Bid Form for Monthly Snowbirds in Accordance with MOU Name: EID Number: Last First Address: City/State/Zip: Telephone Number: Position Applying for: (See posting for below information) Title: Location: County: IPR#: Do you have a relative employed by the Illinois Department of Transportation? Yes No NOTE: Employees hired on or after July 1, 2004, shall not be eligible to bid or be appointed to any position where he/she would be in a direct line supervisory or subordinate position with a relative. Relatives include spouse, parent, child, sibling, grandparent, grandchild, uncle, aunt, nephew, niece, father-in-law, daughter-in-law, son-in-law, brother-in-law or sister-in-law. Name: Title: Relationship: Work Location: Signature: Date: For Office Use Only Yes No Has worked 180 work days with IDOT as a Monthly Snowbird Yes No Eligible for re-hire Yes No (copy of CDL attached) CDL with proper endorsements Yes No Veteran Grade A Grade B Grade C Open Competitive Eligible grade for Highway Maintainer County choices _________________________and_________________________
Bid Form for Monthly Snowbirds in Accordance with MOU Name: EID Number: Last First Address: City/State/Zip: Telephone Number: Position Applying for: (See posting for below information) Title: Location: County: IPR#: Do you have a relative employed by the Illinois Department of Transportation? Yes No NOTE: Employees hired on or after July 1, 2004, shall not be eligible to bid or be appointed to any position where he/she would be in a direct line supervisory or subordinate position with a relative. Relatives include spouse, parent, child, sibling, grandparent, grandchild, uncle, aunt, nephew, niece, father-in-law, daughter-in-law, son-in-law, brother-in-law or sister-in-law. Name: Title: Relationship: Work Location: Signature: Date: For Office Use Only Has worked 180 work days with IDOT as a Monthly Snowbird Yes No Eligible for re-hire Yes No CDL with proper endorsements Yes No (copy of CDL attached) Veteran Yes No Open Competitive Eligible grade for Highway Maintainer Grade A Grade B Grade C County choices _________________________and_________________________
PM%2012E.docx