Form 214. A certified copy (not a photocopy) of the death certificate.

Spouses of Disabled Veterans: Photocopies, not the originals, of DD Form 214; a Veterans’ Administration letter, dated within the past six months, verifying that the veteran is receiving compensation for a service-connected disability; and a signed statement from the disabled veteran showing social security number and agreeing to transfer credit to you.

These documents must be submitted only one time to establish your initial claim and create your record.

8If you have a current driver’s license, enter the issuing state and the license number. Some job titles require a driver’s license. The test announcement will state if a driver’s license is required.

9Follow the instructions on the Application for Employment/Promotion.

10List your high school, technical or business school, college and university training, etc.

The test announcement states the required training. In most cases, substitutions or equivalencies are permitted for these requirements. You must show on your application that you meet the requirements. Include a copy of your college transcript or a listing of courses that are required for the job title(s) for which you are applying.

II

Read and answer the question concerning your criminal history.

11List your work experience including paid experience, volunteer work and military service that helps qualify you for the job.

12

13

The announcement states the required experience. In most cases, substitutions or equivalencies are permitted for these requirements. You must show on your application that you meet the requirements.

For most job requirements, credit will be given for all appropriate experience, regardless of whether it is part-time and/or unpaid experience. You must tell what you did (duties and responsibilities) for each position and the total time (years and months) and the number of hours a week spent in each job.

Select the kinds of employment you are willing to accept, your start date, the county where you live and the counties where you will accept employment.

The test announcement contains information on appointment/promotion opportunities and where jobs exist. Your chances of being offered a job are better if you are willing to work where the jobs are located. It also may be to your advantage to be available for work in the county where you live and in surrounding counties. Use the information on the test announcement to complete questions. Do not indicate you want to work in an area where there are no jobs, or where you know you will never accept a job offer.

The names of those who pass the test are placed on lists in the order of their test results (from high to low). These lists are used to fill job openings as they occur.

Job openings depend upon such factors as retirements, resignations, promotions, transfers, and the expansion of existing programs.

Check the “Yes” box if you answer yes to any of the three questions. If you are uncertain of your situation, answer the question “Yes” and explain your situation at the time of your interview. Your application will be returned to you if you do not answer this question.

14Indicate if the Commission has your permission to verify your experience and training/education. Print any other names your school or employment records may be listed under.

15You MUST sign and date the VERIFIED DECLARATION. Your application will be returned to you if it does not contain an original signature and current date.

RESEARCH QUESTIONNAIRE (Page 5)

See the instructions at the top of the questionnaire.

SERVICES FOR APPLICANTS WITH DISABILITIES

If you require assistance in completing the application or anticipate the need for a testing accommodation due to a disability, please contact the Test Administration Division at

(Voice) 717-787-2935 or Text Telephone (Deaf/Hard of Hearing callers only) 717-787-5581, to discuss your request. This request must be made prior to your test date. All information regarding candidate disabilities is kept confidential and is not provided to employing agencies.

WHERE TO SUBMIT YOUR APPLICATION

All applications should be mailed to:

State Civil Service Commission

(ATTN: Applications)

P.O. Box 569

Harrisburg, PA 17108-0569

III

QUESTIONS AND INFORMATION

If you have questions about civil service employment or testing, have problems completing your application or Supplement, are uncertain if you qualify for a testing program, or want other information, call us at the office nearest your home.

Harrisburg

State Civil Service Commission

 

Telephone (Voice) (717) 783-3058

 

Text Telephone (Deaf/Hard of Hearing callers only) (717) 772-2685

Philadelphia

Eastern Regional Office

 

Telephone (Voice) (215) 560-2253

 

Text Telephone (Deaf/Hard of Hearing callers only) (215) 560-4367

Pittsburgh

Western Regional Office

 

Telephone (Voice) (412) 565-7666

 

Text Telephone (Deaf/Hard of Hearing callers only) (412) 565-2484

If you write, state your question, problem or request clearly, and include your social security number. Mail your requests to:

State Civil Service Commission

(ATTN: Information Services)

P.O. Box 569

Harrisburg, PA 17108-0569

Or E-Mail us at: ra-cs-SCSCQANDA@state.pa.us

IV

SCSC-1

Rev. 06/12

Commonwealth of Pennsylvania

State Civil Service Commission

P.O. Box 569

Harrisburg, PA 17108-0569

Application for Employment/Promotion

Please use blue or black ink to complete this application.

Official Use Only

1. YOUR SOCIAL SECURITY NUMBER

2. PRINT YOUR NAME, ADDRESS, TELEPHONE NUMBERS, AND E-MAIL ADDRESS.

Prefix: (e.g., Mr., Mrs., Ms.)

