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Fill Out Your Ct Hr 12 Application Form

The CT-HR-12 Application Form is the official State of Connecticut document designed for individuals seeking examination or employment with the state, effective since October 1, 2010. This form allows applicants to detail their qualifications for current job opportunities or examinations, ensuring that all necessary information is provided. It is crucial for applicants to complete the form accurately and in its entirety to facilitate a smooth application process.

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Applying for a position within the State of Connecticut can be an exciting step toward building a fulfilling career. Essential to this process is the CT-HR-12 Application Form for Examination or Employment, which serves as the gateway for interested candidates looking to secure a state job or take part in state examinations. Effective from October 1, 2010, this form replaced the previous PLD-1 application and has been designed for user-friendliness. Whether you choose to complete the application online as a PDF or print it for manual entry, the CT-HR-12 aims to streamline your application process while ensuring all necessary information is captured. Each application must be tailored to the specific examination or position you are applying for, requiring detailed completion of various sections, such as education, work history, and licenses. It emphasizes the importance of accuracy—even one small error can impact your eligibility. Make sure to include all relevant details, such as the examination title and number or the position title and number, depending on your intent. Remember to sign the form and double-check the submission instructions, as applications sent to incorrect addresses may be disqualified. In this article, we will explore the major components of the CT-HR-12 Application Form, providing guidance on how to navigate it effectively for a successful application to state employment.

Ct Hr 12 Application Example

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

Get Ct Hr 12 Application PDF Form

Form Characteristics

Fact Name	Fact Detail
Form Purpose	The CT-HR-12 form is used to apply for state examinations or job positions in Connecticut.
Effective Date	This application form became effective on October 1, 2010.
Online or Manual	The CT-HR-12 is available as a digital PDF that can be filled out online or printed for manual completion.
Submission Instructions	Applicants must submit to the correct address specified in the examination announcement or position posting.
Signature Requirement	A typed name can serve as a substitute for a handwritten signature on the application.
Education Details	Complete education and work history information must be provided to demonstrate qualifications for the position or examination.
Multiple Applications	A separate application is required for each examination or job position being applied for.
Submission Deadline	Late or incomplete application packages will not be accepted under any circumstances.
License Information	If applicable, include valid licenses and certifications, specifying type, number, and issuer.

Guidelines on Utilizing Ct Hr 12 Application

Completing the CT-HR-12 Application form is your next step toward applying for state examinations or job opportunities in Connecticut. Following these steps carefully will help ensure that your application is filled out correctly and submitted on time, increasing your chances of progressing through the hiring process.

Obtain the Form: Download the CT-HR-12 Application form from the State of Connecticut’s website or print a copy.
Identify Purpose: Determine whether you are applying for a state examination or a job posting, and gather information related to your application (examination title, number, or position title and number).
Provide Your Information: Fill in your personal contact details in Section 1. Include your full name, mailing address, and phone numbers.
Choose Application Purpose: Mark the appropriate box in Section 2 to indicate whether you are applying for a state examination or job position and fill in the corresponding details.
Complete Employment History: If applicable, fill out Section 4 with your current or past employment details with the State of Connecticut.
Detail Education Background: In Section 5, provide comprehensive information on your education, including high school and any colleges or universities attended. Remember to include accreditation status and major fields of study.
List Licenses and Certifications: In Section 6, if you possess any relevant licenses or certifications, indicate them here. Include details like type, license number, issuing authority, and expiration dates.
Sign the Application: Finish by signing and dating Section 3 for your applicant certification. A typed name is acceptable.
Make Copies: Before submitting, make a copy of your completed application for your records.
Submit Properly: Carefully review the submission instructions and ensure you send your application to the correct address or fax number listed in the examination announcement or job posting.

Following these steps will help you submit a thorough and accurate application. Don't forget to keep an eye on deadlines, as late applications will not be accepted. Good luck!

What You Should Know About This Form

What is the CT-HR-12 Application form used for?

The CT-HR-12 Application form is the official application used by individuals to apply for state examinations or job postings within the State of Connecticut. If you want to be considered for a current state examination or employment opportunity, you must use this form. It is crucial to ensure that all information is complete and accurate. Remember, the specifics of the position or examination you’re applying for must be clearly indicated, including titles and numbers.

