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The NYS Taxation and Finance Form 20-971 is an essential document for individuals seeking to apply for the position of Correction Officer Trainee in New York State. This form serves as the gateway for applicants to demonstrate their qualifications and eligibility for the position, which includes a series of important questions regarding educational background, criminal history, and employment status. Applicants are required to provide personal information such as their name, mailing address, and social security number, while also indicating their high school diploma status. Additionally, the form addresses the need for reasonable accommodations for individuals with disabilities or those observing religious practices that may conflict with the testing schedule. Importantly, the form includes a section for applicants to disclose any outstanding student loans, which may impact their eligibility for employment. Furthermore, it outlines the non-refundable processing fee, which varies based on the applicant's circumstances, such as employment status or union representation. The form also offers extra credits for wartime veterans, allowing them to enhance their competitive edge during the selection process. Understanding the nuances of this application is crucial for prospective candidates, as it not only sets the stage for their journey into public service but also ensures compliance with state regulations and policies aimed at promoting equal opportunity in employment.

Similar forms

  • Form NYS-APP#1: This application form is used for various civil service positions in New York State. Like the NYS 20 971 form, it collects personal information, educational background, and employment history. Both forms require applicants to confirm their eligibility to work in the U.S. and may include questions regarding criminal history.
  • Form NYS-APP#2: Similar to the NYS 20 971 form, this application is for specific civil service examinations. It asks for personal details and includes sections for requesting accommodations for disabilities or religious observances. Both forms ensure that applicants are aware of the requirements and responsibilities associated with the application process.
  • Form NYS-APP#4: This form is utilized for applying to certain state jobs and shares similarities with the NYS 20 971 form in its structure and required information. It includes sections for additional credits for veterans and inquiries about outstanding student loans, which are also present in the NYS 20 971 form.
  • Form NYS-APP#5: This application form is designed for positions in law enforcement and has a similar format to the NYS 20 971 form. Both require detailed personal information and address eligibility criteria, including questions about prior employment and any criminal charges.

Form Preview

FORM NYS-APP#3 25626&25627 (1/13 L)

www.cs.ny.gov

APPLICATION FOR

CORRECTION OFFICER TRAINEE

Send

Application Processing

Completed

New York State Department of Civil Service

Application to:

Albany, NY 12239

 

 

Read Instructions on Page 2 First - Please Print Clearly

Announced Test Date:

April 13, 2013

25-626, Correction Oficer Trainee

25-627, Correction Oficer Trainee

(Spanish Language)

 

 

Last Name

 

First Name

 

 

 

MI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address: No., Street, Apt., or P.O. Box

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City or Post Ofice

 

 

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

Day Phone

 

 

 

 

 

 

 

(

)

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you have a High School

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or Equivalency Diploma?

 

 

 

Yes

No

If YES, Name and location of High School or Issuing

________________________________

RELIGIOUS ACCOMMODATION

I cannot be tested on the scheduled test date due to a conlict with a religious observance or practice. (See Page 2.)

REASONABLE ACCOMMODATIONS IN TESTING

I require reasonable accommodations to take this test. (See Page 2.)

ELIGIBILITY FOR EMPLOYMENT

You must be legally eligible to work in the United States at time of appointment and throughout your employment with New York State. If appointed, you must produce documents that establish your identify and eligibility to work in the United States, as required by the Federal Immigration Reform and Control Act of 1986, and the Immigration and Nationality Act.

For Civil Service Use Only

W G U

Governmental

Authority:

Forces of the United

States

.

The “Armed Forces of the United States” means the Army, Navy, Marine Corps, Air Force and Coast Guard,

STUDENT LOANS

Yes

No

Have you any loans made or guaranteed by the NYS Higher Education Services Corporation which are currently

 

 

outstanding?

Yes

No

If so, are you currently in default on any such loan?

ADDITIONAL QUESTIONS FOR OPEN-COMPETITIVE APPLICANTS ONLY:

Yes

No

Were you ever discharged from any employment except for lack of work for funds, disability or medical condition?

Yes

No

Did you ever resign from any employment rather than face discharge?

