Blank Ct Hr 12 Application Template

The CT-HR-12 Application form serves as the official application for examination or employment with the State of Connecticut. This form is crucial for individuals seeking to apply for state examinations or job opportunities, providing a structured format to present their qualifications. To begin your application process, fill out the form by clicking the button below.

Article Guide

The CT-HR-12 Application form serves as a critical tool for individuals seeking employment or examination opportunities with the State of Connecticut. Since its effective date on October 1, 2010, this application has replaced the older PLD-1 forms. Applicants can choose to fill out the form digitally or print it for manual completion, which allows for added flexibility. Each application is specific to a currently posted examination or job opportunity, necessitating the inclusion of precise details, such as the examination or position title and corresponding numbers. Accuracy is paramount; therefore, it’s essential to provide current and truthful information throughout the form, particularly regarding educational qualifications and relevant work experiences. Notably, while resumes may accompany the application, they cannot replace the required details outlined in the form. Ensuring that all sections are completed thoroughly is essential, along with carefully reviewing submission instructions to avoid delays or disqualification due to late or incomplete applications. This comprehensive approach not only boosts the chances of qualifying for an examination or position but also streamlines the hiring process for state employment. Familiarizing oneself with the instructions outlined for specific examinations and job postings ranks as an initial step toward successful application submission.

Form Sample

INSTRUCTIONS FOR COMPLETING AND SUBMITTING THE

STATE OF CONNECTICUT

APPLICATION FOR EXAMINATION OR EMPLOYMENT (FORM CT-HR-12)

PLEASE READ CAREFULLY BEFORE COMPLETING THE APPLICATION

GENERAL INFORMATION AND INSTRUCTIONS

This application form is the official State of Connecticut Application Form for Examination or Employment effective October 1, 2010. PLD-1 application forms should not be used on or after October 1, 2010. Check the State Employment Pages on the DAS website (http://das.ct.gov/employment )for more detailed information about completing the State Application Form and about state examinations, job opportunities and to sign up for e-mail notification of current exams and job openings.

1.The CT-HR-12 is a PDF document that can be completed on-line or it can be printed and completed manually. If you complete the form on-line, you can save it in your documents for future reference.

2.This application form can be used to apply for currently posted State of Connecticut examinations or currently posted job opportunities (positions/job postings). If you are applying for a currently posted examination, make certain you include the examination title and examination number. If you are applying for a currently posted job/position, make certain you include the position title and position number.

3.Type or print (in ink) all information requested on the application form. It is critical that you complete all sections of the application form and that all of the information you provide is true and accurate.

4.Give complete and accurate information about your education, work experiences and licenses/certifications as it relates to the minimum requirements for the examination or position for which you are applying. The information you provide on your application form will be used to determine if you meet the requirements as outlined on the examination announcement or position posting. (Resumes may be included as a supplement to the application form, but they will not substitute for any information required on the application form.)

5.Write your name and examination or position title on the top of all pages of your application form. Write your social security number on the top of Page 1.

6.Sign and date Section 3 of your application form (a typed name will substitute for a handwritten signature).

7.Make a copy of your application package for your records before submission.

8.Do NOT submit this page with your application package.

9.Application packages sent to an incorrect address/fax will not be accepted. Carefully review the application filing instructions on the examination announcement or the position posting to ensure your application materials are sent to the correct location.

10. Late and/or incomplete application packages will not be accepted.

INSTRUCTIONS IF YOU ARE APPLYING FOR A CURRENTLY POSTED EXAMINATION

1.Obtain a copy of the examination announcement before completing this application. The announcement includes important information such as: the examination title and number, minimum requirements for admission to the examination, closing date for the application package, and other job-related information. In many cases the exam announcement also contains special filing instructions which detail exam materials that must be submitted with the application form. Examination announcements can be obtained from the DAS website (http://das.ct.gov/employment). Follow all application and examination instructions very carefully!

2.A separate application form must be submitted for each examination for which you are applying.

3.Applications (and supplemental exam materials, if required) for examinations are always submitted to the Statewide Human Resources Management Division at the Department of Administrative Services. Refer to the examination announcement for the mailing address and secure fax number for submitting your application form (and exam materials, if required). If faxing materials make certain that your application form is complete and transmitted correctly and without error. Incomplete faxes or faxes received blank because pages were faxed upside down will not be accepted.

4.Applications received for which there is no current examination announcement are not accepted.

5.This application is not to be used for the following examinations: State Police Trooper Trainee, Correction Officer, Protective Services Trainee (Police). State Marshall and Office Assistant. When these examinations are open you will find special Internet application forms on the DAS website (http://das.ct.gov/employment).

INSTRUCTIONS IF YOU ARE APPLYING FOR A CURRENTLY POSTED JOB/POSITION

1.Obtain a copy of the job/position posting before completing this application. The posting includes important information such as: the position title and position number, minimum requirements for the position, closing date for applications, and other job- related information. The posting also contains application filing instructions which detail what documents need to be submitted to apply for the position and where and how to submit your application package. Follow all application filing instructions very carefully!