 

First Name:

 

 

 

MI:

Last Name:

 

 

 

 

 

 

Suffix: (e.g., Esq., Jr., III)

 

 

 

 

 

 

 

 

 

Street Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

State:

 

 

 

Zip Code:

 

 

 

 

 

 

 

 

 

 

Daytime Phone:

 

 

Evening Phone:

 

 

 

 

 

 

 

 

 

 

E-mail Address:

I f y ou pr ov ide us w it h an e- m ail addr ess, t he Com m ission w ill use t he e- m ail

 

 

 

addr ess t o cont act y ou .

Ot herw ise, w e w ill use y our m ailing address.

 

 

 

 

 

 

 

 

3. HAVE YOU READ THE TEST ANNOUNCEMENT TO ENSURE THAT YOU MEET THE MINIMUM REQUIREMENTS FOR THE JOB

TITLE(S)? YES NO

Cur rent t est announcem ent s ar e av ailable on our w ebsit e ( w w w . scsc. st at e. pa. us) , fr om our offices in Har r isbur g, Philadelphia and Pit t sburgh and at Team Pa Car eer Link offices.

4. JOB TITLES APPLIED FOR?

Test Announcement Number:

( You m ust subm it a separ at e applicat ion for each t est announcem ent . )

Job Title

Job Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. IF THERE IS A WRITTEN TEST, WHERE DO YOU WANT TO BE TESTED? Check only one locat ion .

Harrisburg Philadelphia Pittsburgh

Allentown

Erie

Johnstown

Lock Haven

Scranton

If you anticipate the need for a testing accommodation due to a disability, you must call (Voice) 717-787-2935 or Text Telephone (Deaf/Hard of Hearing callers only) 717-787-5581 prior to testing to discuss your request.

6.DO YOU MEET THE PENNSYLVANIA RESIDENCY REQUIREMENT? The t est announcem ent w ill st at e if r esidency is r equir ed . Pennsy lv ania r esidency r equir em ent s ar e ex plained in # 6 of t he “ I nst r uct ions for t he Applicat ion for Em ploy m ent / Pr om ot ion ” ( SCSC 2) .

Yes

No

7.ARE YOU CLAIMING VETERANS’ PREFERENCE? See # 7 of t he “ I nst r uct ions for t he Applicat ion for Em ploy m ent / Pr om ot ion ” SCSC 2 for t he t y pe of docum ent at ion r equir ed .

Yes

No

8. DO YOU HAVE A CURRENT DRIVER’S LICENSE WHICH IS NOT UNDER SUSPENSION?

State Number

If “YES,” enter state and number.

Yes

No

9.LIST LICENSES OR CERTIFICATES WHICH DIRECTLY RELATE TO THE QUALIFICATIONS OF THE JOB TITLE(S) FOR WHICH YOU ARE APPLYING: Giv e license num ber s and ex pir at ion dat es. Ex am ples: engineer , beaut ician, nur se, lifeguar d, com m er cial dr iv er ’s license w it h endor sem ent s

EQUAL OPPORTUNITY EMPLOYER

1

Please use blue or black ink to complete this application.

Your Social Security Number

10.TRAINING Educat ional cr edit s m ay be v er ified if offer ed a j ob. An Official Tr anscr ipt ( t he only accept able pr oof of claim ed educat ion) m ay be r equest ed at t hat t im e.

 

 

Dates

No. of credits

 

Type

 

TRAINING

Name and Address

attended

completed

Did you

Degree

Major course

 

 

 

graduate?

Recd

of study

 

 

From To

Semester

Clock

 

 

 

(ex. AA, BA,

 

 

 

 

hrs.

hrs.

 

BS , MA)

 

 

 

 

 

 

 

 

 

High School

 

 

 

 

 

 

 

Technical,

Business or

Other

Training

College,

University or

Professional

School

11. EXPERIENCE I nclude paid em ploy m ent , v olunt eer w or k, and m ilit ar y ser v ice t hat helps t o qualify y ou for t he

j ob. I f y our t it le and dut ies changed in t he cour se of y our w or k w it h one em ploy er , describe t he changed dut ies in a new block . For each j ob, supply all det ails of y our dut ies needed t o cor r ect ly descr ibe y our w or k . St at e size and kind of w or k for ce, if any, super v ised by y ou and ex t ent of such super v ision . At t ach addit ional sheet s if needed. List t he quest ion num ber and y our social secur it y num ber on each at t ached sheet .

A. Present or most recent

From: Mo. Yr.

To: Mo. Yr.

Total time spent

Yrs.Mos.

