State of Illinois
Department of Central Management Services
For use by currently certified employees covered by the Personnel Code and agencies under the Governor's jurisdiction.
Complete this form along with the appropriate application and submit directly to the contact person named in the posting.
Posted Information
Posting Identification Number: Bargaining Unit:
Position Title Applied For: Option, if applicable:
Agency/Bureau: County:
Current Information
Name: Last 4 Digits of Social Security Number:
Current Position Title: Option, if applicable:
Agency/Bureau: Division/Facility: County:
Work Location Address:
Section/Unit/Shift, if applicable:
Bargaining Unit:
Work Phone Number: Personal Phone Number:
Home Address:
I hereby apply for:
Job Assignment/Shift Preference (same title) Upward Mobility Promotion
Promotion Reinstatement Lateral Transfer
Voluntary Reduction Merit System Transfer Parallel Pay Grade Movement
Signature:
Date:
To be completed by Agency Personnel Only
Date Received:________________________________ Post Marked by Post Office:_________________________________
Seniority Date: ________________________________ Position Number: _________________________________________
Grade:_________ Promotional Upward Mobility List Date: ____________________
Job Assigned within Last year? Yes No Certified? Yes No Full Time Part-time
Rev. 5/2021
Official Position Vacancy Bid Form
Division/Facility:
click to sign
signature
click to edit
![]()