2.A separate application form must be submitted for each position you are applying for.

3.Applications are only accepted for currently posted positions.

4.Applications for positions are to be sent to the hiring agency. They are not to be sent to the Department of Administrative Services, unless the position posting specifically directs you to do so.

APPLICATION FOR EXAMINATION	SOCIAL SECURITY NUMBER: ____ ____ ____ -____ ____ - ____ ____ ____ ____
OR EMPLOYMENT CT-HR-12 NEW 10/20/2010
(formerly Form PLD-1)	________________________________________	_______________________	____
	Last Name	First Name	MI

STATE OF CONNECTICUT

Application for Examination or Employment (CT-HR-12)

DO NOT WRITE	APPROVED________ DISAPPROVED________		REVIEWED BY: __________	AE Date: __________
in shaded area
GE – Lack GE	LS – Length SE	GS – Length GE, Lack SE	AS – No Agency Status	SI – No Supp Exam Mat.
LG – Length GE	ET – Lack GE, SE	EM – Not Current St Emp	ST – No Classified Status	II – Insufficient Info
SE – Lack SE	LL – Length GE, SE	AR – Emp not Hiring Agency	CS – Status in Class	LT – Late

INSTRUCTIONS TO APPLICANT: Read the detailed instructions on the final page of this application and on the examination announcement or position/job posting before completing this application form. Type or print answers to ALL questions.

SECTION 1: APPLICANT CONTACT INFORMATION

______________________________	_____________________ ___		______
LAST NAME	FIRST NAME	MI	SUFFIX (i.e., Jr., MD, Ph.D.)
_________________________________________________________			____________________
MAILING ADDRESS (P.O. Box # or house number and street)			APARTMENT # (if any)
_______________________________________________		______	_________________
CITY		STATE	ZIP CODE

List other name(s) you have used. Include last name, first name and middle initial for each.

_____________________________________ ______________________________________

(____)______-________	(____)______-________ May we call you at work? __Yes __No
HOME PHONE #	BUSINESS PHONE #
(____)______-________	_______________________________________________
CELL PHONE #	E-MAIL ADDRESS
SECTION 2: PURPOSE OF APPLICATION (CHECK ONE):
___ STATE EXAMINATION	___ STATE POSITION/JOB POSTING

Complete the required information below for one examination OR one position ONLY:

If you are applying for a State of Connecticut examination complete the following information as it appears on the examination announcement:

Examination Title: ___________________________________________ Exam No.: _____________

If you are applying for a State of Connecticut position/job complete the following information as it appears on the posting.

Position/Job Title: ______________________________________ Job Posting No.: ___________

PAGE TWO	________________________________________	_______________________	____
	Last Name	First Name	MI
	______________________________________________________________________
	Examination Title or Position Title

SECTION 3 APPLICANT CERTIFICATION

By signing or typing my name on the signature line below, I am certifying that the statements made by me on this application form and attachments, if any, are true and complete to the best of my knowledge and are made in good faith. I understand that if I knowingly make any misstatement of fact, I am subject to disqualification and dismissal and to such other penalties as may be prescribed by law or personnel regulations. All statements made on this application, including employment information, are subject to verification as a condition of employment.

Applicant signature: __________________________________	Date: ____________
(Signature is required)
Note: A typed name will substitute for a handwritten signature.

SECTION 4: STATE EMPLOYMENT HISTORY (To be completed by current or former State of CT employees)

Are you a current State of Connecticut employee? __Yes __No If ‘Yes: __________________

	6-digit Employee ID #
_____________________________________	_________________________________________
Official Job Class Title	Employing Agency, Department, College/University

If you are not a current State of Connecticut employee but worked for the State of Connecticut previously, did you leave State service within the past 10 years? __Yes __No

If ‘Yes’ complete dates of employment from: ____/____/_______to ____/____/_______

MMDD YYYY MM DD YYYY

_____________________________________ _________________________________________

Official Job Class Title at time of separation Employing Agency, Department, College/University

Reason for leaving: ________________________________________________________________

SECTION 5: APPLICANT EDUCATION

A.Primary and Secondary Education

Have you graduated from high school or received a high school equivalency diploma (GED)?

