Accounting Employment Information Request Form

  • Section I

  • Section II

    (full time = over 35 hours/week; part time = less than 35 hours/week)
  • Section III

  • Section IV

  • NAICS (North American Industry Classification System) This is a six-digit number to classify businesses by type of activities in which they are engaged.
  • MM slash DD slash YYYY
  • To better understand the companies we work with and to further our goal of diversity in our business endeavors, we are also requesting the following information about company owners. This question is optional.
  • Section V

  • MM slash DD slash YYYY
  • ATTN: LISA NICOLETTI 470 James Street, Suite 8, New Haven, CT 06513 Tel: 860-258-7852 Fax: 860-563-4877