Yes

No

Did you ever receive a discharge from the Armed Forces of the United States which was other than “Honorable” or

 

 

which was issued under other than honorable conditions?

Yes

No

Have you ever been convicted of any crime (felony or misdemeanor)?

Yes

No

Are you now under charges for any crime?

If you answered YES to any of these questions, provide details under REMARKS on Page 3. Your failure to answer any of these questions

or to provide details will signiicantly delay any determination concerning your qualiications and may deprive you of potential employment opportunities.

NON-REFUNDABLE PROCESSING FEE

Please read exam announcement and information on Page 2.

Check One

No Fee Is Due Because:

I have enclosed the fee.

I am a NY State employee and my fee is paid by my union

(Enclose a check or money order payable to the

for an open-competitive examination.

NYS Department of Civil Service).

(CSEA Negotiating Units 02, 03, 04 or 47)

DO NOT SEND CASH.

I am unemployed and primarily responsible for the support

(The Fee will NOT BE REFUNDED

of a household.

if your application is DISAPPROVED.)

I am receiving public assistance as described on Page 2.

 

I afirm under penalties of perjury that all statements made on this application (including any attached papers) are true. I understand that all statements made by me in connection with this application are subject to investigation and veriication and that a material misstatement or fraud may disqualify me from appointment and/or lead to revocation of my appointment.

X Signature of Applicant

Date

Please print any other last name by which you are or have been known.

DO NOT COMPLETE THIS SECTION UNLESS YOU:

1.Wish to claim War Time Veterans Credits, AND

2.Have NOT used veterans credits for appointment to a position in NY State or Local Government.

EXTRA CREDITS FOR WAR TIME VETERANS YOUR ANSWERS MUST BE ‘YES’ TO BE ELIGIBLE FOR ADDITIONAL CREDITS.

Yes

No

I expect to receive or have already received, a discharge which was honorable or release under honorable circumstances from the Armed

 

 

including all components thereof, and the National Guard when in the service of the United States pursuant to call as provided by Law, on

Yes

No

a full-time active duty basis other than active duty for training purposes.

 

I am now serving, or have served, on an active duty basis other than active duty for training purposes during one or more of

 

 

the following Time of War periods.

 

 

 

 

In the Armed Forces:

or earned the Armed Forces, Navy, or Marine

or in the U.S. Public Health Service

 

 

• Aug. 2, 1990 to the date when

Corps expeditionary medal for service in:

• June 26, 1950 to July 3, 1952;

 

 

the Persian Gulf hostilities ends:

• (Panama) Dec. 20, 1989 to Jan. 31, 1990;

• July 29, 1945 to Sept. 2, 1945.

 

 

• Feb. 28, 1961 to May 7, 1975;

• (Lebanon) June 1, 1983 to Dec. 1, 1987;

 

 

 

• June 27, 1950 to Jan. 31, 1955;

• (Grenada) Oct. 23, 1983 to Nov. 21, 1983;

 

Yes

No

• Dec. 7, 1941 to Dec. 31, 1946;

 

 

I am a United States citizen or an alien lawfully admitted for permanent residence.

 

To claim additional credits as a Disabled Veteran, you must also answer YES to this question:

 

Yes

No

I have a service connected disability rated at 10% or more by the US Department of Veterans Affairs. This disability was incurred during

 

 

a “Time of War” period listed above.

 

 

New York State Residency Requirement for Extra Credits as a War Time Veteran or Disabled Veteran: You will be required to provide proof of current

New York residency at time of appointment.

It is the policy of the State of New York to provide for and promote equal opportunity employment, compensation, and other terms and conditions of employment without discrimination on the basis of age, race, color, religion, disability, national origin, gender, sexual orientation, veteran or military service member status, marital status, domestic violence victim status, genetic predisposition or carrier status, or arrest and/or criminal conviction record unless based upon a bona ide occupational qualiication or other exception.

It is the policy of New York State Department of Civil Service to provide qualiied persons with disabilities equal opportunity to participate in and receive the beneits, services, programs and activities of the Department, and to provide such persons reasonable accommodations and reasonable modiications as are necessary to provide such equal opportunity, including accommodations in the examination process. Further, it is the policy of the Department to provide reasonable accommodations for religious observers.