How do I submit the CT-HR-12 Application form?

To submit the CT-HR-12 Application form, first complete it accurately, following the instructions provided. You can apply either by submitting it online or printing it out and sending it by mail. Be sure to check the specific application filing instructions for the examination or job posting. Late applications or those sent to the incorrect address will not be accepted. Carefully follow the mailing instructions provided in the announcement or posting to ensure your application arrives at the right place.

Can I use a resume with my application?

Yes, you may include a resume as a supplement to your CT-HR-12 Application form; however, it is important to note that a resume cannot replace any of the required information on the application. Make sure to fill out all sections of the form fully, as the application will be used to assess whether you meet the minimum requirements for the position or examination.

What should I do if I have previously worked for the State of Connecticut?

If you have previously worked for the State of Connecticut, indicate your employment history within the application. You should answer the questions regarding whether you are currently employed by the state and provide your last official job class title, agency, and dates of employment. If you left state service within the past ten years, complete the relevant sections to ensure your history is accurately represented. This information can be an important part of your application evaluation.

Common mistakes

Filling out the CT-HR-12 Application form can feel overwhelming. It's crucial to get it right. One common mistake people make is skipping important sections. Every part of the application is necessary, and leaving sections blank can lead to disqualification.

Another frequent error is providing inaccurate information. Whether it’s details about your education or work experience, honesty is key. Misleading information can be detrimental, so double-check everything before submitting.

Many applicants fail to include the required titles and numbers for the examination or position they are applying for. This information is essential. Without it, your application may not be considered for the right role.

Handwriting can pose problems, especially if it's unclear. If completing the form manually, ensure that your writing is legible. Alternatively, using an online version helps avoid this issue.

Not signing and dating the application form is another oversight. Remember to sign in Section 3. A typed name is okay, but make sure it’s evident that it serves as your signature.

It’s important also to make a copy of your completed application. Many people forget this and may need to reference it later. Keeping a record can provide peace of mind.

Sending applications to the wrong address or fax number is another mistake that can lead to delays or disqualification. Carefully read the application instructions to confirm you are sending your materials to the correct place.

Late submissions will not be accepted either. Be mindful of the deadlines listed on the examination announcements or job postings to ensure your application arrives on time.

A common mistake involves not reviewing the examination announcement or job posting thoroughly before filling out the CT-HR-12. Each contains necessary information regarding the application process. Ignoring this step can lead to misunderstandings about requirements.

Lastly, applicants sometimes neglect including any required supplemental exam materials when applying for an examination. These may be necessary for your eligibility, so read the instructions carefully and ensure you have everything you need.

Documents used along the form

When applying for positions or examinations in Connecticut, completing the Ct Hr 12 Application form is just one step in the process. Several other documents support your application and provide necessary information to hiring agencies. Here’s a brief overview of eight critical forms and documents that you might encounter alongside the Ct Hr 12 form.

Examination Announcement: This document outlines the specific details regarding the examination you are applying for. It includes the title, number, minimum requirements, and the closing date for applications.
Position Posting: Similar to the examination announcement, this document provides key information about the job or position you are interested in, including requirements, responsibilities, and submission instructions.
Supplemental Exam Materials: In some cases, additional materials may be required alongside your application. These could include essays, professional references, or other documentation that supports your qualifications for the examination.
Resume: While not mandatory, attaching a resume can help enhance your application. It allows you to showcase your work experiences and skills that align with the position you're applying for.
License or Certification Documentation: If the position requires specific licenses or certifications, providing copies of these documents will help demonstrate your eligibility.
Educational Transcripts: For certain positions, you may need to submit transcripts from educational institutions to confirm your qualifications as outlined in your application.
Proof of Employment: If you have previous work experience that is relevant to the position, providing employment verification letters can be beneficial in confirming your history.
Completed CT HR-12 Form: Ensure you have correctly completed the Ct Hr 12 form itself, as this serves as the primary application document and must accurately reflect all required information.

Each of these documents plays a vital role in ensuring your application is complete and meets the employer's requirements. Using this supportive documentation effectively can significantly increase your chances of being considered for the position or examination.

