Nominate Yourself

As a citizen of Illinois, you are invited to use the form below to nominate yourself for membership on up to four boards, commissions, councils, or task forces. The information we collect will be used by the Governor's office in considering your interest in an appointment. It will be kept confidential and protected from disclosure to the extent permitted by law. If you have problems completing the form, please email gov.appointments@illinois.gov.

 

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

 

 Application for Gubernatorial Appointment

indicates required field
Other Name ChoiceHave you ever used or been known by any other legal name?
e-Newsletter SubscriptionSign up for a Governor's e-Newsletter Subscription
Nominee Gender
Sexual Orientation
Ethnicity
Disability Choice Do you have a disability?
Veteran ChoiceAre you a Veteran?
Registered VoterAre you a registered voter?
Public Official ChoiceAre you a public official?
Spouse Public Official ChoiceIs your spouse / domestic partner a public official?
Lobbyist ChoiceAre you a lobbyist registered with the Sate of Illinois?
Spouse Lobbyist ChoiceIs you spouse / domestic partner a lobbyist registered with the State of Illinois?
Government Employee ChoiceAre you a government employee?
Spouse Government Employee ChoiceIs you spouse / domestic partner a government employee?
Certification