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The CMS 100 Application form serves as a critical step for individuals seeking employment within various agencies under the jurisdiction of the State of Illinois. Administered by the Department of Central Management Services, this form is essential for those aiming to enter the civil service sector. Applicants must complete the form accurately, as any incomplete or unsigned submissions will be returned. Information requested on the CMS 100 includes personal details such as the applicant's name, address, and Social Security number, along with their employment history and educational background. For veterans or their surviving family members, options to claim veterans’ preference are also included, which can provide valuable advantages in the hiring process. This form emphasizes clarity and legibility, mandating that entries be printed or typed. Notably, it requires that candidates certify the authenticity of their information under the threat of disqualification or termination. The submission of the CMS 100 can lead to a placement on an eligibility list, furthering the chances of obtaining a civil service position. With various sections dedicated to education, work history, and additional qualifications, the CMS 100 serves as a comprehensive tool for prospective applicants navigating the civil service employment landscape.

Form Sample

EXAMINING/EMPLOYMENT APPLICATION
(CMS100)

STATE OF ILLINOIS

DEPARTMENT OF CENTRAL

MANAGEMENT SERVICES

CMS administers civil service testing for agencies under the jurisdiction of the Governor;

Mail completed application to:

 

 

 

 

 

 

however, actual employment decisions are made by the hiring agencies. Pencil copies of

CMS Bureau of Personnel

 

 

 

 

 

 

applications will not be accepted. Legible photocopies are accepted. Unsigned or

 

 

 

 

 

 

Examining and Counseling Division

incomplete applications will be returned.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stratton Office Building, Room 500

PLEASE PRINT LEGIBLY OR TYPE INFORMATION.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Springfield, Illinois 62706

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Position Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Option

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Leave Blank

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Last Name

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MI

 

3. SSN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

County

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Birthdate (Opt.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip

 

 

 

 

 

5. Main Phone

 

 

 

 

 

 

 

 

 

 

Other Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Drivers License No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

Month/Year Expires

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-CDL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CDL

 

 

 

 

 

 

 

 

ENDR

 

 

 

 

 

 

 

 

 

Restrictions

 

 

 

 

 

 

A

B

 

 

 

C

D

 

 

L

 

 

 

M

 

 

 

A

 

 

B

 

 

 

 

 

X

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. County Choice

 

 

 

 

 

 

 

 

 

 

Cook

 

 

 

 

 

Leave Blank

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cook

 

 

 

Leave Blank

1:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Select 1 or 2

 

 

 

 

 

 

 

 

Zone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Zone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See the included Cook County Zoned Titles and Location Map

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. Availability

A. Available for permanent

 

 

B. Available for permanent

 

 

 

C. Available for temporary

 

 

 

 

 

 

employment; will not accept

 

 

employment; will accept

 

 

 

 

 

 

 

 

 

employment only.

 

 

 

 

 

 

(Check one)

temporary employment.

 

 

temporary employment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Trainee titles must choose A.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. VETERANS PREFERENCE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For assistance contact Veterans Outreach at 1-800-643-8138 or Illinois Relay Center at 1-800-526-0844 (TTY only).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I wish to claim Veterans Preference; attached is the most recent certified copy of my DD214/215. (If

 

 

 

 

 

 

Leave Blank

 

claiming service-connected disability, also include a copy of U.S. Veterans Affairs award letter.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I wish to claim Veterans Preference as an IL National Guard/Reservist. Attached is a letter from my

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

unit personnel indicating I am currently serving under honorable conditions or a copy of my NGB22

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

stating my discharge was under honorable conditions.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I wish to claim Veterans Preference as a surviving unremarried spouse or one parent of an

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

unmarried veteran who suffered a service-connected death or disability that prevents the veteran

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

from qualifying for civil service employment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I have submitted required military documentation to CMS after January 01, 2000 and have already

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

established Veterans preference with CMS.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE SECTION

I understand that I may be required to submit proof of previous employment, education, military service or other statements in this application. I authorize release of this and other information covering job-related factors for the purpose of verification and determination of suitability for state employment. I state that I have not submitted an application for this written and/or performance examination within the last 30 days. I certify that all the information on this application is true and accurate and understand that misrepresentation of any material fact may be grounds for ineligibility or termination of employment.

Completing this application may result in your name being placed on an eligibility list. Names placed on an eligibility list may be released to the public without further notice to the applicant.

Written Signature Required

Date

For CMS Use Only

Exam Date

Month

Day

Year

 

 

 

Test Center

CMS100 (Rev 12/2013)

10.If your answer to either or both of the following questions is “yes”, please provide a detailed explanation of the circumstances in the space provided.

