HTML Preview Standard Hr Application Form page number 1.
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.