__Yes __No

PAGE THREE	________________________________________	_______________________	____
	Last Name	First Name	MI
	______________________________________________________________________
	Examination Title or Position Title

SECTION 5: APPLICANT EDUCATION (continued)

B.College Education

1.) ______________________________________				______________________			___	__________
Name of College or University Attended					City		State		Country*
Is this college accredited**?	__Yes	__No	Dates of Attendance: From: ___/_____To:___/_____
						(MM/YYYY)		(MM/YYYY)
Type of degree completed:	__Associate		__Bachelor		__Master	__Doctorate	__Law		__None
If ‘None’ please indicate the number of credit hours completed: ____
If a degree was conferred, complete the following information for this college/university:
_____________________________________					________________________________________
Major Course of Study					Major Course of Study (only if double major)

2.) ______________________________________				______________________			___	__________

Name of College or University Attended					City		State		Country*
Is this college accredited**?	__Yes	__No	Dates of Attendance: From: ___/_____To:___/_____
						(MM/YYYY)		(MM/YYYY)
Type of degree completed:	__Associate		__Bachelor		__Master	__Doctorate	__Law		__None
If ‘None’ please indicate the number of credit hours completed: ____
If a degree was conferred, complete the following information for this college/university:
_____________________________________					________________________________________
Major Course of Study					Major Course of Study (only if double major)

3.) ______________________________________				______________________			___	__________

Name of College or University Attended					City		State		Country*
Is this college accredited**?	__Yes	__No	Dates of Attendance: From: ___/_____To:___/_____
						(MM/YYYY)		(MM/YYYY)
Type of degree completed:	__Associate		__Bachelor		__Master	__Doctorate	__Law		__None
If ‘None’ please indicate the number of credit hours completed: ____
If a degree was conferred, complete the following information for this college/university:
_____________________________________					________________________________________
Major Course of Study					Major Course of Study (only if double major)

Attach additional sheets (labeled with “Section 5 – continued” and include your name and examination number/title or position title in upper right corner) if you attended more than three (3) colleges/universities.

*- If the institution of higher learning is located outside of the United States, you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies. The responsibility for and the costs associated with obtaining this equivalency information rests with you, the applicant.

** - In order to receive educational credit towards admittance to an examination, the institution must be recognized by the CT Department of Higher Education as an accredited institution (www.chea.org).

PAGE FOUR	________________________________________ _______________________					____
		Last Name		First Name		MI
		______________________________________________________________________
			Examination Title or Position Title
SECTION 5: APPLICANT EDUCATION (continued)
C. Technical, Business or Other Education

1.) ______________________________________ ______________________				___	__________
Name of School Attended			City	State	Country*
Dates of Attendance: From: _____/_____To:_____/_____			________________________________
	(MM/YYYY)	(MM/YYYY)	Type of degree or certificate earned

2.) ______________________________________ ______________________			___	__________
Name of School Attended		City	State	Country*
Dates of Attendance: From: _____/_____To:_____/_____		________________________________
(MM/YYYY)	(MM/YYYY)	Type of degree or certificate earned

SECTION 6: REQUIRED LICENSES, CERTIFICATIONS AND OTHER

1.Do you have any valid licenses or certificates which authorize you to practice a profession or trade? (e.g.

law, nursing, psychology, plumbing, etc.) ___Yes ___No

If yes, please complete the following section:

A.) Type of License: ________________ License #: ____________ Issued By: ___________

Date Issued: ____/____	Expiration Date: ____/____
(MM/YY)	(MM/YY)

B.) Type of License: ________________ License #: ____________ Issued By: ___________

Date Issued: ____/____	Expiration Date: ____/____
(MM/YY)	(MM/YY)

2. Do you currently have a valid Motor Vehicle Driver’s License (Class D)? __Yes __No State: ______

3.Do you have any endorsements to your Class D license? If so which ones? __________________

4.Do you currently have a valid Commercial Driver’s License (CDL)? __Yes __No State: _______

If you have a CDL what class? ____Class A

____Class B ____Class C

5.What languages do you speak, read, write or sign fluently? _______________________________

_____________________________________________________________________________________

PAGE FIVE	________________________________________	_______________________	____
	Last Name	First Name	MI
	______________________________________________________________________
	Examination Title or Position Title

SECTION 7: EMPLOYMENT HISTORY

Important Instructions for Completing this Section. Beginning with your PRESENT or MOST RECENT employment or volunteer experience and working backward, list all positions held that you wish to be considered toward meeting the eligibility requirements (minimum qualifications) stated on the exam announcement or job posting. List all positions (job titles) separately, even if with the same employer. Provide the starting and ending dates (month, day and year) of your employment for each position and indicate if the position was full or part time and the number of hours worked per week. Clearly describe the work (duties) you personally performed in each position. If a job included a mixture of relevant duties and other duties that are not relevant toward meeting the eligibility requirements, specify the percentage of time spent performing each duty. Number your jobs, starting with your most recent job as number 1. Make additional copies of this page as needed to list additional positions, and continue the number sequence. If you need additional space for the descriptions of your duties for one or more positions, attach an 8 1/2” x 11” sheet with your name and the exam number or position title and continue the descriptions of your duties, using the number sequence to identify which positions the duties belong to. You must fill out this application completely even if you attach a resume. Failure to provide all of the REQUIRED information for each position (or job title) held may result in your application being disapproved. Although a resume can be attached, only jobs included in this section of the application form will be considered when determining if you meet the required minimum qualifications for the exam or position for which you are applying.

