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Work At Home Application
This application must be completed on a computer or laptop.
Welcome! To qualify for free job placement from My Employment Options through the SSA Ticket To Work program, we will need some information from you. Please complete ALL fields and submit the form. Please note that, for security reasons, there is no SAVE function, so please have the following items ready prior to beginning your application:
-Information on disability benefits
-Work History
-Computer Specifications (for work from home applications)
Step 1 of 18
5%
What type of job(s) are you interested in?
*
I am interested in both Work-From-Home & Jobs in my Community
I am ONLY interested in Work-From-Home jobs
I am ONLY interested in Jobs in my Community
The Work from Home portion of this application can only be completed on a computer or laptop. If you are on a mobile phone or tablet, please log onto a computer first before continuing with this application.
In addition, you will need to be able to do the following:
-complete a typing test using a keyboard
-open multiple browser tabs
-provide your computer specifications
Have you previously submitted a Benefits Query Form?
*
No
Yes
I'm not sure
Contact Details
Legal Name
*
First
Last
Nickname
Email
*
Enter Email
Confirm Email
Mobile Phone Number
*
Home or other Phone Number
What is your preferred phone number?
*
Mobile phone
Home phone
Phone (other)
If you provided us with a mobile phone number, are you OK with our staff contacting you via text message?
*
Yes, I give permission to contact me via texting
No, I do not want to be contacted via texting
Not applicable- I do not currently have a cell phone or I am not able to receive texts
You answered Yes to texting. Who is your Cell Phone Carrier?
AT&T
T-Mobile
Verizon
Sprint
Virgin Mobile
Tracfone
Metro PCS
Boost Mobile
Cricket
Republic Wireless
Google Fi (Project Fi)
U.S. Cellular
Ting
Consumer Cellular
C-Spire
Page Plus
Other
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
We are not able to serve applicants who reside in Hawaii, Alaska or California. You can call the Ticket to Work helpline @ 866-968-7842 and ask for a list of agencies in your state.
For a free job resources list, email
help@myemploymentoptions.com
.
Best wishes,
Employment Options Staff
***Washington DC residents*** Our Work At Home partners do not hire in your area. You can continue this application for assistance with Jobs in your community.
***WARNING*** Our Work At Home partners do not hire in Washington DC. You can continue this application for assistance with Jobs in your community.
How Did You Hear About Us?
*
Internet Search Engine / Google
Social Media
Employment Options
Referral from another Organization
Other (e.g. Word of Mouth, Library, Bulletin Board, etc.)
ASK MEO or ASKMEO.COM
Employment Options
*
Please also choose an answer from the Drop Down Menu Below.
Our Staff
MEO Ambassador Program
Lisa Seeley Success Story
Lori Adler Success Story
On-line Job Fair
Webinar
Automated phone call
Newsletter or Mailing
Postcard from Employment Options by Mail
Other
Who Referred You?
*
Please choose an answer from the Drop Down Menu Below.
Social Security Administration / Maximus
Disability Resource
Vocational Rehab
Choosework/Ticket To Work Website
Other
*If previous answer is 'OTHER', type answer here
*
Please indicate which weekday and time of day is best to reach you.
*
Please provide a business day, Monday-Friday.
Alternate Contact
Please provide information for an alternative person we can contact in case we cannot reach you.
NOTE: We will not try to contact this person until after we have spoken to you directly and received permission.
Alternate Contact Name
*
Alternate Contact Email
Alternate Contact Phone Number
*
Are you currently receiving SSDI or SSI benefits?*
*
SSI (Supplemental Social Security Income)
SSDI (Social Security Disability Income)
Both SSDI & SSI
SSI Retirement
None of the Above
Based on the answer you selected, we are unable to accept your application at this time or provide you with our free employment services.
Our applicants MUST BE currently receiving either SSDI (Social Security Disability Income) or SSI (Supplemental Security Income) (non-retirement) to apply with us, because we work in the Social Security "Ticket to Work" program.
You can email
help@myemploymentoptions.com
for a list of other job resources to help you. You will automatically get a list of resources via email auto-responder.
Best wishes,
Employment Options Staff
What is the official disability date that you were awarded benefits from Social Security?
*
If you are receiving Medicare, you can find your date that Medicare began on your Medicare card. Medicare starts 2 years after the date disability is awarded.
TIP: If you do not know your official disability award date you can call Social Security @ 1-800-772-1213 (OR) go online and create a personal "My Account" @
http://www.ssa.gov/myaccount/
NOTE: If you are unsure of the disability date, please input zeros in all the date fields and move to the next question.