A. Have you ever been fired from a job? (Downsize/layoff is not applicable.)

Yes No

B. Are you currently in default on the repayment of any state educational loan?

Yes No

State law provides that any employee who is in default on the repayment of any education loan for a period of six months or more and in the amount of $600 or more shall, as a condition of employment, make a satisfactory loan repayment arrangement with the maker or guarantor of the loan.

11. HIGH SCHOOL

 

 

 

 

High School Graduate? Yes

No

Number of Years Completed

GED? Yes

No

12. BUSINESS, TRADE, CORRESPONDENCE SCHOOL

 

 

Business, Trade, Correspondence

School: Name and Address

From

MM/YYYY

To

MM/YYYY

Time

Full/Part

Subjects

Course Length

Completed

Yes/No

13. TECHNICAL/PROFESSIONAL LICENSE

Technical/Professional License

Number

State Issued

Date Issued

Expiration Date

MM/YYYY

MM/YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.EDUCATION REPORT: LIST YOUR EDUCATION ACCURATELY AND COMPLETELY. A copy of college transcripts/ degrees may be required. The number of credit hours you have earned may be needed to meet the minimum requirements for some titles. This information is also useful for career counseling purposes.

Name and Address of Colleges/

Hours Earned

Major

Minor

Dates Attended

Level and Date of

Universities Attended

 

 

 

 

 

 

Degree Earned

Indicate

SEM

QTR

Do Not

Do Not

From

To

Level

MM/YYYY

Undergraduate(U)/Graduate(G)

Abbreviate

Abbreviate

MM/YYYY

MM/YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CMS100 (Rev 12/2013)

*LIST UNDERGRADUATE AND GRADUATE HOURS SEPARATELY

*DO NOT INCLUDE COURSES MORE THAN ONCE

Fields Of Study

Undergrad

Graduate

Hours

Hours

 

 

 

 

 

 

List Actual Credit Hours

Sem

Qtr

Sem

Qtr

Earned

 

 

 

 

 

 

 

 

 

Accounting

 

 

 

 

 

 

 

 

 

Agriculture

 

 

 

 

 

 

 

 

 

Architecture

 

 

 

 

 

 

 

 

 

Audiovisual Instruction

 

 

 

 

 

 

 

 

 

Biology

 

 

 

 

 

 

 

 

 

Business Admin/Mgmt

 

 

 

 

 

 

 

 

 

Computer Science

 

 

 

 

 

 

 

 

 

Criminology

 

 

 

 

 

 

 

 

 

Divinity/Theology

 

 

 

 

 

 

 

 

 

Education (Specify)

 

 

 

 

 

 

 

 

 

Environmental Science

 

 

 

 

 

 

 

 

 

Environmental Health

 

 

 

 

 

 

 

 

 

Fire Science

 

 

 

 

 

 

 

 

 

Foreign Language (Specify)

 

 

 

 

 

 

 

 

 

Geography

 

 

 

 

 

 

 

 

 

Guidance and Counseling

 

 

 

 

 

 

 

 

 

Home Economics

 

 

 

 

 

 

 

 

 

Hydrology

 

 

 

 

 

 

 

 

 

Insurance

 

 

 

 

 

 

 

 

 

Law Enforcement

 

 

 

 

 

 

 

 

 

Mgmt. Info. Systems

 

 

 

 

 

 

 

 

 

Medical Records

 

 

 

 

 

 

 

 

 

Microbology

 

 

 

 

 

 

 

 

 

Pastoral Counseling

 

 

 

 

 

 

 

 

 

Political Science/Govt

 

 

 

 

 

 

 

 

 

Public Administration

 

 

 

 

 

 

 

 

 

Rehab Counseling/Admin

 

 

 

 

 

 

 

 

 

Social Work

 

 

 

 

 

 

 

 

 

Speech and Drama

 

 

 

 

 

 

 

 

 

Toxicology

 

 

 

 

 

 

 

 

 

Zoology

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fields of Study

Undergrad

Graduate

Hours

Hours

 

 

 

 

 

 

List Actual Credit Hours

Sem

Qtr

Sem

Qtr

Earned

 

 

 

 

 

 

 

 

 

Actuarial Science

 

 

 

 

 

 

 

 

 

Agronomy

 

 

 

 

 

 

 

 

 

Art

 

 

 

 

 

 

 

 

 

Bacteriology

 

 

 

 

 

 

 

 

 

Biostatistics

 

 

 

 

 

 

 

 

 

Cell/Molecular Biology

 

 

 

 

 

 

 

 

 

Conservation

 

 

 

 

 

 

 

 

 

Demography

 

 

 

 

 

 

 

 

 

Early Childhood Dev.

