First Name*
Last Name*
Email Address*
Phone*
Office of the Illinois Secretary of State
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TEAMSTER BID FORM:
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Employees must complete and submit this form before the end of the posting period to be considered.
Enter REQUISITION NUMBER:*
Enter POSITION NUMBER:*
ILSOS Employee ID Number:*
Current Job Title:*
Current Department:*
Current Work Location (Bldg/Floor/Room):*
Work Phone:
Disclosure: Pursuant to the Office of the Secretary of State Policy Manual, Chapter 1, Article 6, you may be subject to bypass for this position.
Is any member of your family, other than yourself, employed by the Office of the Secretary of State?*
Yes No
If Yes, indicate Name of Employee and their relationship to you.
I understand that if I do not have a qualifying grade for this title, I must complete and pass the required examination (Multiple-choice or Training and Experience) before the end of the posting period.
NOTE: Candidates who have achieved certification during their current period of employment, without a break in service, may be for PROMOTIONAL purposes. Those who have not attained certification during their current period of employment may only apply for transfer or voluntary reduction.
Selection will be made in accordance with the Bargaining Unit Agreements with the Office of the Secretary of State, Only the selected candidate(s) will be notified of the results of this posting.
I understand that my answering Yes to this question will serve as my electronic signature and certify that the information provided is true and accurate to the best of my knowledge; and understand that misrepresentation of any information herein may result in ineligibility or be grounds for discipline, up to and including discharge.*
Yes
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Your Bid Form Is COMPLETE - Continue with application ONLY if you need to test and receive a grade to be considered.
• To be considered in this process, you must have earned a passing grade for this title within the prior 36 months or have been certified in this title within the prior 12 months.
• Have you received a passing grade for this title in the prior 36 months?
- If YES - do not complete the application following the bid form; you will not be issued a grade based on this submission. Move to the bottom of the form and submit only the Bid Form.
- If NO - you must complete the application following the bid form; please provide all information requested. Submit Bid Form and Application *
Please contact the Department of Personnel if you have questions. Springfield at 217-782-4783 or Chicago at 312-793-5515.
Are you submitting an application to receive a grade?*
-- No answer -- Yes No
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ILSOS Employment Application:
ILSOS Applicant Identification Number - Please provide your IL Secretary of State issued Applicant ID #, if known.
First time applicants will be provided an Applicant ID # on the grade notice issued in response to this application. Please make note of this number for use on future applications.
Middle Initial
County of Residence
County Preference - Eligibility will be granted in the IL Counties/Cook County Zones where preference is indicated; up to three may be selected.
County Preference 1
County Preference 2
County Preference 3
Do you possess a valid driver's license?
-- No answer -- Yes No
If Yes, DL State Issued by
If Yes, DL Class Rating
Education Report:
Please note: A copy of a certified college transcript/degree MUST be submitted to obtain credit for post high school educational achievement.
Highest Level of Education Completed?
-- No answer -- Eighth Grade or Less High School GED or Equivalent Technical/Vocational Certification Some College College - Associate College - Bachelor College - Master College - Doctorate Other
College/University Information
Major/Course of Study
Dates of Education
Attachment - Education Documents - Submit only once.
Are you fluent in language(s) other than English?
-- No answer -- Yes No
If Yes, provide details regarding language and fluency - speak/read/write
Are you currently a member of the Armed Services or National Guard/Reserves or a veteran of the U.S. military service?
To receive Veteran's Preference, submit a legible copy of a certified DD214/215, NGB22, U.S. Veterans Affairs award letter or letter from unit personnel indicating current service under honorable conditions.
-- No answer -- Yes No
Are you seeking Veteran's Preference on behalf of a veteran as a qualifying parent or spouse?
-- No answer -- Yes No
If Yes, indicate branch of service.
-- No answer -- Air Force Army Coast Guard Marines Navy Other
Date of Service - Entry
Date of Service - Discharge
Attachment - Veteran's Preference Documentation - Submit only once.
Do you have one or more family members employed by the Secretary of State?
Family members includes any person who has established a party to a civil union or parties to a marriage pursuant to the law.
-- No answer -- Yes No
If Yes, provide name and employing department for each.
Are you currently in default on the repayment of any educational loan?
State law requires an employee in default on repayment of any education loan for six months or more and in the amount of $600 or more shall, as a condition of employment, make satisfactory repayment arrangements with the maker or guarantor of the loan.
-- No answer -- Yes No
Have you ever been fired from a job? Answer NO if you were let go due to layoff or downsizing.*
-- No answer -- Yes No
If Yes, please provide a detailed explanation, including name of employer, dates of employment and reason for separation.
Experience Report:
Fully describe your work history beginning with your present position. It is important that you provide all requested information, dates of employment, hours worked per week, etc. If you held multiple positions with a single employee, list each position separately. Incomplete information may affect your ability to be considered. Additional work history or information may be provided as a single attachment.
Employer #1 - Name
Employer #1 - Address
Employer #1 - Telephone Number
Employer #1 - Job Title
Employer #1 - Dates of Employment
Employer #1 - Average Hours Worked per Week
Employer #1 - Job Duties
Employer #1 - Reason for Leaving
May we contact your current employer?
-- No answer -- Yes No
Previous Employer #2 - Name
Employer #2 - Address
Employer #2 - Telephone Number
Employer #2 - Job Title
Employer #2 - Dates of Employment
Employer #2 - Average Hours Worked per Week
Employer #2 - Job Duties
Employer #2 - Reason for Leaving
Previous Employer #3 - Name
Employer #3 - Address
Employer #3 - Telephone Number
Employer #3 - Job Title
Employer #3 - Dates of Employment
Employer #3 - Average Hours Worked per Week
Employer #3 - Job Duties
Employer #3 - Reason for Leaving
Previous Employer #4 - Name
Employer #4 - Address
Employer #4 - Telephone Number
Employer #4 - Job Title
Employer #4 - Dates of Employment
Employer #4 - Average Hours Worked per Week
Employer #4 - Job Duties
Employer #4 - Reason for Leaving
Attachment - Additional Job History/Information
Attachment - Other/Misc.
Employment Information:
Child support obligations: State law requires that you provide certain information about child support obligations at the time of hire. The possibility of employment is not affected by a child support obligation or default in payment.
Selective Service Registration: As a condition of employment, state law requires that “every male born on or after January 1, 1960, and less than 27 years old, shall submit documentation, at time of appointment, evidencing his registration with the Federal Selective Service System.”
Disclosure of Information: The Office of the Secretary of State requests disclosure of information that is necessary to accomplish the statutory purpose as outlined under 15 ILCS 310/10. Disclosure of this information is REQUIRED; failure to provide any information may result in rejection of this form.
I confirm that have read and understood the Employment Information disclosed above.
-- No answer -- Yes
I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not, and is not intended to be a contract of employment.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge or other disciplinary action. I understand that if hired I authorize the State of Illinois to conduct an investigation into all aspects of my qualifications and background; any individual, organization, or agency that maintains records relating to me to provide these records upon request to any agency of the State Illinois conducting such an investigation. This authorization is not limited to employment records, credit records, and criminal history records. I release any individual, organization, or agency from any and all liability incurred as a result of providing such records. Proof of citizenship or immigration status will be required upon employment.
-- No answer -- Yes
I consent to receive SMS/text messages regarding my job application with Illinois Secretary of State. These messages may include updates on my application status, interview invitations, reminders, and other information directly related to this job application. Message frequency will vary. Message and data rates may apply. Reply HELP for help or STOP to cancel.