Form CMS100 Examining / Employment Application - Illinois

How to Fill Out CMS 100?

Provide the following information in Form CMS 100:

1. Indicate the full name of the position title and option for which you are applying;
2. State your personal information and contact details - social security number, full name, address, date of birth, telephone numbers. Write down your driver's license number, specify its type, and note any restrictions;
3. Indicate two work county preferences;
4. Check the appropriate box to describe your availability - permanent employment, temporary employment, or both;
5. If you are eligible, claim veterans' preference and attach documents that prove it;
6. Sign and date the Illinois CMS 100 form;
7. If you have ever been fired from a job or are currently in default on the repayment of any state educational loan, answer "yes" and explain the circumstances;
8. Provide details of your high school experience - indicate the number of years completed and answer "yes" if you have completed the GED;
9. Describe your business, trade, or correspondence school experience - educational period, was it full- or part-time, list the subjects and state the course length, and if you have completed the courses or no;
10. If you have any technical or professional licenses, record their numbers, states of issuance, dates of issuance, and expiration dates;
11. List all the colleges and universities you attended along with the hours, dates, majors, minors, levels and degrees you have earned;
12. Indicate undergraduate and graduate hours for the courses you have completed;
13. Record your work history - current and past employer details, your position titles, dates of employment, the average number of hours per week, and the reason for leaving. Describe the duties you have performed, and if you had supervisory responsibility, enter the number of employees you have supervised in various fields. Note that you are not required to disclose your prior salary or wage history;
14. Add your email address for communication about opportunities;
15. State your ethnicity. If you have a disability, check the appropriate box.

Haven't found the form you are looking for? Take a look at these related forms below:

• Illinois Department of Central Management Services Forms;
• Form CMS-560 (IL401-1700), Non State-Paid Leave of Absence Waiver of Coverage;
• Form CMS-DC-274, State Employees' Deferred Compensation Plan - Change Form