Similar forms

The CT-HR-12 Application form serves as a standardized way to apply for state examinations or job positions in Connecticut. Several other documents have similar functionalities or features. Here are ten documents that share similarities with the CT-HR-12 Application form:

Job Application Form: Similar in purpose, a general job application form collects candidate information, work history, and qualifications for available positions.
Resume: A resume summarizes an applicant's work experience, education, and skills, allowing potential employers to assess qualifications quickly.
Cover Letter: Often submitted with job applications, a cover letter explains the applicant's interest in a position and highlights specific qualifications relevant to the role.
State of Connecticut Examination Announcement: This document provides detailed information regarding job examinations, including requirements and deadlines, often referencing the CT-HR-12 as the application to be used.
Employment History Form: Requests detailed accounts of past work experiences, additional to what is typically summarized in a resume or job application.
Government Job Application Form: Many state and federal positions require specific government job application forms that ask for similar personal and professional information.
Supplemental Application: Sometimes required alongside the main application, this document may gather more detailed information about qualifications and experiences specific to the job.
Certification Application: Those requiring licensure or certification must complete this form to verify qualifications and compliance with certain standards, resembling the education and certification parts of the CT-HR-12.
Background Check Authorization Form: Often required by employers, this form authorizes a check of the applicant's criminal and employment history, similar in nature to compliance and verification aspects in the CT-HR-12.
Tax Form for Employment: This can include forms like the W-4; while designed for tax withholding information, it also provides personal data that helps employers keep accurate records.

Dos and Don'ts

Do read all instructions carefully before filling out the CT HR 12 Application form.
Do ensure all information is complete and truthful to avoid disqualification.
Do sign and date Section 3 of your application form.
Do attach a copy of your resume to supplement your application if necessary.
Do make a copy of your completed application for your records before submission.

Don't leave any fields blank; fill out all sections fully.
Don't submit application materials to an incorrect address or fax number.
Don't submit the instruction page with your application package.
Don't rely solely on a resume; it cannot replace the information required on the form.
Don't send your application late; only on-time submissions will be accepted.

Misconceptions

Misconceptions about the CT-HR-12 Application Form often arise, which can lead to confusion during the application process. Below are some common misunderstandings, along with explanations to clarify them.

The CT-HR-12 form can only be completed by hand. Contrary to this belief, the CT-HR-12 is a PDF document that allows applicants to either fill it out online or print and complete it manually. This flexibility provides convenience to users.
Applications submitted late will still be considered. Some applicants mistakenly think that submission delays can be overlooked. However, it is important to note that late and incomplete application packages will not be accepted, as specified in the instructions.
One application form can be used for multiple job positions or examinations. This is a common error. Each application must be specific to a single position or examination. Therefore, if an applicant is interested in multiple opportunities, they must submit separate applications for each.
Resumes can replace the required information on the application form. While resumes may be submitted as supplementary documents, they cannot substitute for mandatory information required in the CT-HR-12 application. It is essential that all required fields are completed accurately on the form.

Key takeaways

Understanding the CT HR-12 application form is crucial for anyone seeking examination or employment with the State of Connecticut. Here are ten key takeaways regarding its completion and use:

The CT-HR-12 is the official application form for examinations or employment as of October 1, 2010. Older forms such as PLD-1 are no longer accepted.
This application can be filled out online or printed for manual completion. If filling online, it should be saved for future reference.
Accurate and honest information is essential. All sections must be completed correctly, as this form determines eligibility for exams or positions.
Include relevant educational background, work experience, and any licenses or certifications. This information must align with the minimum requirements listed in the job or exam announcement.
Always write your name, position title, and social security number at the top of all pages of the form.
Sign and date the application. A typed name is acceptable in lieu of a handwritten signature.
Keep a copy of the application package for your own records prior to submission.
Do not submit any additional pages of instructions with your application. Adhere strictly to the guidelines provided.
Ensure that application materials are sent to the correct address as listed in the job posting or exam announcement. Incorrect submissions will not be accepted.
Late or incomplete application packages will be rejected. It is vital to follow all provided deadlines and instructions meticulously.

Following these takeaways will help ensure a smoother application process for interested candidates.

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