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MERIDEN VETERANS APPOINTMENT REQUEST

 

The CTDOL Office for Veterans' Workforce Development is ready to provide Veterans with a variety of services.

 

Thank you for your service to our country!

The Connecticut Department of Labor, Office for Veterans’ Workforce Development, is ready to provide you, the Veteran, with a variety of services to help you with your training and employment needs.

Meriden Appointment Request Form

Please use this secure form to request an appointment to meet with your
Veterans' Employment Representative.
 

Name:   
SSN:     DOB:
Address:
City:    State:    Zip: 
Home Phone:         Mobile Phone:       
Email Address: 
I. VETERAN STATUS (check all that apply)
Veteran:  Yes  No  Character of Discharge: Honorable  Dishonorable  Other  Less than 180 days
Gold Card (post 9/11 service)  Campaign Badge:Yes No
Eligible Person – Not a Veteran:  Are you the spouse of: 1) a totally disabled or deceased Veteran whose disability or death was service connected, or 2) a service member who was killed or listed as Missing in Action? No  Yes
Branch of Service:   Army   Marine Corps  Navy   Air Force   Coast Guard   Guard/Reserve
Dates of Service:  From    To  Military Occupation:
Recently Separated:  Yes, within past 36 months     No Homeless:  Yes    No 
Completed TAP?  No  Yes   Completion Date: 
Service-Connected Disability:   No    Yes, Less than 30%      Yes, 30% or greater
II. EDUCATION/TRAINING/EMPLOYMENT
Highest Level of Education:   GED    HS    Some College/Credits:   
  AA/AS    BA/BS    MA/MS    PhD/Other
Currently enrolled in a college or training program?    No  Yes/Course of Study
Are you interested in Education or Training in lieu of employment?   No    Yes
Type of employment you are seeking   Full-Time    Part-Time
Do you have a professional License or certification?  No    Yes/Type
Do you have a résumé Yes    No Need résumé assistance?    Yes    No
Issues that may impede employment (check all that apply):
Chronic Unemployment    Ex-Offender    Legal/Medical    Other 
Desire information for any of the following (check all that apply):
Unemployment Insurance WIOA Training Information Job Corps (16-24 years old or service-connected disability)
Employment Workshops    Federal/State Veterans Benefits

 

After your Veterans Employment Representative receives your appointment request, you will be contacted by them to arrange an appointment to meet with you. You do not have a confirmed appointment until you receive your scheduled date and time.


   

CT Department of Labor, 200 Folly Brook Blvd., Wethersfield, CT 06109-1114    1.888.CTWorks    www.ctvets.org


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200 Folly Brook Boulevard, Wethersfield, CT 06109 / Phone: 860-263-6000
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