Why this information is collected?

As a resident of Illinois, you are invited to use the form below to nominate yourself for membership on Illinois boards, commissions, committees, councils, and task forces. The information collected will be used by the Governor's Office in considering your interest and qualifications for appointment. If you have problems completing the form, please email gov.appointments@illinois.gov

The Governor's Office does not discriminate on the basis of sex, race, color, religion, gender identity, sexual orientation, national origin, age, military or veteran status, disability or any other characteristic protected by law. The demographic information collected will not be used in a discriminatory manner.

Per 15 ILCS 50/25, the Office of Gubernatorial Appointments is required to collect demographic information on applicants and appointed members. As such, the demographic information you may choose to provide will be utilized for this express purpose, and it will be kept confidential and protected from disclosure to the extent permitted by law. Your participation is completely voluntary.

* Required Fields. Please provide accurate information in ALL required fields.

Application for Gubernatorial Appointment

Part A: Board or Commission Sought

PART B: Basic Information

PART C: Demographic Information

PART D: Education

PART E: Employment and Professional Qualifications

PART F: Government Affiliations and Experience

PART G: Interest and Qualifications

PART H: Certification

PART I: Attachments