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The CMS 100 Application form serves as a critical tool for individuals seeking employment within the State of Illinois, particularly in civil service positions governed by the Department of Central Management Services (CMS). This form is not only a gateway to potential job opportunities but also outlines essential steps for applicants. When filling out the CMS 100, candidates need to provide personal details, including their name, address, and Social Security number, as well as comprehensive information regarding their work history, education, and any relevant licenses. Additionally, it includes sections for indicating availability for different types of employment, such as permanent or temporary positions. Importantly, for those with military backgrounds, the form features options to claim Veterans Preference, which can significantly enhance one’s chances of securing a position. As applicants complete the CMS 100, they should be mindful that submitting a signed application without incomplete sections or necessary documentation will ensure the form is considered valid. The information collected is vital, not just for the purposes of employment, but also for potential future verification of a candidate's qualifications. Overall, the CMS 100 exists to streamline the application process for state employment, offering both clarity and structure for job seekers navigating a competitive landscape.

Cms 100 Application Example

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.

Form Characteristics

Fact Name Fact Description
Application Purpose The CMS 100 form is used for civil service job applications in Illinois, primarily for positions under the Governor's jurisdiction.
Submission Guidelines Applicants must mail completed forms to the Department of Central Management Services and submit legible photocopies only.
Veterans Preference Qualified veterans can claim a preference by including relevant military documentation, such as the DD214 or an award letter.
Signature Requirement Applicants must sign the form to confirm the accuracy of the information provided and acknowledge potential verification processes.
Educational Information Applicants must report their educational background, including high school completion status and college credits earned.
Employment History The form requires detailed information about previous employment, including dates, positions held, and responsibilities.
Default on Educational Loans State law mandates that applicants in default of educational loans for six months or more must establish a repayment plan to be eligible for employment.
Contact Information Applicants must provide contact details, including phone numbers and address, for communication purposes.

Guidelines on Utilizing Cms 100 Application

Once you have gathered all necessary information, you are ready to fill out the CMS 100 Application form. This form is essential in the hiring process for civil service positions. Completing it accurately will help in assessing your qualifications. Take your time and ensure all sections are completed carefully.

  1. Position Title: Leave this section blank.
  2. Personal Information: Fill in your last name, first name, and middle initial.
  3. Social Security Number: Provide your SSN.
  4. Address: Enter your address, county, city, state, and zip code.
  5. Contact Numbers: List your main and other phone numbers.
  6. Driver’s License: Indicate your driver’s license number, state, and expiration date. Specify if you hold a Non-CDL or CDL license, along with any restrictions.
  7. County Choice: Indicate your county choice; for Cook County, leave this section blank as instructed.
  8. Availability: Check the box that applies: for permanent or temporary employment.
  9. Veterans Preference: If applicable, indicate your wish to claim veterans preference and attach required documents.
  10. Signature Section: Sign and date the application to confirm that everything is true and accurate.
  11. Yes/No Questions: Answer the questions regarding previous job terminations and educational loans.
  12. High School Information: Indicate whether you are a graduate and any GED information.
  13. Business/Trade School: List any relevant schooling including name, address, and completion dates.
  14. Technical/Professional License: Provide details about any licenses you hold.
  15. Education Report: Detail your educational history, including colleges attended, credit hours, major, and degree earned.
  16. Work History: Start with your most recent job. Include all details such as employer, position title, responsibilities, and reasons for leaving.

What You Should Know About This Form

What is the CMS 100 Application form used for?

The CMS 100 Application form is used for civil service employment in Illinois. It is administered by the Department of Central Management Services (CMS) for positions under the Governor’s jurisdiction. While CMS manages the testing process, the actual hiring decisions are made by the respective state agencies.

How should I fill out the CMS 100 Application?

You should complete the CMS 100 Application form in legible handwriting or by typing. It's essential to provide accurate information and to avoid leaving any required fields blank. If a field does not apply to you, write “N/A” instead of leaving it empty. An unsigned or incomplete application will be returned.

Can I submit a photocopy of the CMS 100 Application?

Yes, you can submit a legible photocopy of the CMS 100 Application. Pencil copies are not accepted, so make sure to use either a printed or typed format. If you are submitting photocopies of supporting documents, ensure those are also clear and easy to read.

What happens if I don’t sign the application?

If you do not sign the CMS 100 Application, it will be considered incomplete. Unsigned applications will be returned, which means you will have to start the process over again. Signing the application verifies that all information provided is accurate and true.

How do I claim Veterans Preference on the CMS 100 form?

