Standard State Application Form 678

Adobe Acrobat Version

The official California State Examination/Employment Application Form 678 (Rev. 06/2010) and Instructions are now available on this website (at the bottom of this page) in Adobe Acrobat format. Please read the following important notes before attempting to download and use the electronic form.

06/25/2010 Note:

Changes have been made to the State Application as follows:

  1. Removal of Questions 10 and 11 on page 1 of the application.

For more information on the changes made on 06/25/2010, please check the Adobe Acrobat version of the Policy memo.

09/28/2009 Note:

Changes have been made to the State Application as follows:

  1. EASY I.D. fields added.

02/20/07 Note:

  1. Changes were made to Question #5.
  2. Revisions were made to the instructions page.

For more information on the changes made on 02/20/2007, please check the Adobe Acrobat version of the Policy memo.

Important Notes (02/20/07):

  • The State Application and Instructions are created in Adobe Acrobat format. In order to use this version of the state application, you will need to DOWNLOAD and INSTALL Adobe Acrobat Reader. The latest version of Acrobat Reader is available free from Adobe's website.
  • The California Department of Human Resources does not provide support for problems downloading/printing using Adobe Acrobat. We will publish any known printing problems with this form. You should print a test page (first page of the application, partially filled out if you intend to fill out the entire application on your computer and print it), and test that with your printer before spending a lot of time filling out the application and then finding out that you have a printer problem. If you want a blank application form, simply download and print the application.
  • Be sure to download and read the instructions before entering your data on the application, because it contains valuable information on filling out the application.
  • Carefully complete your application and submit it by the final filing date as indicated on the exam and/or vacancy bulletin. Late applications are not accepted.
  • At this time, you may not submit the State Application Form electronically. You must still print, sign, and send your application per the instructions on the job vacancy bulletin.

View/Download the Application and Instructions