New York Applicants Statement — rev-042511 is a form used by applicants in the state of New York when submitting an application for employment. This form is designed to be used by applicants who are applying for public jobs in the state, such as state government positions or jobs with local or municipal employers. It is a sworn statement affirming the accuracy of the information provided on the application form. The form also requires the applicant to disclose any disciplinary action or criminal convictions. There are two versions of the New York Applicants Statement — rev-042511: one for public sector applicants and one for private sector applicants.