To claim Veterans Preference, indicate this on the application and attach the necessary documentation. This can include a certified copy of your DD214 or DD215 if you are claiming service-connected disability. If you are a member of the Illinois National Guard or a reservist, include a letter from your unit personnel. Note that the documentation must be recent and relevant to your claim.

What should I do if I am currently employed in a state educational loan?

If you are in default on a state educational loan for six months or longer, you must make a satisfactory repayment arrangement with the lender as a condition of employment. This requirement is stated clearly in the CMS 100 Application. If you have questions about your loan status, it's important to address these before submitting your application.

Can I include additional sheets or a resume with my application?

Yes, you can attach additional sheets or a resume to the CMS 100 Application. Ensure that any additional documentation follows the same format as the application itself. Be sure to include all relevant work history, military experience, and volunteer roles as required.

What should I do if my application is returned due to incompleteness?

If your application is returned because it is incomplete, carefully review the reasons provided and correct any issues. Complete all required information accurately and resubmit your application for consideration. It is crucial to ensure that you follow all instructions to avoid delays in the hiring process.

Common mistakes

Filling out the CMS 100 Application is a crucial step for potential employment with the State of Illinois. However, many applicants often trip up on common mistakes that can jeopardize their chances. Here are six prevalent errors to avoid.

1. Neglecting to Sign the Application

One of the simplest yet most impactful mistakes is forgetting to sign the application. An unsigned or incomplete application will be returned. This means you’ll need to start over, delaying your job search and potentially missing out on opportunities. Ensure you review your application thoroughly before submission.

2. Incomplete Contact Information

Many applicants fail to provide complete and accurate contact details. Omitting information like your main phone number or providing incorrect routing can make it difficult for hiring officials to reach you. It’s essential to provide legible and current information to keep your chances of being contacted high.

3. Misunderstanding Availability Choices

In the section regarding availability, some applicants check more than one option when the instructions clearly state to check only one. This confusion can lead to disqualification. Carefully read these options and ensure you select the one that best suits your situation.

4. Not Providing Required Documentation

Applicants often forget to include essential documentation for Veterans Preference or other claims. If you wish to claim Veterans Preference, ensure that you attach all required paperwork, such as the DD214/215. Missing these documents may undermine your application.

5. Failing to List Work Experience Thoroughly

Listing work history is another area where applicants commonly falter. It’s vital to detail each position you’ve held, including responsibilities, employment dates, and other pertinent information. Omitting significant details or not adhering to the required format can hurt your evaluation.

6. Lack of Attention to Education Details

Completing the education section inaccurately can affect your eligibility for particular positions. Some applicants list their degrees or coursework but fail to include the correct number of credit hours attended. This information is often necessary for meeting minimum qualifications, so be sure to double-check your entries.

Being mindful of these common pitfalls can enhance the quality of your CMS 100 Application. Take your time, review carefully, and avoid these mistakes to improve your chances of landing the job you desire.

Documents used along the form

The CMS 100 Application form is an essential document for individuals seeking civil service positions in Illinois. Along with this form, several other documents may be required to complete the application process. Below is a list of commonly used forms and supporting documents that accompany the CMS 100.

  • DD214/215 Form: This document is used to verify military service. Veterans can provide a certified copy to claim Veterans Preference when applying for civil service positions. The information included in this form helps determine eligibility for certain benefits during the hiring process.
  • NGB-22 Form: This form is specifically for members of the National Guard or Reservists. It provides proof of honorable discharge and is necessary for those claiming Veterans Preference based on their service.
  • College Transcripts: Applicants may be required to submit official college transcripts to verify their educational background. These transcripts help confirm the number of credit hours earned and whether they meet the minimum qualifications for specific positions.
  • Employment Verification Letters: These letters demonstrate proof of previous employment. They confirm roles held, dates of service, and relevant job responsibilities. Having this documentation readily available can expedite the review process of the application.
  • Resume: A resume is often submitted alongside the CMS 100 Application. It should outline relevant work experience, education, and skills. Resumes must follow the same format as the application to ensure consistency in the information provided.
  • Request for Accommodation Form: If an applicant requires special accommodations during the examination or hiring process, they may need to submit this form. It outlines the specific accommodations needed, ensuring that the applicant can participate fully in the application process.

These additional documents play a critical role in the application process for civil service positions in Illinois. Providing complete and accurate information can enhance an applicant's chances of successfully navigating the hiring process.