Total hours worked weekly

Yearly Salary

Starting $__________

Present/Ending $

Name of Employer:

Address:

 

OFFICIAL USE ONLY

 

 

 

Evaluation

Verification

 

 

 

 

 

Type of Business:

Your Title:

Name and Title of Your Supervisor:

 

 

 

 

 

Duties:

 

 

 

 

 

 

 

 

 

2

Please use blue or black ink to complete this application.

Your Social Security Number

11. EXPERIENCE

B.

From: Mo. Yr.

To: Mo. Yr.

Total time spent

Yrs.Mos.

Total hours worked weekly

Yearly Salary

Starting $__________

Ending $

Name of Employer:

Address:

 

OFFICIAL USE ONLY

 

 

 

Evaluation

Verification

 

 

 

 

 

Type of Business:

Your Title:

Name and Title of Your Supervisor:

 

 

 

 

 

Duties:

 

 

 

 

 

 

 

 

 

C.

From: Mo. Yr.

To: Mo. Yr.

Total time spent

Yrs.Mos.

Total hours worked weekly

Yearly Salary

Starting $__________

Ending $

Name of Employer:

Address:

 

OFFICIAL USE ONLY

 

 

 

Evaluation

Verification

 

 

 

 

 

Type of Business:

Your Title:

Name and Title of Your Supervisor:

 

 

 

 

 

Duties:

 

 

 

 

 

 

 

 

 

EQUAL OPPORTUNITY EMPLOYER

3

Please use blue or black ink to complete this application.

Your Social Security Number

12.EMPLOYMENT QUESTIONNAIRE This infor m at ion is used in sending t he nam es of successful applicant s t o hir ing agencies.

PLEASE COMPLETE ALL QUESTI ONS. I f y ou do not , y ou m ay lim it y our chances for em ploy m ent .

A. WHAT KIND(S) OF EMPLOYMENT WILL YOU ACCEPT? ( Check all t hat apply . )

Career Appointment (Standard

Part-Time (Less than standard

Temporary up to 12 months

Seasonal (Standard workweek,

workweek, year round)

workweek, usually year round)

(Standard workweek)

less than year round)

B. WHEN CAN YOU START WORK? I f not im m ediat ely pr ov ide dat e.

Month

Day

 

Year

 

 

 

 

2

0

 

 

C. COUNTY WHERE YOU LIVE? Codes ar e on Page 6 . I f y ou do not liv e in Pennsy lv ania, ent er “ 99 . ”

D. LOCATIONS WHERE YOU WILL ACCEPT EMPLOYMENT? Use t he codes on Page 6 . Be sur e t o include t he count y code w her e y ou liv e, unless y ou do not w ant t o w or k t her e. Refer t o t he t est announcem ent or cont act t he hir ing agency for j ob locat ions. Choose locat ions w her e t he j obs ex ist . I f y ou don’t accept a j ob offer , y our nam e m ay be r em ov ed fr om t he list .

E. CAN YOU COMMUNICATE IN A LANGUAGE OTHER THAN ENGLISH? For some jobs it is important to be able to speak with persons of different cultures and backgrounds. If you check any box or list additional languages in response to this question, you may be required to submit additional proof or participate in an oral interview.

Spanish

Russian

Vietnamese

Cambodian

Other (Specify)

 

 

 

 

__________________________

13.CRIMINAL HISTORY A “Yes” answer will not prevent you from being tested and is not necessarily a bar to employment. Your application will be provided to hiring agencies. A prospective hiring agency may ask for additional information and will review the job-relatedness of your criminal history record. Please bring any information explaining your criminal history to the interview.

CRIMINAL OFFENSE includes felonies, misdemeanors and summary offenses.

CONVICTION is an adjudication of guilt and includes determinations before a court, a district justice or magistrate and pleas of nolo contendere (no contest) that result in a fine, sentence or probation.

For this question disregard: offenses committed before your 18th birthday which were adjudicated in juvenille court under a Youth Offender Law, and any charges which have been expunged by a court or for which you successfully completed an Accelerated Rehabilitative Disposition Program.

Were you ever convicted of a criminal offense? OR Are you now under charges for a criminal

Yes

No

offense? OR

Have you ever forfeited bond or collateral in connection with a criminal offense?

 

 

14.VERIFICATION OF EXPERIENCE AND TRAINING/EDUCATION INFORMATION. This applicat ion m ay r esult in y our appoint m ent or pr om ot ion t o a civ il ser v ice posit ion . The Com m ission m ay need t o v er ify y our exper ience and t r aining/ educat ion .

Do we have your written permission for the verification?

Yes

No

I f y ou do not gr ant per m ission t o v er ify y our ex per ience and t r aining/ educat ion and y ou subsequent ly ar e appoint ed or pr om ot ed, y ou m ay t hen be r equir ed t o pr ov ide pr oof t hat y ou possess t he t r aining/ educat ion t hat y ou claim . We also m ay r equir e v er ificat ion of qualify ing w or k ex per ience fr om for m er em ploy er s.

