NYS Department of Agriculture and Markets
Division of Human Resources Management
10B Airline Drive, Albany, New York 12235
  
2019 Summer and State Fair Employment Application
 
* = required information
Are you legally authorized for work in the United States? *
Are you a U.S. Citizen? *
Will you now, or in the future, require sponsorship for employment visa status *
If under age 18, can you provide a work permit? (A work permit is the same thing as working papers) *
Age of Minor on August 21, 2019 *
Do you currently have a valid driver license that allows you to operate a motor vehicle in New York State *
If yes, please select your license class
Have you ever had your driver license revoked or suspended?

Position(s) applied for

Summer: These positions generally start in the Spring
CHECK ONLY ONE
Fairtime: These positions generally start at Fairtime
CHECK ONLY ONE *
Fairtime: These positions generally start at Fairtime
CHECK ONLY ONE *
**The Ushers - Chevy Court position requires a Security Guard License
***The Bag Check position requires completion of the NYS Division of Licensing certificate

Shift Availability

Are you available all 13 days of the fair? *
Have you worked for the Department of Agriculture and Markets/New York State Fair before? *
Do you currently work for New York State? *
If yes, contact your Human Resources office to obtain the required Dual Employment form. Keep a photocopy of your approved form and mail the original to:
 
OGS - BSC Payroll Administration
W.A. Harriman Campus
1220 Washington Ave
Building 5, Floor 4
Albany, NY 12226-1900
 

Veterans' Status

NOTE: To qualify for Veterans’ Status, you must have received an
honorable discharge from active service of the U.S.
 

Family and Personal Relationships Disclosure

Do you have any personal or family relationships with a current employee of the State Fair or the NYS Department of Agriculture and Markets? *
Personal and family relationships include:
persons living in the same household, parents,
spouse, siblings, children, aunts, uncles, nieces,
nephews, in-laws, and grandparents.

Conflict of Interest Disclosure

Do you have any personal, family or business relationships with any contractor, vendor, sponsor of or anyone doing business with the State Fair or the NYS Department of Agriculture and Markets? *
Personal and family relationships include:
persons living in the same household, parents,
spouse, siblings, children, aunts, uncles, nieces,
nephews, in-laws, and grandparents.

Education

Check last grade level you completed *
*Please put N/A in any field that does not apply.

EMPLOYMENT EXPERIENCE

Put N/A in any field that does not apply.
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References

IN CASE OF EMERGENCY, PLEASE NOTIFY

APPLICATION CERTIFICATION AND AUTHORIZATION TO OBTAIN EMPLOYMENT REFERENCES

I certify that the statements I have made in this application are true, complete, and correct. I understand all statements made by me in connection with this application are subject to investigation and verification. An omission, material misstatement or fraudulent representation may disqualify me from appointment and/or lead to revocation of my appointment.

I hereby authorize the New York State Department of Agriculture and Markets to investigate and make inquiries into my employment and background as may be necessary to reach an employment decision and to obtain professional and/or character references from any previous employers. I hereby release any and all previous employers and the New York State Department of Agriculture and Markets from all liability for any damage whatsoever incurred in furnishing such information.

To agree to the terms listed above please check the box, type name, sign and date below. *
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*Please use your mouse to sign below. Click and hold the left mouse button and write your name.
Signature *
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PERSONAL PRIVACY PROTECTION LAW NOTIFICATION - The information you are providing on this application is requested by the Department of Agriculture and Markets and will be maintained with your personal history file if you are hired. Otherwise, it will be maintained in an applicant file. The Director of Human Resources, New York State Department of Agriculture and Markets, 10B Airline Drive, Albany, New York 12235, Telephone Number (518) 457-3216, is responsible for these records. This information is collected and maintained pursuant to Article 2 of the Agriculture and Markets Law, the Civil Service Law and Article 6-A of Public Officers Law. The principal purpose of collecting this information is to determine eligibility for initial and continued employment and in administering employee benefit programs. Failure to provide the requested information may hinder your possible hiring and the subsequent administration of your employee benefits.

It is the policy of the Department of Agriculture and Markets to reasonably accommodate persons with a disability. Upon request, we will provide such applicants reasonable accommodations necessary to insure full participation in our interview and selection process. If you require such an accommodation, please contact: Director of Human Resources, NYS Department of Agriculture and Markets, 10B Airline Drive, Albany, New York 12235, (518) 457-3216.