Similar forms

  • Job Application Form: Like the CMS 100, traditional job application forms require personal details and employment history. Applicants typically provide information about their background to help employers assess their qualifications.
  • Equal Employment Opportunity (EEO) Form: This document is often submitted alongside job applications. It allows candidates to voluntarily provide demographic information to ensure compliance with equal opportunity laws, similar to how the CMS 100 collects information for fairness in hiring.
  • Resume: A resume serves to highlight an individual’s skills and experiences. While the CMS 100 requires similar information, a resume allows for more personalization and in-depth detail about qualifications and achievements.
  • Cover Letter: A cover letter accompanies job applications to introduce the applicant. It outlines the candidate's enthusiasm and suitability for a position, much like the CMS 100 explains the purpose of applying.
  • Federal Employment Application (SF-171): The SF-171 is a government form that collects similar data to the CMS 100 but is typically used for federal jobs. It asks about educational and work history in a structured manner.
  • Online Job Portal Profiles: Many job seekers create profiles on employment websites. These profiles collect essential information and serve a similar purpose as the CMS 100 by making applicant information available to potential employers.
  • State Employment Applications: Various states have their versions of employment applications. These are structured similarly to the CMS 100, asking for personal history and qualifications intended for state job positions.
  • Internship Applications: Internships often have unique application forms that reflect details about education and experience, resembling the CMS 100 in format and required information to ensure candidates can meet internship goals.
  • Interview Preparation Forms: Candidates might complete these forms before interviews, summarizing their skills and experiences. While they differ in purpose, the data gathered aims to prepare candidates for discussions similar to those framed by the CMS 100.

Dos and Don'ts

When completing the CMS 100 Application form, attention to detail is crucial. Here are some things to keep in mind:

  • Do: Print clearly or type your information to ensure it is legible.
  • Do: Use ink rather than pencil, as pencil copies will not be accepted.
  • Do: Complete all sections of the application to avoid it being considered incomplete.
  • Do: Sign the application before submission; an unsigned application will be returned.
  • Do: Attach any required documentation, such as military records if claiming Veterans Preference.
  • Don’t: Leave any sections blank unless specifically instructed to do so.
  • Don’t: Submit a photocopy that is difficult to read; ensure all copies are clear and legible.
  • Don’t: Include information that is not requested, such as personal details unrelated to your application.
  • Don’t: Make misrepresentations; ensure all information is accurate to avoid disqualification.
  • Don’t: Apply if you have already submitted an application for the same position within the last 30 days.

Misconceptions

Misconception 1: Only original applications are accepted.

Many believe that only original applications are valid for submission with the CMS 100 form. However, legible photocopies are also acceptable. Make sure to provide a clear copy to avoid any issues.

Misconception 2: All applications are automatically accepted.

Some applicants think that simply submitting the CMS 100 form guarantees acceptance. In reality, unsigned or incomplete applications will be returned. Double-check your application to ensure all required fields are filled out before submission.

Misconception 3: Veterans preference is automatic upon submission.

This form leads many to assume that claiming Veterans Preference is automatic. In fact, applicants must provide specific documentation to establish their eligibility for Veterans Preference. Make sure to attach all necessary documents when claiming this benefit.

Misconception 4: There is no penalty for misrepresentation on the application.

Some individuals think that inaccuracies on the CMS 100 form won’t result in consequences. This is not true. Misrepresenting information can lead to ineligibility or termination of employment if discovered.

Misconception 5: Providing a resume eliminates the need to complete the application.

It’s a common belief that if you submit a resume, you don’t need to fill out the application. However, the CMS 100 form must be completed in full. Resumes cannot replace this requirement, so ensure both are prepared correctly.

Key takeaways

Filling out the CMS 100 Application form is a critical step in seeking employment with the State of Illinois. Here are key takeaways to help ensure a successful application process:

  • Print Clearly or Use a Typewriter: Always complete the form in legible handwriting or with a computer. Illegible applications may be rejected.
  • Sign and Date: Your application must include a signature and date to be valid. An unsigned form will be returned.
  • Be Thorough: Fill out every field. Incomplete applications will be considered invalid and may not be processed.
  • Documentation for Veterans Preference: If you claim Veterans Preference, ensure that you attach the required documentation, such as a DD214 or a military service letter.
  • Employment History: Provide a detailed account of your work history. Include all relevant positions, including internships and volunteer work, to present a complete picture of your experience.
  • Honesty is Crucial: Misrepresenting any information could lead to disqualification from the application process or termination of employment if discovered later.
  • Understand Your Rights: Be aware that your information may be shared publicly if your name is placed on an eligibility list.

By paying attention to these details, applicants can enhance their chances of moving forward in the hiring process and securing state employment.