Illinois State Board of Education (ISBE) Application for Employment (ISBE 61-08) Instructions

Enter your full name as it appears on your application or identification.

Enter the vacancy list number assigned to the job listing or recruitment pool for which you are applying.

Enter the position number or numbers for the job(s) you are applying to, listing multiple entries separated by commas if applicable.

Enter the date you completed or submitted this applicant details section.

Enter your full name in the order shown — Last name, First name, Middle name — using commas or spaces as needed.

Check this box if you are currently authorized to work lawfully in the United States (do not require employer sponsorship to work).

Check this box if you are not currently authorized to work lawfully in the United States or would require employer sponsorship to obtain work authorization.

Enter the visa classification and its identification number (if applicable) that authorizes you to work in the United States.

Enter the date or date range during which the visa listed is valid.

Enter the 3-digit area code for your cell telephone (numbers only).

Enter the remaining 7-digit local portion of your cell telephone number (prefix and line number), without spaces or dashes.

Enter the city name, the two-letter state abbreviation, and the ZIP code for your address (e.g., Springfield, IL, 62777) into this field.

Check this box if you are currently in default on the repayment of any state educational loan.

Check this box if you are not currently in default on the repayment of any state educational loan.

Check this box if you are an individual with a disability.

Check this box if you are not an individual with a disability.

Check this box if you do not want to disclose whether you are an individual with a disability.

Enter the type or level of the school for this additional education entry (for example: High School, College or University, Graduate, or Other).

Enter the number of years you completed at this school (for example: 1, 2, 3, 4).

Enter the full name of the school or institution attended for this entry.

Enter the city and state where the school is located (for example: Chicago, IL).

Enter your major, field of study, or area of concentration for this school entry.

Enter the diploma, certificate or degree earned or expected from this school (for example: High School Diploma, A.A., B.S., M.A.).

Enter the number of years you completed at this school.

Enter the full name of the school or institution you attended.

Enter the city where the school is located.

Enter the state or province where the school is located.

Provide the major, concentration, or primary field of study you pursued at this school.

Specify the diploma, certificate, or degree earned or expected from this school.

Enter the number of academic years you completed at this college or university (e.g., 1, 2, 3, 4).

Enter the full name of the college or university you attended (include campus or system name if applicable).

Enter the city and state where the college or university is located (for example: Springfield, IL).

Enter your major or primary field of study at this college or university (e.g., Biology, Business Administration).

Enter the diploma or degree awarded for this study (e.g., A.A., B.S., M.A.) or enter 'None' if no degree was received.

Enter the number of years you completed toward your graduate education (for example: 1, 2, 3).

Enter the full name of the graduate school or university you attended.

Enter the city and state where the graduate school is located (state as abbreviation or full name).

Enter your major, concentration, or field of study for your graduate work (for example: Biology, M.Ed., Public Policy).

Enter the diploma or degree awarded or expected for your graduate study (for example: M.A., M.S., Ph.D., Certificate).

Enter the number of years you completed at the high school (for example: 3 or 4).

Enter the full name of the high school you attended, including campus or branch if applicable.

Enter the city and state where the high school is located (for example: Springfield, IL).

Enter your major, area of study, or primary field of emphasis during high school, if applicable.

Enter the diploma or degree you received from high school (for example: High School Diploma, GED), or 'None' if you did not receive one.

Enter the number of years completed in this vocational/technical program or other non-degree education (e.g., 1, 2, 3).

Enter the full name of the vocational, technical, or other school or training program attended.

Enter the city and state where the vocational/technical school or program is located (for example: Springfield, IL).

Enter the major, specialty, or field of study for this vocational/technical education (for example: Welding, HVAC, Computer Networking).

Enter the diploma, certificate, or degree awarded for this program (or enter 'None' if no diploma/degree was received).

Enter your primary email address where you can be contacted (for example: [email protected]).

Check this box if you identify your ethnicity as American Indian or Alaska Native and you are female (select only one ethnicity box).

Check this box if you identify your ethnicity as American Indian or Alaska Native and you are male (select only one ethnicity box).

Check this box if you identify your ethnicity as Asian and you are female.

Check this box if you identify your ethnicity as Asian and you are male.

Check this box if you are female and your ethnicity is Black or African American not of Hispanic origin.

Check this box if you are male and your ethnicity is Black or African American not of Hispanic origin.

Check this box if you identify as Hispanic or Latino and you are female.

Check this box if you identify as Hispanic or Latino and you are male.

Check this box if you identify your ethnicity as Middle Eastern or North African (MENA) and you are female.