 

 

 

 

 

 

 

 

 

Engineering (Specify)

 

 

 

 

 

 

 

 

 

English

 

 

 

 

 

 

 

 

 

Epidemiology

 

 

 

 

 

 

 

 

 

Fish Management

 

 

 

 

 

 

 

 

 

Forensic Science

 

 

 

 

 

 

 

 

 

Geology

 

 

 

 

 

 

 

 

 

Health/Public Health

 

 

 

 

 

 

 

 

 

Humanities

 

 

 

 

 

 

 

 

 

Industrial Arts

 

 

 

 

 

 

 

 

 

Journalism

 

 

 

 

 

 

 

 

 

Library Science

 

 

 

 

 

 

 

 

 

Marketing

 

 

 

 

 

 

 

 

 

Medical Technology

 

 

 

 

 

 

 

 

 

Nursing (Specify)

 

 

 

 

 

 

 

 

 

Pharmacy

 

 

 

 

 

 

 

 

 

Programming

 

 

 

 

 

 

 

 

 

Radio - Television

 

 

 

 

 

 

 

 

 

Risk Assessment

 

 

 

 

 

 

 

 

 

Sociology

 

 

 

 

 

 

 

 

 

Statistics

 

 

 

 

 

 

 

 

 

Urban Studies

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fields of Study

Undergrad

Graduate

Hours

Hours

 

 

 

 

 

 

List Actual Credit Hours

Sem

Qtr

Sem

Qtr

Earned

 

 

 

 

 

 

 

 

 

Afro-American Studies

 

 

 

 

 

 

 

 

 

Animal Science

 

 

 

 

 

 

 

 

 

Atmospheric Science

 

 

 

 

 

 

 

 

 

Biochemistry

 

 

 

 

 

 

 

 

 

Botany

 

 

 

 

 

 

 

 

 

Chemistry

 

 

 

 

 

 

 

 

 

Criminal Justice Admin

 

 

 

 

 

 

 

 

 

Dietetics, Nutrition

 

 

 

 

 

 

 

 

 

Economics

 

 

 

 

 

 

 

 

 

Engineering Technology

 

 

 

 

 

 

 

 

 

Entomology

 

 

 

 

 

 

 

 

 

Finance

 

 

 

 

 

 

 

 

 

Food Service Management

 

 

 

 

 

 

 

 

 

Forestry

 

 

 

 

 

 

 

 

 

Genetics

 

 

 

 

 

 

 

 

 

History

 

 

 

 

 

 

 

 

 

Human Services

 

 

 

 

 

 

 

 

 

Industrial Hygiene

 

 

 

 

 

 

 

 

 

Law (Specify)

 

 

 

 

 

 

 

 

 

Limnology

 

 

 

 

 

 

 

 

 

Mathematics

 

 

 

 

 

 

 

 

 

Medicine

 

 

 

 

 

 

 

 

 

Park Management

 

 

 

 

 

 

 

 

 

Physics

 

 

 

 

 

 

 

 

 

Psychology

 

 

 

 

 

 

 

 

 

Recreation

 

 

 

 

 

 

 

 

 

Secretarial Science

 

 

 

 

 

 

 

 

 

Soil Science

 

 

 

 

 

 

 

 

 

Therapy (Specify)

 

 

 

 

 

 

 

 

 

Wildlife Management

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comment area to further specify the Fields of Study where noted in the previous table

CMS100 (Rev 12/2013)

15.WORK HISTORY: Complete this section in detail. All fields MUST be completed to be considered for grading. Begin with most recent position title and work backward. If you have an extensive work history with one employer, list each change in position title separately including duties and dates associated with each. If additional space is needed, attach a separate sheet following the same format as below. Resumes submitted must be in same format as the application. Attach additional sheets/ resumes to the application.

INCLUDE THE FOLLOWING INFORMATION:

College internships/practicums successfully completed

Military experience including dates, listing each change in rank and title

Related volunteer experience including dates and hours worked

Current (or last) Employer

Street Address

 

 

 

 

 

 

 

 

City

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Average Number of Hours Worked Per Week

 

Current/Last Salary $

Salary Period

 

 

 

 

Dates of Employment

 

 

 

 

 

 

To Month

 

 

 

Total Years

 

 

 

Month

Year

 

Year

 

Months

Supervisory Responsibility: List the Number of Employees You Supervised in the Appropriate Fields Below

 

 

 

 

Manual/Trades

 

Professional

 

 

 

Technical/Para-Professional

 

 

 

Clerical

 

Administrative

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe the Duties and Responsibilities for Each Title Separately:

Reason for Leaving:

Past Employer

Street Address

 

 

 

 

 

 

 

 

City

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Average Number of Hours Worked Per Week

 