POSITION 1: ________________________________________ _____________________________________________

Most Recent Official Job Title			Company Name/Department where assigned
_________________________________________________			____________________	_______	____________
Business Address (P.O. Box or # and Street)			City	State	Zip Code
___________________________________________		_________________________________________________
Type of Business			Official Job Title of Immediate Supervisor
Dates of Employment: From: ___/____/____To:___________			Phone Number: ________________________
(MM/DD/YY)	(MM/DD/YY		Annual Salary/Hourly Wage: ______________
	or Present)
This job is/was: ___ Full-time ___ Part-time	____ Per Diem		Number of Hours Worked per week: _______

Number & Job Titles of Employees Supervised by you: ____________________________________________________

Reason for leaving: ________________________________________________________________

List all major duties and responsibilities performed by you in this job. (This area must be completed for each job listed.)

PAGE SIX	________________________________________			_______________________		____
			Last Name	First Name		MI
	______________________________________________________________________
SECTION 7: EMPLOYMENT HISTORY (CONTINUED)			Examination Title or Position Title
POSITION 2: ________________________________________ _____________________________________________
Official Job Title			Company Name/Department where assigned
_________________________________________________			____________________	_______	____________
Business Address (P.O. Box or # and Street)			City	State	Zip Code
___________________________________________		_________________________________________________
Type of Business			Official Job Title of Immediate Supervisor
Dates of Employment: From: ___/____/____To:___/____/____			Phone Number: ________________________
(MM/DD/YY)	(MM/DD/YY)		Annual Salary/Hourly Wage: ______________
This job is/was: ___ Full-time ___ Part-time	____ Per Diem		Number of Hours Worked per week: _______

Number & Job Titles of Employees Supervised by you: ____________________________________________________

Reason for leaving: ________________________________________________________________

List all major duties and responsibilities performed by you in this job. (This area must be completed for each job listed.)

POSITION 3: ________________________________________ _____________________________________________

Official Job Title			Company Name/Department where assigned
_________________________________________________			____________________	_______	____________
Business Address (P.O. Box or # and Street)			City	State	Zip Code
___________________________________________		_________________________________________________
Type of Business			Official Job Title of Immediate Supervisor
Dates of Employment: From: ___/____/____To:___/____/____			Phone Number: ________________________
(MM/DD/YY)	(MM/DD/YY)		Annual Salary/Hourly Wage: ______________
This job is/was: ___ Full-time ___ Part-time	____ Per Diem		Number of Hours Worked per week: _______

Number & Job Titles of Employees Supervised by you: ____________________________________________________

Reason for leaving: ________________________________________________________________

List all major duties and responsibilities performed by you in this job. (This area must be completed for each job listed.)


PAGE SEVEN	________________________________________			_______________________		____
			Last Name	First Name		MI
	______________________________________________________________________
SECTION 7: EMPLOYMENT HISTORY (CONTINUED)			Examination Title or Position Title
POSITION 4: ________________________________________ _____________________________________________
Official Job Title			Company Name/Department where assigned
_________________________________________________			____________________	_______	____________
Business Address (P.O. Box or # and Street)			City	State	Zip Code
___________________________________________		_________________________________________________
Type of Business			Official Job Title of Immediate Supervisor
Dates of Employment: From: ___/____/____To:___/____/____			Phone Number: ________________________
(MM/DD/YY)	(MM/DD/YY)		Annual Salary/Hourly Wage: _______________
This job is/was: ___ Full-time ___ Part-time	____ Per Diem		Number of Hours Worked per week: _______

Number & Job Titles of Employees Supervised by you: ____________________________________________________

Reason for leaving: ________________________________________________________________

List all major duties and responsibilities performed by you in this job. (This area must be completed for each job listed.)

POSITION 5: _____________________________________________________________________________________

Official Job Title			Company Name/Department where assigned
_________________________________________________			____________________	_______	____________
Business Address (P.O. Box or # and Street)			City	State	Zip Code
___________________________________________		_________________________________________________
Type of Business			Official Job Title of Immediate Supervisor
Dates of Employment: From: ___/____/____To:___/____/____			Phone Number: ________________________
(MM/DD/YY)	(MM/DD/YY)		Annual Salary/Hourly Wage: _______________
This job is/was: ___ Full-time ___ Part-time	____ Per Diem		Number of Hours Worked per week: _______

Number & Job Titles of Employees Supervised by you: ____________________________________________________

Reason for leaving: ________________________________________________________________

List all major duties and responsibilities performed by you in this job. (This area must be completed for each job listed.)