I f y our school/ em ploy m ent r ecor ds ar e list ed under anot her nam e or nam es, pr int t hem below .

_____________________ _____________________ _____________________

15.Verified Declaration - I understand that by submitting this completed Application for Employment/Promotion to the

Pennsylvania State Civil Service Commission, I am agreeing to be bound by the following declaration: “I declare that all of the information I have provided on this application, and on any other required supplement or document also provided by me, is complete, accurate, true and correct. I make this declaration subject to the penalties of 18 PA.C.S. 4904 relating to unsworn falsification to authorities.”

________________________________________________________

________________________

(Signature)

(Date)

4

SCSC-1A

Rev 06/12

Please use blue or black ink to complete this application.

Your Social Security Number

RESEARCH QUESTIONNAIRE

Instructions Your answ er s t o t he follow ing quest ions w ill be kept confident ial. Your answ er s w ill be used for

r esear ch pur poses and t o help assur e equal em ploy m ent oppor t unit ies. Your cooper at ion in pr ov iding accur at e infor m at ion is im por t ant . This infor m at ion is voluntary.

A. HOW DO YOU DESCRIBE YOURSELF?

BLACK: (not of Hispanic Origin): Persons having origins in any of the Black racial groups of Africa.

HISPANIC: Persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish Culture or origin, regardless of race.

WHITE: (not of Hispanic Origin): Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.

AMERICAN INDIAN OR ALASKAN NATIVE: Persons having origins in any of the original people of North America, and who maintain cultural identification through tribal affiliation or community recognition.

ASIAN OR PACIFIC ISLANDER: Persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands. This area includes for example, China, Japan, Korea, the Philippine Islands, and Samoa.

B. DATE OF BIRTH?

Month

Day

Year

C. WHAT IS YOUR SEX?

Female Male

D. WHAT IS THE HIGHEST SCHOOL GRADE YOU HAVE COMPLETED?

High School

7 or less

8

9

10

11

12

GED

College

1

2

3

4

5 or more

E. DID YOU LEARN ABOUT THIS JOB AT A LOCAL TEAM PA CAREERLINK OFFICE?

Yes

No

EQUAL OPPORTUNITY EMPLOYER

5

INSTRUCTIONS for completing Questions 12C and 12D.

Question 12C - If you live in Pennsylvania, use the table below to find the code for the county where you live. Then enter this code in the boxes on page 4. If you live out-of-state, use code “99.”

 

 

Pennsylvania Counties and Codes

 

 

County

Code

County

Code

County

Code

Adams

01

Elk

24

Montour

47

Allegheny

02

Erie

25

Northampton

48

Armstrong

03

Fayette

26

Northumberland

49

Beaver

04

Forest

27

Perry

50

Bedford

05

Franklin

28

Philadelphia

51

Berks

06

Fulton

29

Pike

52

Blair

07

Greene

30

Potter

53

Bradford

08

Huntingdon

31

Schuylkill

54

Bucks

09

Indiana

32

Snyder

55

Butler

10

Jefferson

33

Somerset

56

Cambria

11

Juniata

34

Sullivan

57

Cameron

12

Lackawanna

35

Susquehanna

58

Carbon

13

Lancaster

36

Tioga

59

Centre

14

Lawrence

37

Union

60

Chester

15

Lebanon

38

Venango

61

Clarion

16

Lehigh

39

Warren

62

Clearfield

17

Luzerne

40

Washington

63

Clinton

18

Lycoming

41

Wayne

64

Columbia

19

McKean

42

Westmoreland

65

Crawford

20

Mercer

43

Wyoming

66

Cumberland

21

Mifflin

44

York

67

Dauphin

22

Monroe

45

 

 

Delaware

23

Montgomery

46

 

 

Question 12D - Using the table above, find the code(s) for the county or counties where you will accept employment. Enter the code for each county in the boxes on page 4. The Pennsylvania map below will show you where each county is located. Do not indicate locations where the jobs do not exist.

Example: If you would accept employment in Philadelphia County (which is code 51) and you have checked to make sure that jobs exist in Philadelphia, you would enter “51” in the box.

51

Test Centers

Harrisburg

Philadelphia

ƒPittsburgh

Allentown

‹Erie

Lock Haven

Johnstown

Scranton

6

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Stage number 2 of completing pennsylvania form civil service

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pennsylvania form civil service completion process shown (step 3)

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pennsylvania form civil service conclusion process shown (stage 4)

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pennsylvania form civil service completion process described (portion 5)

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