HRM-300.1 Please print Applicant History Use pen (to be ...

New york State department of taxation and finance Please print (2/17). Applicant History Use pen (to be prepared by candidate). New york State Law prohibits discrimination because of age, race, creed, color, national origin, gender, sexual orientation, disability, marital status, genetic predisposition, carrier status, or arrest 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 call the department 's Office of Diversity and Affirmative Action at (518) 530-4650. Personal History (see Privacy notification below). Last name First name Initial Social security number Street address Telephone number(s).

HRM-300.1 (2/17) New York State Department of Taxation and Finance Applicant History (to be prepared by candidate) New York State Law prohibits discrimination because of age, race, creed, color, national origin, gender, sexual orientation, disability, marital

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