PAGE EIGHT	________________________________________ _______________________ ____

PAGE EIGHT	________________________________________	_______________________	____
	Last Name	First Name	MI
	______________________________________________________________________

SECTION 8: VETERAN’S PREFERENCE

Examination Title or Position Title

Any veteran who served in the armed forces of the Unites States (i.e., United States Army, Navy, Marine Corps, Coast Guard and Air Force) during time of war and was honorably discharged from, or released under honorable conditions from active service may be eligible for Veterans’ credit. Service in a time of war is defined by CGS 27-103(a) and includes service in World War 2, the Korean Conflict, the Vietnam era (2/28/12 to 7/1/75), the Persian Gulf war and any other war declared by Congress, as well as service while engaged in combat

or a combat support role in Lebanon from 7/1/58 to 11/1/58 and 9/29/82-3/30/84, Grenada from 10/25/83 to 12/15/83, Operation Earnest Will from 7/24/87 to 8/1/90 and Panama from 12/10/89 to 1/31/90.

If you are claiming Veteran’s Preference points check one of the options below. If you are not claiming Veteran’s Preference points go on to Section 9.

Do you claim Veteran’s Preference (5 points)?

__	A. As a veteran (as defined above) who is not eligible for disability compensation or pension from the United
	States through the Veterans’ Administration. (Documents: 1)
__	B. As a spouse of such veteran who is not eligible for disability compensation or pension from the United
	States through the Veterans’ Administration and, who by reason of such veterans’ disability is unable to
	pursue gainful employment. (Documents: 2, 3 and 4)
__	C. As an unmarried surviving spouse of such veteran who is not eligible for disability compensation or
	pension from the United States through the Veterans’ Administration. (Documents: 2, 3, 5, 6)

You may also be eligible for Veteran’s Preference (5 points), if:

__ A. You have been honorably discharged or released under honorable conditions from active service in the armed forces of the United States and have served in a military action for which you received or were entitled to receive a campaign badge or expeditionary medal. (Documents: 1)

Disabled Veteran’s Preference (10 points)?

__	A. As a disabled veteran (as defined above) who is eligible for disability compensation or pension from the
	United States through the Veterans’ Administration. (Documents: 1, 7)
__	B. As a spouse of a disabled veteran who is eligible for disability compensation or pension from the United
	States through the Veterans’ Administration, and who is unable to pursue gainful employment due to the
	veteran’s disability. (Documents: 2, 3, 4, 7)
__	C. As an unmarried surviving spouse of a disabled veteran who is eligible for disability compensation or
	pension from the United States through the Veterans’ Administration. (Documents: 2, 5, 6, 8)

Documentation Required. Please refer to the “Documentation Required” listed after each category above to determine the specific documentation you are required to submit in order to be eligible to receive Veteran’s preference points if you pass an open competitive examination.

1.DD214 – Member-4 copy for self showing: honorable discharge or release under honorable conditions from active service in the armed forces, dates of entry into and separation of service, and campaign badge or expeditionary medal earned (if applicable).

2.DD214 – Member-4 copy for spouse showing honorable discharge or release under honorable conditions from active service in the armed forces, dates of entry into and separation of service.

3.Marriage Certificate.

4.Statement from spouse’s physician certifying that s/he is unable to pursue gainful employment because of disability.

5.Death certificate for spouse or official notice of his/her death if it occurred in the line of duty.

6.Statements from two disinterested persons that widow/widower has not remarried.

7.Statement from Veterans’ Administration dated within the past six months certifying that the veteran is currently eligible for compensation or pension benefits.

8.Statement from Veterans’ Administration certifying that the veteran was eligible to receive disability compensation or pension benefits at the time of his/her death.

Check one if you are claiming Veteran’s Preference:
___ Proof (required documents) previously submitted	___ Proof attached to this application

Note: Veteran’s points are only added after a candidate passes an open competitive examination. (C.G.S. 5-224)

PAGE NINE	________________________________________	_______________________	____
	Last Name	First Name	MI
	______________________________________________________________________
	Examination Title or Position Title

SECTION 9: POSITION INFORMATION

What type(s) of position(s) will you consider? Check all that apply:

1.	__Full-Time only	__Part-Time only	___Either Part-time or Full-time
2.	__Permanent only	__Nonpermanent only	___Either Permanent or Nonpermanent

What shift would you be willing to work? Check all that apply:

____Day (First Shift) ____ Evening (Second Shift) ____Night (Third Shift) ____Weekends

SECTION 10: EMPLOYMENT DISTRICTS

Check the box(es) for ONLY the district(s) in which you will accept employment. Indicate your choice of location preference(s) in the left hand column by checking the appropriate box(es) where you are willing to work. Not all jobs are used in all locations. Names will be certified by location at the request of the appointing authority.

