CONNECTICUT DEPARTMENT OF TRANSPORTATION NEWS RELEASE 2800 BERLIN TURNPIKE P.O. BOX 317546 NEWINGTON CONNECTICUT, 06131-7456

FOR RELEASE: April 14, 2011

FOR FURTHER INFORMATION: OFFICE OF COMMUNICATIONS TELEPHONE: (860) 594-3062 FAX: (860) 594-3065 WEB SITE: www.ct.gov/dot

Please provide the following information in writing to Mr. Charles Beck, Maritime Manager, Connecticut Department of Transportation, 2800 Berlin Turnpike, Newington, CT 06131 or via email at charles.beck@ct.gov by Wednesday, June 1, 2011: 

1. Name and contact information.
2. Social Security number.
3. Date of birth.
Educational History (names of school, years graduated).
5. Dated copy of most recent physical examination (see Connecticut Regulations Sec. 15-15a-10).
6. Copy of Federal license held (grade and date).
7. Copy of Endorsements to Federal license.
8. Copy of Training Certificates held.
9. Copy of Transportation Workers Identification Card certification.
10. Documented pilotage experience in the waters of Block Island Sound, Long Island Sound, the boundary waters of the states of Connecticut and New York and all ports and terminals thereon including docking experience (dates and trip routes, names and size of vessels, name and location of port facility).
11. Additional documented pilotage experience (outside of the waters described above).