FORM NYS-APP#3 25626&25627 (1/2013 L)

 

www.cs.ny.gov

 

Application for Correction Officer Trainee

Page 2

EXAMINATION APPLICATION

Use this form to apply for Examination Numbers 25-626 and 25-627, Correction Officer Trainee. Read each exam announcement carefully to be sure that you meet the Minimum Qualifications.

Mail your application and the required processing fee to Application Processing, NYS Department of Civil Service, Albany, New York 12239.

ADMISSION TO EXAMINATION

You will be admitted to the test pending a full review of your application. If you take the test but your application is disapproved later, we will notify you of the reason.

If you do not receive an admission notice from us at least three days prior to the test date, immediately call (518) 474-6470 in the Albany area, or toll free at 1-877-697-5627 (press 2, then press 1).

PLACE OF EXAMINATION

 

 

Unless the exam announcement states otherwise, written tests are

Albany

Kingston

Rochester

held in the following locations, although some may not be open for

Amsterdam

Middletown

Saranac Lake

every examination. You will be assigned to the nearest OPEN

Binghamton

New York City (Manhattan)

Syracuse

location based on the postal ZIP code for your mailing address.

Buffalo

Nyack

Utica

 

Fredonia

Port Jefferson

Watertown

Oral tests are usually held in Albany only.

Hicksville

Poughkeepsie

 

RELIGIOUS ACCOMMODATIONS

Most written tests are held on Saturdays. If you cannot take the test on the announced test date due to a conflict with a religious observance or practice, check the box under “Religious Accommodation.” We will make arrangements for you to take the test on a different date (usually the following day).

REASONABLE ACCOMMODATIONS IN TESTING

We provide reasonable accommodations for persons with disabilities to take a test. If you need a reasonable accommodation, check the box, "I require reasonable accommodations to take this test." On or before the last date for filing applications, write to the Department of Civil Service or call (518) 457- 2487 (press 2, then press 2) (in the Albany area) or 1-877-697-5627 (outside of the Albany area) and describe the accommodation you need. For TDD services, call NY Relay at 711 (requires a fee) or 1-800-662-1220.

NON-REFUNDABLE PROCESSING FEE

Refer to the front of the exam announcement for the required processing fee. Enclose a check or money order for the total amount required, made payable to the New York State Department of Civil Service. DO NOT SEND CASH. If your application is disapproved, the fee will not be refunded. Check the box, “I have enclosed the fee.”

If you are a NYS employee in a position represented by CSEA and you are applying for an OPEN-COMPETITIVE examination, you are not required to submit a processing fee under current negotiated agreements. Check the box “I am a NYS employee and my fee is paid by my union for an open- competitive examination (CSEA Negotiating Units 02, 03, 04 or 47).” Refunds will not be issued to employees covered by the agreements if they submit a fee.

No fee is due if you are unemployed and primarily responsible for the support of a household. Do not enclose any payment with your application. Check the box, “I am unemployed and primarily responsible for the support of a household.”

No fee is due if you are determined eligible for Medicaid, or receiving Supplemental Social Security payments, or Public Assistance (Temporary Assistance for Needy Families/Family Assistance or Safety Net Assistance) or are certified Job Training Partnership Act/Workforce Investment Act eligible through a state or local social service agency. Do not enclose any payment with your application. Check the box, “I am receiving public assistance.”

All claims are subject to verification. Those not supported by appropriate documentation are grounds for barring or rescinding an appointment.

EXTRA CREDITS FOR WAR TIME VETERANS

Answering these questions means that you are requesting the extra credits. Do not answer the questions if you are not a war time active duty member of the Armed Forces or a War Time Veteran or if you do not want to request the extra credits. If you are currently in the Armed Forces on full-time active duty (other than for training) or if you are a War Time Veteran or Disabled Veteran, you are eligible for extra credits added to your exam score if you pass. These extra credits can be used only once for any permanent government employment in New York State. If you want to have these extra credits added to your exam score, you must answer the questions now. You can waive the extra credits later if you wish. At the time of interview and appointment you will be required to produce the documentation, such as discharge papers, to prove that you are eligible for the extra credits.