__ A All Locations

__ B Greenwich, Stamford, New Canaan, Darien __ C Norwalk, Wilton, Weston, Westport

__ D Fairfield, Easton, Monroe, Trumbull, Shelton, Stratford, Milford __ E Bridgeport

__ F Redding, Ridgefield, Danbury, Bethel, Newton, Brookfield, New Fairfield, Bridgewater, Sherman, New Milford, Roxbury, Washington, Kent, Warren

__ G Morris, Litchfield, Harwinton, New Hartford, Torrington, Goshen, Cornwall, Sharon, Salisbury, Canaan, North Canaan, Norfolk, Colebrook, Winchester, Hartland, Barkhamsted

__ H Thomaston, Bethlehem, Watertown, Woodbury, Southbury, Middlebury, Beacon Falls, Naugatuck, Prospect, Waterbury, Wolcott, Cheshire

__ I Oxford, Seymour, Ansonia, Derby

__ J West Haven, Orange, Woodbridge, Bethany, Hamden, North Haven, East Haven, North Branford, Wallingford, Branford, Guilford, Madison, Clinton

__ K New Haven __ L Meriden

__ M Plymouth, Bristol, Burlington

__ N Berlin, Southington, Plainville, New Britain __ O Avon, Farmington, West Hartford

__ P East Hartford, Manchester __ Q Hartford

__ R Granby, Canton, Simsbury, Suffield, East Granby, Windsor Locks, Windsor, Bloomfield, East Windsor, South Windsor, Ellington, Vernon, Tolland, Stafford, Willington

__ S Enfield, Somers

__ T Newington, Wethersfield, Rocky Hill

__ U Union, Ashford, Mansfield, Chaplin, Hampton, Windham, Scotland, Lebanon

__ V Cromwell, Portland, Middletown, Middlefield, Durham, East Hampton, Haddam, East Haddam, Chester, Essex, Killingworth, Deep River, Westbrook, Old Saybrook

__ W Lyme, Old Lyme, East Lyme, Salem, Montville, Waterford, New London, Ledyard, Groton, Stonington, North Stonington

__ X Bozrah, Franklin, Norwich, Sprague, Lisbon, Preston, Griswold, Voluntown

__ Y Woodstock, Thompson, Putnam, Pomfret, Eastford, Brooklyn, Canterbury, Plainfield, Sterling, Killingly

__ Z Glastonbury, Marlborough, Colchester, Hebron, Columbia, Andover, Bolton, Coventry

⇩ PDF

Document Specifications

Fact Name	Description
Purpose of Application	The CT-HR-12 form is used for applying to current examinations or job postings within the State of Connecticut.
Filing Requirements	Applicants must provide complete and accurate information regarding their education and work experience. Incomplete applications will not be accepted.
Submission Details	Applications for examinations must be submitted to the Statewide Human Resources Management Division, as specified in the examination announcement.
Governing Law	This application form is governed by the Connecticut General Statutes, particularly those related to state employment, effective since October 1, 2010.

Steps to Filling Out Ct Hr 12 Application

Completing the CT-HR-12 Application form requires attention to detail and a thorough understanding of the position or examination you are applying for. Each section of the form asks for specific information that is essential for your application to be properly processed. Follow these steps to ensure that you successfully complete and submit your application.

Access the CT-HR-12 form as a PDF file. You may choose to fill it out online or print it for manual completion.
Clearly write your full name and the title of the position or examination you are applying for at the top of every page. Include your social security number on the first page.
Provide your contact information in the designated section. Make sure to include all relevant phone numbers and your email address.
Select either "State Examination" or "State Position/Job Posting" based on your application purpose.
Accurately fill in the examination title or job position title along with the corresponding numbers as specified in the related announcements or postings.
In the "Applicant Certification" section, sign and date the form. If you are completing the application electronically, typing your name will suffice as a signature.
Provide detail about your employment history if you have previously worked for the State of Connecticut. Include your official job title and dates of employment as applicable.
List your educational background, including all colleges attended. Be sure to provide details about degrees obtained and credits completed if necessary.
If applicable, include any valid licenses or certifications that relate to the position or examination.
Make a copy of the completed application for your records before submission.
Follow the specific filing instructions stated in the job posting or examination announcement regarding the address or method for submission. Do not submit incomplete applications, as they will not be accepted.

After completing these steps, review your application thoroughly to ensure accuracy and completeness. Timely processing of your application hinges on following these guidelines closely. Always double-check the requirements for the job or examination you are applying for, as they may contain important information or additional documents you need to include.

More About Ct Hr 12 Application

What is the CT HR 12 Application form used for?

The CT HR 12 Application form serves as the official State of Connecticut Application for Examination or Employment. Applicants can use it to apply for currently posted state examinations or job opportunities. It's vital to include the specific examination title and number or the position title and number when submitting the form.

How should I complete the CT HR 12 Application form?

You can complete the CT HR 12 Application form online or print it out for manual completion. Whichever method you choose, ensure that all information is typed or printed clearly and accurately. Each section must be filled out completely, and all details provided should be truthful. Any inaccuracies may lead to disqualification.

Can I include a resume when I submit my application?

Yes, you may include a resume as a supplementary document with your application. However, it's important to note that the resume cannot replace the required information requested on the application form. All essential details about your education, work experience, and licenses must still be included within the application itself.

How do I ensure my application is not considered late?

