Official Seal of the California Department of Education

Form

Personnel Commission Application

Executive Office

This application is used to apply for an appointment by the State Superintendent of Public Instruction with the Personnel Commission.

All questions in this application are required unless otherwise specified.

For more information about the Personnel Commission Application, please visit the Application for Appointments web page. If you have any questions, please email appointments@cde.ca.gov.

When you select Save Responses, a new screen will appear, and the Snap Survey will provide two options to save and return to the saved application. You can:

- Save the unique URL as a bookmark or add it to Favorites in your web browser. (We recommend that you save the link by educator if you are submitting more than one application.)

- Provide your email address and Snap Survey will email you the unique URL to return to the saved application.

Appointments Sought

	Appointments Sought:
	Appointment #1:

Applicant Information

	Applicant Information:
	First Name:
	Middle Name: (Optional)
	Last Name:
	Address:
	City:
	State:
	Zip Code: (99999)
	County:
	Phone Number: (Best number to reach you; 999-999-9999)
	Fax: (Optional)
	Email Address:

Do you live within the jurisdiction of the district or county in which you are applying?

Yes

Marital Status:

Married

Single