Special Skills and Qualiﬁ cations
Summarize special skills and qualifications acquired from employment or other experience, such as computer
skills, etc. _________________________________________________________________________________
9 10 11 12 1 2 3 4 1 2 3 4
Describe specialized training, apprenticeship, skills, and extra-curricular activities. _______________________
State any additional information you feel may
be helpful to us in considering your application. __________
I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not, and is not
intended to be a contract of employment.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge or other disciplinary action. I understand that if hired I am
required to abide by all rules and regulations of the Office of the Illinois State Treasurer. I understand that if hired I authorize the State of Illinois to conduct an investigation into all aspects of my
qualifications and background; any individual, organization, or agency that maintains records relating to me to provide these records upon request to any agency of the State Illinois conducting such as
investigation. This authorization is not limited to employment records,credit records, and criminal history records. I release any individual, organization, or agency from any and all liability incurred as a
result of providing such records. Proof of citizenship or immigration status will be required upon employment. If an adverse employment decision is made in whole or part regarding the information on
the credit report that is run by any duly authorized State of Illinois Agent procures, the Office of the State Treasurer will: 1. Give me a copy of the credit report; 2. Provide me with a summary of my
rights under the Fair Credit Reporting Act; 3. Provide me with the name of the credit reporting agency so that I may contact them if I choose to do so.
Signature of Applicant
Mail or hand deliver your completed Application for Employment to the
Office of the Illinois State Treasurer, Department of Human Resources,
James R. Thompson Center
100 West Randolph, Suite 15-600
Chicago, Illinois 60601
Illinois Business Center
400 West Monroe Street, Suite 401
Springfield, IL 62704
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