Check this box if you identify your ethnicity as Middle Eastern or North African (MENA) and you are male.

Check this box if you identify as female and you identify your ethnicity as Multiracial and Multiethnic (MRME).

Check this box if you identify as male and you identify your ethnicity as Multiracial and Multiethnic (MRME).

Check this box if you are female and you identify your ethnicity as Native Hawaiian or Other Pacific Islander.

Check this box if you are male and you identify your ethnicity as Native Hawaiian or Other Pacific Islander.

Check this box if you choose not to disclose your ethnicity and do not want to provide an ethnic category.

Check this box if you identify as White (not of Hispanic origin) and are female.

Check this box if you identify as White (not of Hispanic origin) and are male.

Enter the three-digit area code for your home telephone number.

Enter the remaining digits of your home telephone number (local number).

Enter where or how you learned about this job or the Illinois State Board of Education (for example: online job board, agency website, newspaper ad, employee referral, campus recruiting, social media, etc.).

Enter any additional licenses, certificates, related work or volunteer experiences, special skills or abilities, and details about your computer knowledge or software proficiencies.

Enter the job title or position name you are applying for in the eighth (Position #8) slot as it should appear on the application.

Enter the inventory or requisition number associated with the eighth position (Position #8), if any (enter the code or identifier exactly as provided).

Enter the job title or position name you are applying for in the fifth (5th) slot on your application.

Enter the inventory or requisition number associated with the fifth position you are applying for (provide the numeric or alphanumeric code shown for that vacancy).

Enter the job title or position name you are applying for as your first choice.

Enter the agency inventory or requisition number associated with the first position you are applying for (if known).

Enter the job title or name of the position you are applying for as your fourth choice.

Enter the inventory or reference number associated with the fourth position you are applying for, if any.

Enter the job title or name of the position you are applying for as your second choice.

Enter the agency inventory or requisition number associated with the second position you listed, if available.

Enter the job title or position name you are applying for in the seventh listed slot (e.g., 'Math Teacher', 'Administrative Assistant').

Enter the employer's inventory or requisition number associated with the seventh position you listed, if any (leave blank if none).

Enter the job title or position name you are applying for in the sixth position slot on this application.

Enter the inventory or requisition number associated with the sixth position you are applying for (as shown on the job announcement).

Enter the job title or name of the third position you are applying for as it appears on the posting.

Enter the inventory or requisition number associated with the third position you are applying for, if available.

Check this box if you have previously worked for the Illinois State Board of Education (not in a consulting position).

Check this box if you have never worked for the Illinois State Board of Education (not in a consulting position).

Enter the full name of the first reference (do not list relatives).

Provide the job title, department, or institution/organization affiliated with the first reference.

Enter a telephone number where the first reference can be reached.

Enter the full name of your second reference as you want it to appear (first and last name).

Provide the job title, affiliation, or institution of your second reference (for example: Supervisor, Professor, Company/School name).

Enter a telephone number where your second reference can be reached, including area code and any necessary extensions.

Enter the full name of your third reference (the person who can provide a professional or academic reference).

Enter the job title and/or institution or organization for your third reference (where they work or their affiliation).

Enter the primary telephone number where your third reference can be reached (include area code or country code as applicable).

Check this box if you were referred by an Illinois State Board of Education (ISBE) employee.

Check this box if you were not referred by an Illinois State Board of Education (ISBE) employee.

Enter the full name of the ISBE employee who referred you (first and last name as applicable). Fill only if 'Were you referred from an ISBE employee? - Yes' is 'Yes'.

Enter the job title or position of the ISBE employee who referred you. Fill only if 'Were you referred from an ISBE employee? - Yes' is 'Yes'.

Check this box if you have signed the application (indicating you attest to the truthfulness of the information provided).

Check this box if you are including a cover letter and resume with this application packet.

Check this box if you are attaching copies of your academic transcripts to the application.

Enter the date on which the applicant signs this form.

Enter the last four digits of your Social Security Number (numbers only, do not include dashes or spaces).

Enter the street number and street name for your mailing address, including apartment or unit information if applicable.

Enter the full name of your current or most recent employer (company or organization name).

Enter the month you began employment with this employer (e.g., 01 or January).

Enter the year you began employment with this employer (four digits preferred).

Enter the month your employment ended or enter 'Present' if you are still employed (e.g., 12 or December).

Enter the year your employment ended or enter 'Present' / leave blank if still employed.

Enter the employer's full mailing address, including street address, city, state/province, and ZIP/postal code.

