Connecticut Innovations, Inc.
Fiscal Year Ending June 30, 2020

Employment Information Request Form

  • Section I

  • Section II

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

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