Current/Last Salary $

Salary Period

 

 

 

 

Dates of Employment

 

 

 

 

 

 

To Month

 

 

 

Total Years

 

 

 

Month

Year

 

Year

 

Months

Supervisory Responsibility: List the Number of Employees You Supervised in the Appropriate Fields Below

 

 

 

 

Manual/Trades

 

Professional

 

 

 

Technical/Para-Professional

 

 

 

Clerical

 

Administrative

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe the Duties and Responsibilities for Each Title Separately:

Reason for Leaving:

CMS100 (Rev 12/2013)

15. WORK HISTORY (continued):

Past Employer

Street Address

 

 

 

 

 

 

 

 

City

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Average Number of Hours Worked Per Week

 

Current/Last Salary $

Salary Period

 

 

 

 

Dates of Employment

 

 

 

 

 

 

To Month

 

 

 

Total Years

 

 

 

Month

Year

 

Year

 

Months

Supervisory Responsibility: List the Number of Employees You Supervised in the Appropriate Fields Below

 

 

 

 

Manual/Trades

 

Professional

 

 

 

Technical/Para-Professional

 

 

 

Clerical

 

Administrative

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe the Duties and Responsibilities for Each Title Separately:

 

 

 

 

 

 

 

 

 

 

 

Reason for Leaving:

Past Employer

Street Address

 

 

 

 

 

 

 

 

City

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Average Number of Hours Worked Per Week

 

Current/Last Salary $

Salary Period

 

 

 

 

Dates of Employment

 

 

 

 

 

 

To Month

 

 

 

Total Years

 

 

 

Month

Year

 

Year

 

Months

Supervisory Responsibility: List the Number of Employees You Supervised in the Appropriate Fields Below

 

 

 

 

Manual/Trades

 

Professional

 

 

 

Technical/Para-Professional

 

 

 

Clerical

 

Administrative

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe the Duties and Responsibilities for Each Title Separately:

 

 

 

 

 

 

 

 

 

 

 

Reason for Leaving:

CMS100 (Rev 12/2013)

State law requires that you furnish certain information about your child support obligations at the time you are hired. The possibility of employment is not affected by a child support obligation or default in payment.

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.”

In compliance with the state and federal constitutions, the Illinois Human Rights Act, the U.S. Civil Rights Act, the Americans with Disabilities Act, and Section 504 of the Federal Rehabilitation Act, the Department of Central Management Services does not discriminate in employment, contracts, or any other activity. If you have a complaint, please contact the Department of Central Management Services at 217/782-7100 (voice) or 800/526-0844 (TTY Only).

Pursuant to Public Act 93-0211, effective January 1, 2004, (20 ILCS 2630/12 (a)) and Public Act 93-0912, effective August 12, 2004, (705 ILCS 405/5-915 (8)(a)), respectively, applicants seeking employment with the State of Illinois are not obligated to disclose an arrest or conviction record that has been expunged or sealed, nor an expunged juvenile record. Employers may not ask if an applicant has had records expunged or sealed. Neither Public Act applies to law enforcement agencies, the Department of Corrections, State's Attorneys or other prosecutors.

Central Management Services requests disclosure of information that is necessary to accomplish its obligations, primarily the statutory purposes outlined under the Personnel Code (20 ILCS 415). Disclosure of the information requested on this form is mandatory, and failure to provide requested information may result in rejection of this form or delay in making a determination on eligibility or employment. Social Security numbers are used in the application and employment processes to identify and differentiate between candidates and/or employees. Confidentiality of Social Security numbers obtained through this application process will be preserved as prescribed by 5 ILCS 179 et seq.

16.This application may be utilized as the actual test for some titles. If the title for which you wish to test is a closed exam or an exam based only on training and experience, mail completed application to:

CMS Bureau of Personnel Examining and Counseling Division Stratton Office Building, Room 500 Springfield, Illinois 62706.

Applications for a closed exam will be held on file until an agency requests that the test be administered or for a maximum of one year from the date of receipt.

The following section is optional.

The State of Illinois is an Equal Opportunity Employer. To assist in the accomplishment of Affirmative Action goals, we invite you to complete the following information. Completion of this information is not required. Check ONE box and, if applicable, check the appropriate Disability box.

Female Male

AG

BH

CJ

DK

EL

P Q

Ethnicity

White not of Hispanic Origin. A person having origins in any of the original peoples of Europe, North Africa or the Middle East.

Black or African American not of Hispanic Origin. A person having origins in any of the black racial groups of Africa. Terms such as “Haitian” or “Negro” can also be used in addition to “Black” or “African American”.

American Indian or Alaska Native. A person having origins in any of the original peoples of North and South America, including Central America, and who maintains tribal affiliation or community attachment.

Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, but not limited to, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Hispanic or Latino. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish Culture or origin, regardless of race.

Native Hawaiian or Other Pacific Islander. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Are you an Individual with a Disability?

Yes

No

See the included State of Illinois Assessment Centers, Testing and Career Counseling Information sheet.

CMS100 (Rev 12/2013)

STATE OF ILLINOIS ASSESSMENT CENTERS

CHAMPAIGN (by appointment only)

ROCKFORD (by appointment only)

MARION (by appointment only)

Central Management Services

Central Management Services

Central Management Services

State Regional Office Building

E. J. “Zeke” Giorgi Center

State Regional Office Building

2125 South First Street

200 South Wyman Street

2309 West Main Street, Suite 126

Champaign, Illinois 61820

Rockford, Illinois 61101

Marion, Illinois 62959

Phone: 217-278-3435

Phone: 815-987-7004

Phone: 618-993-7005

Illinois Relay Center:

Illinois Relay Center:

Illinois Relay Center:

800-526-0844 (TTY only)

800-526-0844 (TTY only)

800-526-0844 (TTY only)

CHICAGO

SPRINGFIELD

Central Management Services

Central Management Services

James R. Thompson Center - Suite 3-300

Capital City Center

100 W. Randolph Street

130 West Mason Street

Chicago, Illinois 60601

Springfield, IL 62702

Phone: 312-793-3565

Phone: 217-557-6885

312-814-4458 (TTY only)

217-524-1383 (TTY only)

Walk in test centers are located in Springfield and Chicago. Office hours are Monday-Friday 8 a.m. - 5 p.m.

Chicago and Springfield multiple choice automated testing is held Monday, Tuesday, Wednesday and Thursday. Check in time for clerical and non-clerical tests is anytime between 8 a.m. and 1:30 p.m. in Chicago and 8 a.m. and 2 p.m. in Springfield. You must arrive and be ready to test no later than 12:30 p.m. for Data Processing Administrative Specialist, Data Processing Specialist, HR Assistant, HR Associate, Insurance Analyst II, Revenue Tax Specialist Trainee, Telecommunicator Trainee and Dictation exams.

IDENTIFICATION IS REQUIRED AT THE TIME OF TESTING AT ALL ASSESSMENT CENTERS.

Visit our website for more information at http://work.illinois.gov

or for general information regarding testing and career counseling contact

CMS Examining and Counseling Division, Room 500 Stratton Building, Springfield, IL 62706

(217) 782-7100 (voice) (800) 526-0844 (TTY Only)

Career Services Career counselors are available at all of the assessment center locations by appointment only. A completed CMS application is required at the time of the appointment for review by the counselor. After reviewing your completed application and discussing your education and work experiences, the counselor will recommend job titles and provide descriptions of the job requirements. Call in advance to make an appointment. Phone numbers are listed above for the specific locations.

Testing Information There are approximately 950 position titles used by the state agencies under the jurisdiction of the Governor. To be considered as an eligible applicant for one of these titles, the applicant must participate in either an automated multiple-choice test (AT); or submit the application for a review of the training and experience (TX) listed on the application. A grade is given for each of these exam types. The position titles are separated into Group A and Group B.

Group A - titles are tested for continuously. The Group A titles requiring an automated multiple-choice exam (AT) are administered at any of the assessment centers listed above. The Group A titles requiring review of the applicant’s training and experience (TX) should be sent to CMS, Examining and Counseling Division, Room 500 Stratton Office Building, Springfield, IL, 62706, for grading.

Group B - titles are closed exams. Send applications for any Group B title to CMS, Examining and Counseling Division, Room 500 Stratton Office Building, Springfield, IL, 62706. Applications for a Group B closed exam will be maintained until an agency requests that the test be administered or for a maximum of one year.

Information on the position titles may be obtained from any Assessment Center or by viewing the Web site.

NOTE: A separate application is usually required for each title and option for which you test. Some exceptions: You may use one application to apply for a TX grade for multiple options for Public Service Administrator (PSA) and Senior Public Service Administrator (SPSA). Use one application for all selected options for each title for the Information Services Specialist (ISS) and the Information Systems Analyst (ISA).

Many AT tests in the same series require only one application. Check with any assessment center for details.

Veterans Preference is awarded to veterans after CMS receives appropriate documentation and verifies eligibility. For more information contact the Veterans Outreach Office at 800-643-8138; Illinois Relay Center 800-526-0844 (TTY only).

Highway Maintainer Examination requires the possession of a valid commercial drivers license, Class “A,” with endorsements of “N” (Tankers) or “X” (Tankers with hazardous materials) and non-restrictive air brakes, before an applicant can participate in the examination.

