Connecticut Innovations, Inc.
Fiscal Year Ending June 30, 2021

Employment Information Request Form

  • Section I

  • Section II

    (full time = over 35 hours/week; part time = less than 35 hours/week)
  • Total full time employees including full time paid interns as of 6/30/2021
  • Total part time employees including part time paid interns as of 6/30/2021
  • All full time employees including full time interns.
  • All par time employees including full time interns.
  • Section III

  • NAICS (North American Industry Classification System) This is a six-digit number to classify businesses by type of activities in which they are engaged.
  • Date Format: 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.
  • 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.
  • Section IV

  • Date Format: MM slash DD slash YYYY
  • Contact Stepheni Harpin @ stepheni.harpin@ctinnovations.com or 860-258-7880 with questions.