State of Connecticut CEUI Technical Course Seat Request Form

Fill out the form below to request a seat in a Fall 2023 State of Connecticut CEUI Technical course. The deadline to register is September 29.

  • In case you need to be notified off work hours, please indicate an alternate number.
  • Enter your date of birth as shown. CEUI requests your date of hire on your application.
  • CEUI requests you enter your length of service. Please enter numbers only.
  • Example: Welding II
  • Example: AS15231
  • Enter the course fee as listed in the In-Service Catalog - eg. $285
  • Select how the course will be delivered.
  • Select the name of the community college from the dropdown
  • Enter the number of days of the course.
  • Enter the Course Start Date as listed in the In-Service catalog.
  • Enter the Course End Date. If this course is only one day, leave field blank.

  • Manager/Supervisor Notification

    Your manager/supervisor will receive an email notification of this training request made by you. You must speak with your supervisor prior to submitting this form and confirm use of department or personal funds for payment, as well as accounting for time away from work to attend the course.

  • In-Service CEUI Training Registration Agreement

    I certify I have discussed my application for State In-Service CEUI technical training with my manager/supervisor.
  • This field is for validation purposes and should be left unchanged.