Automotive Mechanic Examination (All Options) and Maintenance Equipment Operator Examination require the possession of a valid Class “A” or “B” commercial drivers license before an applicant can participate in the examination.

If you are an individual with a disability and need accommodated testing assistance, please contact the Disabled Workers Program in Springfield at (217) 524-7514 (voice) or (217) 524-1383 (TTY only) before the date of the test.

APPLICANT INFORMATION CONCERNING COOK COUNTY ZONES

Cook County is divided into five zones for the position titles listed below for the purpose of administering eligible lists. To explain the zones, the map is an outline of Cook County with central and northern portions of the City of Chicago shown crosshatched. A more detailed map is available on our website at www.work.illinois.gov under Frequently Asked Questions.

The open competitive position titles to which Cook County zones apply are:

Automotive Mechanic

Highway Maintainer Lead Worker

Office Clerk

Child Development Aide

Laborer (Maintenance)

Security Officer

Cook I

Licensed Practical Nurse I and II

Stores Clerk

Heavy Construction Equipment Operator

Office Aide

Storekeeper I

Highway Maintainer

Office Assistance

Support Service Worker

Zone 1 is the area within the city limits of Chicago between North Avenue and 95th Street.

Zone 2 is the area within the city limits of Chicago north of North Avenue.

Zone 3 is Cook County and the area including the City of Chicago which his south of 95th street.

Zone 4 is Cook County outside the City of Chicago between North Avenue and 95th Street.

Zone 5 is Cook County outside the City of Chicago north of North Avenue.

Document Specifications

Fact Name Description
Form Purpose The CMS100 form is used primarily for exploring employment opportunities within various Illinois state agencies that fall under the Governor's jurisdiction.
Application Submission Applicants must mail completed applications to the address provided on the form. Incomplete or unsigned applications will be returned.
Pencil Copies Not Accepted Only legible photocopies of applications are accepted; pencil copies will not be considered, ensuring the clarity of submissions.
Veterans Preference For veterans seeking employment, claims for preference can be made by attaching relevant documentation, such as a DD214/215.
Educational Requirements Applicants may need to provide transcripts to support their claimed educational qualifications, especially for specific job titles that require minimum education levels.
Default on State Loans State law mandates that any employee in default on a state educational loan for six months or more, and over $600, must resolve this before being employed.
Honesty is Key All information provided must be accurate. Misrepresentation can lead to disqualification or termination from employment later on.
Work History Detail Applicants are required to present a thorough work history, detailing previous jobs, duties, and reasons for leaving, which aids in understanding their background.

Steps to Filling Out Cms 100 Application

Completing the CMS 100 Application form is an essential step toward your employment goals within Illinois state agencies. This guide will help you navigate the application process effectively. Please ensure that all information is accurate and legible.

  1. Position Title: Write the title of the job you are applying for. Leave the option blank if you are unsure.
  2. Personal Information: Fill in your Last Name, First Name, and Middle Initial. Include your Social Security Number (SSN), address, county, city, state, and zip code.
  3. Contact Information: Provide your main phone number and an alternate phone number, if applicable. Include your driver’s license number and its expiration date.
  4. County Choice: Select your preferred county choice from the provided options. Leave the zone options blank.
  5. Availability: Indicate your availability for employment by checking one of the options: permanent employment only, temporary employment only, or both.
  6. Veterans Preference: If applicable, indicate your claim for Veterans Preference. Attach the necessary documentation as outlined in the form.
  7. Signature Section: Sign and date the application, confirming the accuracy of the details provided. Make sure to understand the implications regarding employment verification.
  8. Employment History: Detail your work history, beginning with your most recent job. Include the employer's name, street address, city, state, position title, average hours worked per week, salary, and dates of employment. Describe your duties and responsibilities, and mention the reason for leaving.
  9. Education: List your educational background, including high school, college, and any relevant training. Provide the name and address of institutions attended, degree earned, major and minor fields of study, and credit hours completed.
  10. Technical/Professional Licenses: Include details of any licenses you hold, including the license number, state issued, and expiration date.

After filling out the entire application, make sure to review it thoroughly for accuracy. Once confirmed, mail your completed application to the address provided. Good luck with your submission and future employment opportunities!

More About Cms 100 Application

What is the CMS 100 application form used for?

The CMS 100 application form is the official examining and employment application for positions under the State of Illinois civil service system. It is primarily used by the Department of Central Management Services (CMS) to administer civil service testing for various agencies. While CMS oversees the testing process, actual hiring decisions are made by the individual agencies, ensuring you are assessed fairly for state employment opportunities.

How should I submit my completed CMS 100 application?

