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The UCS-5 form is a vital tool for individuals seeking employment within the New York Unified Court System. This application form is designed to gather essential information about candidates, ensuring a thorough evaluation of their qualifications and background. Applicants will find sections that request personal details, such as their name, age, and contact information, as well as questions regarding citizenship status and legal eligibility to work in the United States. The form also delves into an applicant's criminal history, past employment experiences, and educational background, allowing the court system to assess not only the skills and qualifications of potential hires but also their integrity and reliability. Additional space is provided for applicants to elaborate on any "yes" answers related to criminal convictions or employment dismissals, ensuring transparency. Finally, the UCS-5 emphasizes the importance of honesty, as it requires a signed affirmation of the truthfulness of the information provided. This commitment to accuracy is crucial, given the legal nature of the work involved in the court system.

Preview - Ucs 5 New York Form

STATE OF NEW YORK

UNIFIED COURT SYSTEM

 

 

 

 

 

 

 

 

 

 

 

 

UCS­5 (Revised 10/98)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICATION FOR EMPLOYMENT

 

 

Title of Position:

 

 

 

 

 

Announcement #­

 

Geographic Location of Position:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Last Name

 

First Name

 

 

Initial

2. AGE: Are you at least 18 years of age?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

Mailing Address

 

 

 

 

 

 

 

 

 

If no, indicate your date of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City or Post Office

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. CITIZENSHIP:

 

 

Form 1­9 attached

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number

 

 

 

Social Security Number

 

 

 

 

 

Are you a citizen of the United States? Yes

No

 

Home:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If no, do you have a legal right to work in the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business:

 

 

 

 

 

 

 

 

 

United States?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWER ALL QUESTIONS BY PLACING ''X'' IN THE APPROPRIATE COLUMN

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If your answer is ''YES'' to any of these questions, give details on an attached sheet.

a) Except for minor traffic offenses and adjudications as youthful offender, wayward minor or juvenile delinquent: i. Have you ever been convicted of an offense against the law?

ii. Have you ever forfeited bail or other collateral?

iii. Do you now have any criminal charges pending against you?

b) Have you ever been dismissed from any employment for reasons other than lack of work or funds?

c) Have you ever received a discharge from the Armed Forces which was other than honorable

d) Are you currently in violation of a court order in any state for child or spousal support?

 

 

 

 

 

 

 

5. EDUCATION NAME OF SCHOOL AND

Full

No. of

Were You

Type of

No. of

Degree

CITY IN WHICH LOCATED

or

years

Graduated

Course or Major Subject

Credits

Received

 

Part­Time

Credited

 

 

Received

Or Expected

 

 

 

 

 

 

 

 

 

 

 

High School*

 

 

 

 

 

 

 

 

 

 

 

 

 

College, Univ.

 

 

 

 

 

 

Professional or

 

 

 

 

 

 

Technical School

 

 

 

 

 

 

Other Schools or

Special Courses

*If you have a high school equivalency diploma, give number and year of issue:

6.EXPERIENCE (List your most recent employment first, including volunteer work, military service, internship, work­

study, etc. Attach a resume if available.)

NAME, ADDRESS AND BUSINESS OF EMPLOYER

WEEKLY EARNINGS

EMPLOYED

FROM TO

Mo./Yr Mo./Yr

REASON

FOR

LEAVING

TITLE AND DUTIES OF YOUR POSITION

Describe the kind of Work performed and supervisory experience if any

7. REMARKS: ATTACH A RESUME OR ADDITIONAL SHEETS OF PAPER IF MORE SPACE IS NEEDED. PLEASE COMPLETE THIS AFFIRMATION

I affirm that the statements on this application (including any attached papers) are true. False statements made in this application are punishable under Penal Law ( ''§210.45)

X

Signature of Applicant

Date

THE STATE OF NEW YORK UNIFIED COURT SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER

(Use of this second page is optional.)

STATE OF NEW YORK

UNIFIED COURT SYSTEM

UCS­5 (Revised 10/98)

APPLICATION FOR EMPLOYMENT

Title of Position:

Announcement #­

Geographic Location of Position:

 

 

 

 

 

 

1. Last Name

First Name

Initial

 

 

 

 

 

 

ADDITIONAL INFORMATION

(This page may be used to add any additional information which would not fit on the first page such as explanations to ''YES'' answers for questions a­d or information regarding experience.)

I affirm that the statements on this application (including any attached papers) are true. False statements made in this application are punishable under Penal Law ( ''§210.45)

X

Signature of Applicant

Date

THE STATE OF NE W YORK UNIFIED COURT SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER

Form Characteristics

Fact Name Details
Form Purpose The UCS-5 form is used for applying for employment within the New York Unified Court System.
Age Requirement Applicants must be at least 18 years old to apply for positions listed on the form.
Citizenship Verification The form requires applicants to confirm their citizenship status or legal right to work in the United States.
Criminal History Disclosure Applicants must disclose any criminal convictions, pending charges, or relevant employment dismissals.
Governing Law This application is governed by New York State Penal Law, specifically §210.45, which addresses false statements in applications.
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