To avoid any issues with late submissions, carefully review the closing dates for applications stated in the examination announcement or position posting. Submit your completed form and any required documents to the correct address specified in these announcements. Double-check that everything is thorough before sending it out to ensure you're adhering to all deadlines.

What should I do if I make a mistake on my application form?

If you realize you made an error after submitting your application, contact the appropriate hiring agency or the Department of Administrative Services immediately. Depending on the circumstances, they may provide guidance on whether you can correct the application. Remember that accurate information is crucial for your eligibility.

Is a signature required on the CT HR 12 Application form?

Yes, you must either sign the application form or type your name in the designated signature area in Section 3. A typed name is acceptable and serves as a certification that the information you've provided is true and complete to the best of your knowledge. This is a key step in ensuring the integrity of your application.

Common mistakes

Failing to read instructions thoroughly: Many applicants overlook the importance of reading the instructions provided for the CT-HR-12 application form. Skipping this crucial step often leads to incomplete or incorrect applications.
Not including necessary identification: It is essential to write your name, examination or position title, and social security number at the top of every page. Missing this information can result in disqualification.
Submitting an incomplete application: All sections of the CT-HR-12 must be fully completed. Incomplete applications will not be accepted, which can be a significant setback for applicants.
Omitting supplementary documents: While resumes can supplement the application, they cannot replace required information. It's important to provide a comprehensive account of education, work experience, and relevant certifications.
Not following filing instructions: Application packages must be sent to the correct address as indicated in the job posting or examination announcement. Sending materials to the wrong location can lead to immediate rejection.
Forgetting to sign and date the application: Section 3 requires a signature or a typed name. Failing to sign or date this section will render the application invalid.
Ignoring submission deadlines: Late applications are not accepted under any circumstances. Keeping track of application deadlines is vital to ensure submission on time.

Documents used along the form

The CT-HR-12 Application form is often used alongside several other important documents in the job application process for positions within the State of Connecticut. Each of these forms serves a specific purpose and helps ensure that applicants provide all necessary information to be considered for employment opportunities. Below is a list of additional forms commonly associated with the CT-HR-12.

Examination Announcement: This document outlines critical information regarding the examination, including the title, number, and the minimum requirements necessary for applying. It informs candidates of deadlines and specific instructions relevant to the examination process.
Supplemental Application Materials: Applicants may need to submit additional documents alongside the CT-HR-12 form. These may include writing samples, professional references, or other items as specified in the examination announcement.
Resume: Although a resume cannot substitute for information required on the CT-HR-12, it can provide extra context about an applicant's employment history, skills, and qualifications. This document supplements the application with a detailed overview of the applicant's professional journey.
Certificates or Licenses: If applicable to the position, applicants may be required to submit copies of any relevant certifications or licenses that demonstrate qualifications in a specific field. This documentation validates the skills necessary for some roles.
Verification of Employment History: Applicants may need to provide proof of employment history, especially if they identify themselves as current or former State of Connecticut employees. This could involve providing documents or contact information for previous employers.

Understanding the purpose of each of these forms can enhance an applicant's effectiveness in navigating the job application process. Each document complements the CT-HR-12 application, ensuring a comprehensive overview of the applicant's qualifications and background.

Similar forms

The CT-HR-12 Application form is similar to the Federal Government’s SF-171 form, which was historically used for applying to federal jobs. Both forms require detailed personal information, including education and work history, to determine eligibility for job positions. Much like the CT-HR-12, the SF-171 places emphasis on being thorough and accurate in the information provided. While the CT-HR-12 focuses on Connecticut state employment opportunities, the SF-171 served broader federal employment, underscoring the importance of following specific instructions for submission.

Another document similar to the CT-HR-12 is the Common Application Form used by many colleges and universities. This form gathers personal details, academic history, and extracurricular activities, similar to how the CT-HR-12 collects information to assess qualifications for state employment. Both forms are crucial in their respective fields for evaluating applicants based on specific criteria and require careful attention to detail, including accurate dates and signatures.

The Job Application Form used by private employers also shares similarities with the CT-HR-12. Both forms typically request personal identification, work experience, and education background to assess potential candidates for employment. The emphasis on accuracy and completeness is common, as any discrepancies can lead to disqualification. Like the CT-HR-12, the private sector applications often caution against false statements, stressing the importance of integrity in the hiring process.

The Employment Authorization Document, or Form I-766, is another document with parallels to the CT-HR-12. This form verifies an individual’s eligibility to work in the U.S., requiring personal details much like those requested by the CT-HR-12. Both documents aim to ensure that applicants provide legitimate and truthful information that will be verified by the reviewing body. This focus on thorough documentation is vital for maintaining the integrity of the hiring process.

The Civil Service Application, utilized in many states, bears resemblance to the CT-HR-12 as well. This form is specific to public employment and includes sections on personal, educational, and work history. Both require applicants to focus on meeting the minimum qualifications for positions, complemented by a commitment to truthfulness in the provided information. Similar deadlines and filing instructions are crucial elements found in both documents.