You need to mail your completed application to the Department of Central Management Services at the address specified in the form. Make sure to include all required information and to submit it with enough time to ensure it arrives by the deadline. Remember, pencil copies are not accepted; only legible photocopies of the completed application are allowed.

Can I leave sections of the CMS 100 form blank?

It’s important that you fill out the application as completely as possible. Leaving sections blank, especially those requiring your personal information or indicating your position preferences, may lead to your application being considered incomplete, which could result in a rejection or return of your application.

What if I am a veteran and want to claim Veterans Preference?

If you wish to claim Veterans Preference, it is essential to attach the required documentation to your application. This may include a DD214/215 or a U.S. Veterans Affairs award letter if you have a service-connected disability. Be sure to follow the specific guidelines outlined in the application for providing proper military documentation.

Is there any special information required regarding my work history?

Yes, the work history section must be filled out in detail. You should start with your most recent job and go backward. Provide comprehensive information including your position title, duties, reasons for leaving, and how many employees you supervised, if any. A complete work history helps assess your qualifications for the job.

What happens if I misrepresent information on my application?

Honesty is critical when filling out the CMS 100 application. If you misrepresent any material fact, it may lead to your application being disqualified or your employment being terminated if you are hired. You certify the accuracy of your information when you sign the application, and any discrepancies can have serious consequences.

Do I need to include my education and training details?

Yes, it is essential to report your education accurately and completely on the CMS 100 application. You may need to provide additional documentation, such as copies of college transcripts or proof of degrees earned. This information helps ensure you meet the minimum qualifications for the positions you're applying for.

How long does it take to process the CMS 100 application?

The processing time for the CMS 100 application can vary based on the volume of applications received. Generally, applicants should expect a wait of a few weeks. However, this can depend on how quickly your application is filled out and submitted. Staying proactive and checking in with the relevant agency may provide updates on your application status.

Can I use a resume instead of the CMS 100 application form?

The CMS 100 form must be completed and submitted, even if you provide a resume. The application form contains specific information required for civil service positions that may not be covered in a resume. Make sure to present your resume in the same format as the application to ensure consistency.

Common mistakes

  1. Incomplete Information: People often leave sections blank or fail to fill out all required fields. This can lead to automatic disqualification.

  2. Illegible Handwriting: Submissions that are hard to read can complicate the application process. If you're handwriting your answers, be sure to print clearly.

  3. Failure to Sign: Not signing the application is a common mistake. Unsigned forms will be returned, delaying your process.

  4. Document Errors: Applicants may not double-check their attached documents, leading to the submission of incorrect or missing paperwork.

  5. Misrepresentation: Providing false or misleading information can result in ineligibility for employment. Always ensure that what you share is accurate and true.

Documents used along the form

The CMS 100 Application form serves as a critical document for individuals seeking employment within the State of Illinois’ civil service system. To enhance the application process, several other forms and documents are typically required or recommended. Below is a list of commonly used supplementary documents that applicants may encounter.

  • DD214/215 Form: This document serves as proof of military service and is essential for veterans who wish to claim veterans' preference during the hiring process. It details the applicant’s discharge status and period of service, enabling them to benefit from potential hiring advantages.
  • Transcripts or Diplomas: Applicants may need to provide copies of their college transcripts or diplomas. These documents verify educational credentials and are important for positions that have specific educational requirements.
  • Employment Verification Letters: These letters confirm previous employment and usually include details such as job title, dates of employment, and responsibilities. They help hiring agencies assess the applicant’s work experience and suitability for the position.
  • Veterans Preference Letter: For veterans seeking preference as an Illinois National Guard member or Reservist, a letter from the applicant's unit is essential. This letter must indicate honorable service, aiding in eligibility for certain benefits during the job application process.

Understanding these forms and documents can help applicants navigate the application process more effectively. Being prepared with the necessary paperwork can enhance one’s chances of securing a position within the civil service and ensure compliance with all requirements set forth by the hiring agencies.

Similar forms

The CMS 100 Application form bears similarities to the job application commonly utilized in the private sector. Like the CMS 100, a private sector job application gathers essential personal information, including name, contact details, and employment history. However, private applications often have a more streamlined format and may focus on specific skills relevant to the job being applied for. They also typically do not require the same level of detail on educational background, emphasizing instead a concise overview of relevant experiences tailored to the position.

Another document comparable to the CMS 100 is the federal employment application, often known as the OF-612. This form is used for applying to federal jobs and requires significant detail regarding personal information, education, and work history, similar to the CMS 100. Both documents emphasize accuracy and completeness, as any discrepancies could lead to disqualification or complications in the hiring process. Each also includes sections pertaining to veteran's preference, acknowledging the unique status of veterans in the application process.

