Each applicant for a vacant position shall enter the following information via the state’s human resources management system, http://www.das.nh.gov/jobsearch/employment.aspx:

1. (a) Contact information for the applicant including:

   1. (1) Name;
   2. (2) Address;
   3. (3) Phone number; and
   4. (4) Email address;

2. (b) Information identifying the position for which application is made, which shall include:

   1. (1) The job title of the position;
   2. (2) The agency in which the position is located; and

   3. (3) If known, whether the position or assignment is:

      1. a. Full-time;
      2. b. Part-time;
      3. c. Temporary;
      4. d. Per Diem; or
      5. e. Seasonal;
3. (c) The county or counties in which the applicant will accept employment;
4. (d) The type of professional or occupational license, certificate, or other form of permission held by the applicant, including the number and expiration date, if the applicant is applying for a position requiring a specific license or certification, together with a photocopy of any such license, certification, or other form of permission, unless provision of such copy is otherwise prohibited by law;
5. (e) Whether the applicant has the legal right to accept employment in the United States;

6. (f) Whether the applicant has ever been an employee of the state and, if so, the:

   1. (1) Dates of employment;
   2. (2) Name of the agency;
   3. (3) Title of the position; and
   4. (4) Reason for leaving employment;
7. (g) Whether the applicant has ever been convicted of a crime that has not been annulled by a court and, if so, the date of the conviction, court in which the conviction is recorded and the offense for which the applicant was convicted;
8. (h) The highest level of education completed by the applicant;
9. (i) A listing of any courses the applicant has completed which the applicant wishes to be considered in reviewing the application;
10. (j) A listing of the applicant’s training and experience;
11. (k) A listing of any special title or certification achieved;

12. (l) A list of the college, business, trade, or other relevant schools the applicant attended, starting with the most recent, and which shall include the:

    1. (1) Applicant's major field of study; and
    2. (2) Degree the applicant earned;
13. (m) The applicant's transcripts for all education beyond the high school level, if required for the job;
14. (n) The applicant's request for veterans’ preference. Proof of veterans’ preference shall be submitted with the application in order to receive veterans’ preference pursuant to Per 501.07;

15. (o) The applicant's complete experience and work history for the 10 years immediately preceding the application, starting with the applicant's most recent employer, including for each:

    1. (1) The employer's name;
    2. (2) The applicant's job title;
    3. (3) Beginning and ending dates of employment;
    4. (4) The number of hours worked per week;
    5. (5) A description of the applicant's specific duties;
    6. (6) Whether the employer may be contacted;
    7. (7) Employer contact information, contact name, address, email, and phone number;
    8. (8) Whether the applicant supervised other employees, including assigning work, rejecting unsatisfactory work, and whether the applicant had the right to hire and dismiss; and
    9. (9) The reason for leaving employment;

16. (p) Applicant's affirmation and certification that:

    1. (1) The applicant has read and agrees to the consent agreement;
    2. (2) The information provided in, or attached to, the application is complete and accurate as of the date of the application;
    3. (3) The applicant has the legal right to accept employment in this state and will produce, at or before the date of hire, proof of the right to accept employment;
    4. (4) There are no omissions of material fact with respect to any of the answers to the questions presented;
    5. (5) There are no misrepresentations in any statements made in the application;
    6. (6) The applicant understands that the application will be rejected and that the applicant shall be disqualified as a candidate in the immediate application process should any misrepresentations or intentional material omissions known to the applicant be discovered in the application or in the supporting documentation;
    7. (7) The applicant understands that if the applicant has attained employment and any misrepresentation or material omission is discovered, the applicant’s employment may be immediately terminated; and
    8. (8) The applicant has read and agrees to the certification statement;
17. (q) The applicant's electronic signature or electronic submission; and
18. (r) The date the application was signed.

Source. 8738, eff 10-18-06; amd by #10239, eff 3-18-13; ss by #10817, eff 5-17-15; ss by #14443, eff 12-1-25, EXPIRES 12-1-35