The Graduate School Application Form is another document sharing a similar purpose with the CT-HR-12. Both of these applications collect comprehensive information about an applicant's academic history and qualifications for further opportunities. As with the CT-HR-12, applicants must follow detailed guidelines regarding submission and required supplementary materials, while ensuring that their narratives reflect their educational journeys truthfully.

The signing and certification section of the CT-HR-12 is analogous to many state and federal grant applications. Both require the applicant to acknowledge the accuracy of the information provided, and any misrepresentation can lead to severe consequences. The emphasis on compliance with legal standards and the accurate reflection of personal details is crucial across both types of applications.

The Resume, while typically used as a supplemental document, can be compared to the CT-HR-12 in its purpose of detailing an individual’s qualifications and experiences. Both documents serve to provide employers with a clear picture of the applicant’s skills and suitability. As with the CT-HR-12, a well-organized resume encourages clarity and attention to detail in presenting one's qualifications effectively.

The Online Job Application, frequently used by companies nowadays, mirrors the CT-HR-12 in its collection of key candidate information. Both formats allow for on-the-spot completion and submission of personal and professional histories. This modern approach not only simplifies the process but also enhances the accuracy of data entry, much like how the CT-HR-12 offers both online and printable versions for applicants.

Lastly, the Occupational License Application shares similarities with the CT-HR-12 by requiring documentation and application forms tailored to professional credentials. Like the CT-HR-12, this application requires information about education and experience relevant to the specific occupation. Both documents demonstrate a pathway to legitimate employment and adherence to state regulations, ensuring that applicants meet established qualifications.

Dos and Don'ts

When filling out the CT-HR-12 Application form, it's essential to approach the process with care and attention. Below are some crucial guidelines on what to do and what to avoid to ensure your application is complete and accurate.

Do read the instructions thoroughly before starting. Familiarize yourself with all requirements to avoid mistakes.
Do complete all sections of the application. Leave no blanks; ensure that every required piece of information is filled out.
Do provide accurate information regarding your education and work experience. Any false information could lead to disqualification.
Do include your name and the relevant examination or position title on the top of each page.
Don't submit the instructions page with your application. Only send the necessary documents as outlined in the guidelines.
Don't fax or mail your application to the wrong address. Verify the correct submission method from the examination announcement or position posting.
Don't ignore deadlines. Late applications will not be accepted, so ensure you submit yours on time.

Misconceptions

Misconception 1: The CT-HR-12 form can be used for any job position.

In truth, the CT-HR-12 application form is specific to currently posted examinations or job opportunities within the State of Connecticut. It is not valid for positions that are not currently advertised.

Misconception 2: You can submit a single application for multiple positions.

This is incorrect. A separate application must be submitted for each position you are applying for. Failing to follow this instruction may lead to disqualification.

Misconception 3: Your application does not need to be signed if submitted online.

While a typed name can serve as a substitute for a handwritten signature, signing and dating Section 3 of the application is still a requirement.

Misconception 4: You do not need to include your social security number on the application.

Your social security number must be listed on the top of Page 1. This information helps verify your identity and is critical for record-keeping.

Misconception 5: Submitting incomplete applications is acceptable.

This statement is false. Late or incomplete application packages will not be accepted, so it is essential to provide all required information.

Misconception 6: You do not need to check the examination announcement before applying.

Obtaining and reviewing the examination announcement is crucial. It contains vital details like the examination title, minimum requirements, and submission deadlines.

Misconception 7: You can fax your application to any number.

This is misleading. Applications must be sent to a specific address or fax number as indicated in the examination announcement. Incorrect submissions will not be accepted.

Misconception 8: Resumes can substitute for required information on the application.

This is not the case. While resumes can accompany the application, they cannot replace any required information that must be filled out on the CT-HR-12 form itself.

Misconception 9: You can submit your application package after the closing date as long as it is postmarked on that date.

This is incorrect. All application packages must be received by the closing date; postmarking does not suffice.

Misconception 10: The CT-HR-12 form is not yet updated and is only applicable for older job postings.

The form was updated and is effective as of October 1, 2010. It is the official form for current examinations and job postings in the State of Connecticut.

Key takeaways

1. Complete the Form Accurately: Ensure that all sections of the CT-HR-12 application form are filled in completely and accurately. It is vital to provide truthful information regarding education, work experiences, and any relevant licenses or certifications, as these will be used to assess eligibility.

2. Submission Guidelines: Each application must be sent to the correct address as specified in the job or examination posting. Applications submitted to the wrong location will not be accepted, so double-check this before sending your materials.

3. Separate Applications Required: A separate form must be submitted for each job position or examination you are applying for. Do not attempt to apply for multiple positions or exams on a single application.

4. Review Policies on Application Completeness: Applications that are late or incomplete will not be accepted. Make sure to follow all instructions closely, including deadlines and submission requirements outlined in the job or examination announcements.