The application for unemployment benefits resembles the CMS 100 Application form in that it gathers crucial information regarding the applicant's employment history and reason for unemployment. Both documents prioritize detailed accounts of past jobs, including duration, responsibilities, and reason for leaving. This information serves to assess eligibility for benefits or positions. Moreover, just as the CMS 100 requires signing to affirm accuracy, unemployment applications often include a certification section where applicants attest to the truthfulness of their statements.

Academic applications for graduate programs share many features with the CMS 100. Both documents ask prospective candidates to provide detailed records of their educational background, including institutions attended, majors, and degrees earned. Furthermore, they typically involve a section for work experience, which in academic applications can include research, teaching experience, or internships. Just as the CMS 100 includes a statement of accuracy, graduate applications often require applicants to certify that their information is complete and truthful.

The application for professional licensing, often necessary for fields like healthcare or law, shares a similar structure to the CMS 100. These applications generally require rigorous disclosure of educational history, relevant work experiences, and any exams passed. Like the CMS 100, they may also require applicants to detail any disciplinary actions or legal issues. This detailed narrative is crucial for determining suitability to practice in the specific field, just as it is in the context of civil service applications.

Finally, volunteer applications tend to parallel the CMS 100 in that they solicit information about the applicant’s background and skills. Volunteer organizations often seek candidates who not only have relevant experience but also match their mission. The CMS 100 also emphasizes the importance of experience—in both paid and unpaid roles—indicating activities that can enhance an applicant's profile. Both documents typically include sections where applicants can explain their motivation for applying and what they hope to contribute.

Dos and Don'ts

Do's when filling out the CMS 100 Application form:

  • Print clearly or type the information to avoid any misunderstandings.
  • Ensure that all sections are completed fully and accurately.
  • Use legible photocopies if you are submitting a copy of your application.
  • Include all relevant supporting documents, such as military records if claiming Veterans Preference.
  • Sign and date the application to confirm that the information is accurate.

Don'ts when filling out the CMS 100 Application form:

  • Do not leave any mandatory sections blank.
  • Avoid submitting applications completed with pencil as they will not be accepted.
  • Do not use more than one copy of the same course on the education section.
  • Do not include personal information that is not required, such as Social Security Number, if not necessary.
  • Never submit unsigned applications, as they will be returned to you.

Misconceptions

Misconception 1: The CMS 100 Application is the final decision-maker in hiring.

Many assume that filling out the CMS 100 Application guarantees a job offer. In reality, this form plays a role in the testing and eligibility process, but actual hiring decisions are made by the agencies themselves. Your application does not directly lead to employment.

Misconception 2: You can submit a handwritten copy of the application.

It's a common belief that any version of the application will be accepted. However, the CMS clearly states that only legible photocopies are allowed. Handwritten versions are likely to be rejected, so it's important to print or type your information.

Misconception 3: All sections of the CMS 100 Application are optional.

Some people think that they can skip over questions they don't find relevant. This is not the case. Providing complete and accurate information in every section is crucial for your application to be considered. Incomplete applications will be returned.

Misconception 4: Veterans preference guarantees employment.

While claiming Veterans preference can enhance your application, it does not automatically secure a job. You still need to meet other qualifications and compete with other candidates. It gives you an advantage, but it isn't a guarantee.

Misconception 5: The application is only for specific positions and does not apply to broader job opportunities.

This form isn't limited to one role. It encompasses various job titles and opportunities within civil service. Being open about your preferences can enhance your chances, so don’t limit your potential by focusing on just one position.

Key takeaways

Filling out the CMS 100 Application form is an important step for those seeking state employment in Illinois. Here are some key takeaways to consider:

  • Accuracy is Critical: Ensure that all the information you provide is true and accurate, as any misrepresentation may result in ineligibility or termination of employment.
  • Legibility Matters: It is essential to print legibly or type your information. Illegible applications may be returned.
  • Signed Applications Only: Unsigned applications are considered incomplete and will be returned. Always include your signature and date.
  • Complete All Sections: Fill out every section of the application. Incomplete applications will also be returned, hindering your job search.
  • Veterans Preference Claim: If applicable, include relevant documentation when claiming Veterans Preference. This may include DD214/215 or letters from your military unit.
  • Educational Details Needed: Provide accurate and complete information about your educational history. This may be used for eligibility determination.
  • Work History Required: Detail your work history starting with your most recent job. All previous positions and related duties must be listed to ensure proper evaluation.
  • Public Disclosure of Eligibility: Be aware that your name may be placed on an eligibility list that can be released to the public.

Completing the CMS 100 Application thoroughly and accurately increases your chances of being considered for a state position. Take time to review your application before submission.