ADDITIONAL EXAMINATION CREDITS PURSUANT TO CIVIL SERVICE LAW SECTION 85-a

If you are a child of a police officer or firefighter who was killed in the line of duty in the service of New York State, you may be entitled for additional examination credits pursuant to Civil Service Law Section 85-a. For further information, please contact the Department of Civil Service at (518) 473-9950.

PERSONAL PRIVACY PROTECTION LAW NOTIFICATION

The information which you are providing on this application is being requested pursuant to Section 50.3 of the New York State Civil Service Law for the principal purpose of determining the eligibility of applicants to participate in the examination(s) for which they have applied. This information will be used in accordance with Section 96(1) of the Personal Privacy Protection Law, particularly subdivisions (b), (e), and (f). Failure to provide this information may result in disapproval of the application. This information will be maintained by the Director, Division of Staffing Services, Department of Civil Service, Albany, New York 12239. For further information, relating only to the Personal Privacy Protection Law, call (518) 457-9375. (For examination

information, call (518) 457-2487 (press 2, then press 3); or toll free at 1-877-697-5627 (press 2, then press 3).

REMARKS:

Common mistakes

Filling out the NYS Taxation and Finance Form 20 971 can be straightforward, but many applicants make common mistakes that can lead to delays or disqualification. One significant error is failing to read the instructions thoroughly. The instructions provide essential information on eligibility, required documentation, and the application process. Ignoring these details can result in incomplete applications, which may be rejected outright.

Another frequent mistake is not providing accurate personal information. Applicants often misstate their names, addresses, or social security numbers. Such inaccuracies can cause confusion and may delay the processing of the application. It is crucial to double-check all entries for correctness before submission.

Many applicants also overlook the importance of answering all questions honestly. For instance, failing to disclose previous employment issues or criminal history can lead to significant consequences. If an applicant answers "no" to questions that require a "yes" answer, it can jeopardize their chances of employment. Transparency is vital in this process.

Another common oversight involves the payment of the non-refundable processing fee. Applicants sometimes forget to include the fee or fail to check the appropriate box indicating their payment status. This mistake can lead to the application being deemed incomplete. It is essential to follow the payment instructions carefully to avoid this pitfall.

Furthermore, some applicants neglect to request necessary accommodations. If an individual requires special assistance due to a disability or religious observance, they must indicate this on the form. Failing to do so can result in being unable to take the exam or receive proper accommodations, which can hinder their performance.

Lastly, many individuals do not keep a copy of their submitted application. This can be problematic if there are questions or issues later in the process. Retaining a copy allows applicants to reference their original answers and provides a record of their submission. Keeping this documentation is a simple yet effective way to ensure a smoother application experience.

More About Nys Taxation And Finance 20 971

  1. What is the purpose of the NYS Taxation and Finance 20 971 form?

    The NYS Taxation and Finance 20 971 form is an application used to apply for the Correction Officer Trainee positions in New York State. It allows candidates to provide necessary personal information, educational background, and employment history to determine their eligibility for the position.

  2. Who is eligible to apply using this form?

    To apply using this form, individuals must be legally eligible to work in the United States at the time of appointment and throughout their employment with New York State. Applicants must also meet the minimum qualifications outlined in the exam announcement.

  3. What should I do if I need accommodations for testing?

    If you require accommodations due to a disability or a religious observance, you should check the appropriate box on the form. For disabilities, it is recommended to contact the Department of Civil Service to discuss your needs before the application deadline.

  4. Is there a fee associated with submitting the form?

    Yes, there is a non-refundable processing fee required when submitting the form. However, certain individuals may be exempt from this fee, such as current NYS employees represented by CSEA, those who are unemployed and primarily responsible for a household, or individuals receiving public assistance. Be sure to check the appropriate box if you qualify for an exemption.

  5. What happens if my application is disapproved?

    If your application is disapproved, you will be notified of the reason. It is important to provide accurate information on the form, as any material misstatements may lead to disqualification from the examination or revocation of an appointment.