Enter the job title or position you held at this employer.

Enter the name and job title of your immediate supervisor at this employer.

Provide a concise summary of the main duties and responsibilities you performed in this position.

Check this box if, for your last or present employer (Employer 1), the position you held included supervisory responsibilities over other staff.

Check this box if, for your last or present employer (Employer 1), the position you held did not include any supervisory responsibilities.

Enter the number of employees you directly supervised or evaluated for this position (enter 0 if none). Fill only if 'Employer 1 - Was position supervisory? Yes' is 'Yes'.

State the reason you left this employer (for example: resignation, laid off, termination, better opportunity, or 'Still employed').

Enter the name of Employer 2 (company or organization) where you worked.

Enter the month you started working for Employer 2.

Enter the year you started working for Employer 2.

Enter the month you stopped working for Employer 2.

Enter the year you stopped working for Employer 2.

Enter the full address for Employer 2, including street, city, and state as space allows.

Enter the job title you held at Employer 2.

Enter the name and job title of your supervisor at Employer 2.

Provide a brief description of the primary duties and responsibilities you performed at Employer 2.

Check this box if the job listed for Employer 2 involved supervisory responsibilities (you supervised or directed other staff).

Check this box if the job listed for Employer 2 did not involve supervisory responsibilities (you did not supervise or direct other staff).

If the position was supervisory, enter the number of staff you directly directed or evaluated at Employer 2. Fill only if 'Employer 2 - Was position supervisory? Yes' is 'Yes'.

Enter the reason you left Employer 2 (for example: resignation, layoff, termination, better opportunity).

Enter the full name of the third employer listed (your employer's business or organization name).

Enter the month you began employment with this employer (numeric month or abbreviated month name).

Enter the year you began employment with this employer.

Enter the month you ended employment with this employer, or leave blank if still employed.

Enter the year you ended employment with this employer, or leave blank if still employed.

Provide the employer's full address (street, city, state/province and ZIP/postal code as applicable).

Enter the job title or position you held at this employer.

Provide the name and job title of your immediate supervisor for this position.

Briefly describe your primary duties, responsibilities and tasks performed in this role.

Check this box if, for Employer 3, the position was supervisory (you had managerial or supervisory responsibilities over other staff).

Check this box if, for Employer 3, the position was not supervisory (you did not have managerial or supervisory responsibilities over other staff).

If this position was supervisory, enter the number of staff you directly supervised or evaluated; leave blank if not supervisory. Fill only if 'Employer 3 - Was position supervisory? Yes' is 'Yes'.

Provide the reason you left (or expect to leave) this employment.

Enter the full name of the employer for this (fourth) work history entry.

Enter the month you began employment at this employer.

Enter the year you began employment at this employer.

Enter the month you ended employment at this employer, or 'Present' if you still work there.

Enter the year you ended employment at this employer.

Enter the employer's mailing address (street address, city, state/province, and ZIP/postal code as applicable).

Enter the job title or position you held at this employer.

Enter the name and job title of your immediate supervisor at this employer.

Provide a brief description of your primary duties and responsibilities in this position.

Check this box if for Employer 4 the position was supervisory (you directly supervised or evaluated other staff).

Check this box if for Employer 4 the position was not supervisory (you did not directly supervise or evaluate other staff).

If the position was supervisory, enter the number of staff you directly supervised or evaluated; otherwise leave blank or enter '0'. Fill only if 'Employer 4 - Was position supervisory? Yes' is 'Yes'.

State the reason you left this position (for example: resignation, termination, layoff, relocation, or 'Still employed').

Check this box if your preferred work location is Chicago.

Check this box if your preferred work location is Springfield.

Check this box if your preferred work location is another field-based location (not Chicago or Springfield).

Check this box if you are willing to accept temporary employment.

Check this box if you are not willing to accept temporary employment.

Check this box if you have a car available for your personal use to perform job duties.

Check this box if you do not have a car available for your personal use to perform job duties.

Check this box if you currently have a valid driver's license and want to indicate 'Yes' to the question about having a valid driver’s license.

Check this box if you do not have a valid driver's license and want to indicate 'No' to the question about having a valid driver’s license.

Check this box if you are willing to relocate for the position.

Check this box if you are not willing to relocate for the position.

Check this box if you are willing to travel for work-related duties.

Check this box if you are not willing to travel for work-related duties.

Enter the three-digit area code for your work telephone number (e.g., 217).

Enter the remaining portion of your work telephone number (the local prefix and line number, e.g., 555-1234) without additional punctuation unless the form requires it.