How much are you currently receiving each month from Social Security?
*
Have you recently received a letter from the Social Security Administration that they will be conducting a Medical Review?*
*
Yes, I recently received a letter
No, I have not received a letter
What is the highest level of education that you have completed?
*
High school diploma or GED equivalent
Some College
Two Year College Degree
Four Year College Degree or Higher
I still need to complete my high school diploma or GED
Based on the answer you selected, we are unable to accept your application at this time or provide you with our free employment services. We are not able to serve applicants who have not yet completed a high school diploma or GED because of our virtual nature.
You can call 866-968-7842 and the Ticket to Work Help Line can assist you with finding agencies that offer education resources.
You could also contact your State Department of Vocational Rehabilitation office for GED resources:
help@myemploymentoptions.com
(Automatic email will be generated to you)
Best wishes,
Employment Options Staff
Are you an existing client of Employment Options and already assigned to us?
*
Yes, I am a current client of Employment Options and have my ticket assigned here
No, I am not a client of Employment Options
You answered 'YES' that you are a current and existing client of Employment Options. If you already have your ticket assigned to us and working with a job counselor, you do not need to apply again. If you are trying to apply for one of our jobs, simply contact your assigned job counselor. They will work with you directly and go over job openings! Our number is 1-800-441-3114.
Thank you for your cooperation!
Have you previously submitted an on-line application to Employment Options?
*
Yes, I have previously submitted an online application and didn't qualify for Employment Options' service
No, I have never previously submitted an application with Employment Options prior to today.
You answered "YES" that you have previously submitted an online application with us and didn't qualify after our screening process. We do ask applicants who have previously applied with us and didn't qualify, to not submit a new application unless we have instructed you to.
If you feel your situation has changed since your last application, please call Shieka at 800-441-3114 ext 754 to determine if we need you to submit a new application.
Ticket to Work Resources: We are one agency out of hundreds in the Ticket to Work program! Applicants on SSDI/SSI who did not qualify with us, may be able to receive help from another Employment Network (EN) that has multiple streams of funding or through your State Dept. of Vocational Rehabilitation.
Call Ticket to Work @ 866-968-7842 or visit the Ticket to Work website:
http://www.chooseworkttw.net/about-program/faq.html
For a free job resources list, send an email to
help@myemploymentoptions.com
(An automatic email will be generated to you)
Best wishes,
Employment Options Staff
What is the SSA-determined disability that enables you to receive SSDI or SSI Benefits?
*
*Employment Options is an Employment Network authorized by the SSA to implement vocational counselling benefits
Are you willing to use the guidelines of Ticket to Work and earn over $940.00 per month? (see below)
*
Yes, I am willing to earn over $940 per month, with the help of Ticket to Work
No, I am not willing to earn over $940 a month
You answered SSDI. If you have worked while on benefits, have you used up 'All' of your 9 month Trial Work Period months?*
*
Yes, I have used up all 9 Trial period months
No, I have not used up all 9 trial period months
I have not worked at all while receiving SSDI. Not Applicable
*If you have worked while on Social security benefits and are unsure of how many trial work period months you have used up, you can call Social Security at 800-772-1213 and ask for a BPQY (Benefits Planning Query)
[Per SSA website]- During a Trial work period (TWP), a beneficiary receiving Social Security disability benefits (SSDI) may 'test' their ability to work for at least 9 months and still be considered disabled. During a Trial work period, a person will still receive full Social Security benefits and health insurance, regardless of how much is earned, as long as, they report work activity. In 2021, a Trial work month is any month in which total monthly earnings are over $940. To read more about Ticket to Work & SSDI benefits, visit
http://www.ssa.gov/oact/cola/twp.html
Is It Your Long Term Goal to Become Financially Independent?
*
Yes, it is my long term goal to become financially independent
No, it is not my long term goal to become financially independent
Our Screening staff will go over this question and your answer more thoroughly after you submit your application. The overall goal of the Ticket to Work Program is to help those on SSDI or SSI to become more self sufficient.
How many hours do you want to work?
*
Full-time
Part-time
What Is Your Age?*
*
*Employment Options asks this question only to help determine eligibility in the Ticket to Work Program. Social Security guidelines for the program state that those eligible must be receiving SSDI or SSI disability benefits and be between the ages of 18-64 years old.
You answered that you are younger than 18. We are unable to serve applicants that are under the age of 18. The Social Security Administration sets the guidelines for the Ticket to Work Program that we have to adhere to. For other resources that might help in your job search, you can review our
Referral Resources
page.
Have you ever assigned your Ticket to Work?