  6. Can I claim extra credits as a wartime veteran?

    If you are a wartime veteran or currently serving on active duty, you may be eligible for extra credits added to your exam score. You must answer the relevant questions on the form to request these credits. Documentation, such as discharge papers, will be required at the time of the interview.

  7. How is my personal information protected?

    Your personal information is protected under the Personal Privacy Protection Law. The information collected on this form is used to determine your eligibility for the examination and will be maintained securely by the Department of Civil Service. Failure to provide required information may result in disapproval of your application.

Misconceptions

Misconception 1: The NYS Taxation and Finance 20 971 form is only for people with a high school diploma.

This is not true. While the form does ask if you have a high school diploma or equivalency, it does not exclude those without one from applying. Many factors determine eligibility, and education is just one of them.

Misconception 2: You can apply for the Correction Officer Trainee position without any prior experience.

Actually, prior experience is not a strict requirement for this position. The form is designed for individuals who are new to the field. However, meeting the minimum qualifications is essential.

Misconception 3: If you fail to provide information on the application, it won’t impact your chances.

In fact, failing to answer questions can significantly delay your application process. It may even prevent you from being considered for the position. Always provide complete and honest information.

Misconception 4: There is a refund for the processing fee if your application is disapproved.

This is incorrect. The processing fee is non-refundable, regardless of the outcome of your application. It’s important to understand this before submitting your payment.

Key takeaways

Filling out the NYS Taxation and Finance 20 971 form requires careful attention to detail. Here are some key takeaways to keep in mind:

  • Print Clearly: Ensure that all information is legible. Use block letters and avoid cursive to prevent any misinterpretation of your details.
  • Eligibility Requirements: Confirm that you meet the eligibility criteria for the position. This includes being legally authorized to work in the United States.
  • Processing Fee: Be aware of the non-refundable processing fee. If applicable, enclose a check or money order made out to the New York State Department of Civil Service.
  • Religious Accommodations: If you have a conflict with the scheduled test date due to religious observance, check the appropriate box. Alternative arrangements can usually be made.
  • Disclosures: Answer all questions truthfully. Failure to disclose required information may delay your application or affect your eligibility for employment.
  • Extra Credits: If you are a wartime veteran, be sure to indicate your status. You may be eligible for additional credits that can enhance your exam score.
  • Contact Information: Keep your contact details up to date. If you do not receive confirmation about your application, reach out to the provided phone numbers promptly.

By following these guidelines, you can ensure a smoother application process and enhance your chances of success. Take the time to review your application before submission, as accuracy is crucial.

Nys Taxation And Finance 20 971: Usage Guide

Completing the NYS Taxation and Finance Form 20-971 is a straightforward process. This form is essential for individuals applying for the Correction Officer Trainee position. To ensure a smooth application experience, it is important to follow each step carefully. Here’s how to fill out the form correctly.

  1. Print Clearly: Begin by printing the form clearly. Use black or blue ink to ensure readability.
  2. Fill in Personal Information: Enter your last name, first name, and middle initial. Provide your mailing address, including street number, city, state, and zip code.
  3. Contact Details: Include your home phone number and social security number. Ensure that the numbers are accurate.
  4. Educational Background: Indicate whether you have a high school diploma or equivalency. If yes, provide the name and location of your school.
  5. Accommodations: If you need religious accommodations or reasonable accommodations for testing, check the appropriate boxes.
  6. Eligibility Confirmation: Confirm your eligibility to work in the U.S. and understand the requirements for documentation upon appointment.
  7. Loan Information: Answer the questions regarding student loans and defaults truthfully.
  8. Employment History: For open-competitive applicants, answer the additional questions about your employment history and criminal record.
  9. Processing Fee: Indicate whether you are enclosing the fee or if you qualify for a waiver. Make sure to check the correct box.
  10. Signature: Sign and date the application. If you have any other last names, print them in the designated section.

After completing the form, review it for any errors or omissions. Once you’re satisfied, mail the application to the address provided. This ensures that your application is processed in a timely manner. Good luck with your application!