Last Name *
First Name*
Middle Initial	Salutation Mr. Ms. Mrs. Miss Dr.
Home Address *
Home Address (cont.)
City *
State/Province *
Zip/Postal Code *
Home Phone
School Address
School Address (cont.)
City
State/Province
Zip/Postal Code
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E Mail Address
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Ethnic Origin	White Black Native American Asian Hispanic Other
Citizenship	U.S. Citizen Non-citizen with permanent work authorization Non-citizen with renewable work authorization
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Are You Legally Disabled?	Yes No
Professional Licenses Held
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State	Year
Professional License
State	Year
Professional License
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Professional License
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Engineering Applicants: If applying for a Civil Engineer Trainee (CET), CE I, II or III position, and your undergraduate degree came from a non-ABET accredited college (which is usually from a university from outside the U.S.), you must have already have passed the EIT exam in the State of Illinois. If applying for a CE IV and above position, you must be a Registered Professional Engineer in the state of Illinois.
RPE#
High School Attended
Name
Location
Year Graduated
College or University Attended
Name
Location
Graduation Date (MM/YY)	Highest Degree Attained BSCE MSCE BSEE BSME BSGE BSAE BSCS AGEN BSIE ET MET BS/BA Associates Some College
Discipline	Aeronautics Computer Construction Design Electrical Environmental Materials Mechanical Multi Other Structures Transportation Water Resources
GPA
Name
Location
Graduation Date (MM/YY)	Highest Degree Attained BSCE MSCE BSEE BSME BSGE BSAE BSCS AGEN BSIE ET MET BS/BA Associates Some College
Discipline	Aeronautics Computer Construction Design Electrical Environmental Materials Mechanical Multi Other Structures Transportation Water Resources
Please Indicate the Type of Position You Are Applying For*:
EIT Status	Will take in Oct Will take in Apr Passed	Civil Engineer Engineer Technician
Office Location Preference*:
District Locations 1 -- Schaumburg 6 -- Springfield 2 -- Dixon 7 -- Effingham 3 -- Ottawa 8 -- Collinsville 4 -- Peoria 9 -- Carbondale 5 -- Paris Central Bureaus in Springfield Bridges & Structures Design & Environment Materials & Physical Research Division of Aeronautics

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Summary of Experience Simply enter or cut/copy and paste your work experience into the text box below. Please limit to 2 printed pages.

Unofficial Transcripts Simply enter or cut/copy and paste your unofficial transcripts into the text box below. If you do not have an electronic version of your unofficial transcripts, please mail a copy to: Illinois Department of Transportation, Bureau of Personnel Management, Room 110, 2300 S. Dirksen Parkway, Springfield, IL 62764

The Illinois Department of Transportation is an Equal Opportunity Employer and is committed to the policy of equal employment opportunity in recruitment, hiring, career advancement and all other personnel practices. Your job-related experience and other qualifications will be considered without discrimination on grounds of race, color, religion, sex, national origin, age or disability. All information provided in this application will be treated confidentially and will be used only to help assure the best use of your capabilities if you are employed with us.