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Employment Application Part1-Pre-Interview

_____ Form #S1000 Employment Application PART 1 PRE-INTERVIEW New York State (NYS) is an equal opportunity/affirmative action employer. NYS Law prohibits discrimination because of age, race, creed, color, national origin, sexual orientation, military status, sex, disability, predisposing genetic characteristics, marital status, domestic violence victim status, carrier status, gender identity or prior conviction records, or prior arrests, youthful offender adjudications, or sealed records unless based upon a bona fide occupational qualification or other exception. If you are a person with a disability and wish to request that a reasonable accommodation be provided for you to participate in a job interview, please contact: The Office of Diversity and Inclusion at (518) 473-4548.

Apr 06, 2021 · NYS Employment Application: Part 1 Pre-Interview Form #S1000 6 April 2021 I understand that in order to be eligible for initial appointment and to maintain my employment, Icannot be listed as an excluded individual or entity on any of the federal and/or State Medicaid andMedicare exclusion lists (or excluded from

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