*
Yes
No
Do you currently receive job placement services from another employment network or State Department of Vocational Rehabilitation (VR)?
*
Yes
No
You answered 'YES' to currently receiving job placement services from another EN or VR agency.
You can still complete our application. However, please note that you will have to close your VR case and dis-assign your ticket from that agency, (if we determine that we can help you & if you want our job placement assistance). A beneficiary’s 'ticket' to work cannot be assigned to more than one agency at a time, per Ticket to Work guidelines (our staff can give you instructions).
If you have worked with a State Department of Vocational Rehabilitation (VR) Agency - was closure successful or unsuccessful?
*
Yes, I found employment with VR
No, I did not find employment with VR
I have never worked with a State Department of Vocational rehab office
Our Screening staff will go over this question and your answer more thoroughly after you submit your application. We can explain the guidelines of the program.
Are you a Veteran?
*
Yes
No
Were you discharged under honorable conditions?
*
Yes, I was discharged under honorable conditions
No, I was not discharged under honorable conditions?
Is your disability related to your military service?
*
FYI Returning to work will not affect your service-connected disability benefits.
Yes, my disability is related to my military service
No, my disability is not related to my military service
Were you referred to Employment Options by Wounded Warriors?
*
Yes, I was referred directly by Wounded Warriors
No, I was not referred by Wounded Warriors
Do you have reliable transportation?
*
Yes
No
Have you ever been convicted of a Felony?
*
Yes
No
Please include the year and type of felony that is on your record.
Old drug felonies may be OK.
Have you ever been arrested for a misdemeanour for theft or fraud?
*
Yes
No
Could you pass a drug test?
*
Yes
No
Not sure/depends
Are you able to hear without the assistance of a TTY relay service or other assistive methods?
*
Yes, I can hear fine and on my own without assistance
No, I cannot hear well and often/sometimes need assistance to hear
We are very sorry, but because Employment Options is an entirely Virtual company, with no face to face meetings, we are unable to properly assist deaf beneficiaries and/or those who need a relay service or interpreter.
Another Employment Network, Deaf Employment Business Solutions (DEBS), works specifically to help the deaf or hard of hearing find work in the Ticket to Work program.
http://www.debsllc.org/debstickettowork.html
There are also hundreds of Employment Networks and agencies in the Ticket to Work program. You can call 866-968-7842!
Also, for a complete job resources list, send an email to
help@myemploymentoptions.com
(Automatic email will be generated to you) Best Wishes,
Employment Options Staff
Are you able to speak clearly or is it difficult for you to verbally communicate?
*
Yes, I can speak clearly and without assistance
No, I have a difficult time speaking clearly
We are very sorry, but because Employment Options is an entirely Virtual Employment network, with no face-to-face meetings and the ways we must communicate with clients, we are unable to assist those with severe speech difficulties.
There are hundreds of other Employment Networks and agencies in the Ticket to Work program. The resources email below includes a website to find other agencies. There are also hundreds of Employment Networks and agencies in the Ticket to Work program. You can call 866-968-7842 for assistance!
Also, for a complete job resources list, send an email to
help@myemploymentoptions.com
(Automatic email will be generated to you)
Best Wishes,
Employment Options Staff
CREDIT HISTORY
Please answer honestly!
Many of our work from home employers will do a formal credit check and they have very specific reasons for rejection. Your answers will not disqualify you. We do have some employers that do not run a credit check and credit requirements vary from one job to another.
Do you have any ongoing or pending lawsuits that could possibly affect you returning to work? (e.g. Car accident, Worker's compensation claims, Criminal, etc.)
*
Yes
No
Are you more than $10,000 in debt?
*
Yes
No
Do you have any student loans?
*
Yes, they are in good standing
Yes, but they are deferred
Yes, they are in default
No, I do not have any student loans
Have you had any judgements, charge-offs, repossessions or bankruptcies in the last 5 years?
*
Yes
No
* If you are unsure, please go to
www.annualcreditreport.com
, where you can pull your credit report for free.
Do you have the ability to directly connect your computer to your Internet or cable modem?
*
Yes, I am able to directly connect my computer to my internet/modem
No, I am not able to directly connect my computer to the internet/modem
DIRECT CONNECT means that you CANNOT use a router and/or a wireless technology to connect to the Internet. Your Internet cable/cord must directly connect into your computer (PC)
You answered that you are unable to directly connect your internet/cable modem to your PC. NONE of our work from home employers allow wireless connections due to security concerns.
HINT: You can always hook your computer during work directly to your internet and then use your router during non-working hours.
Do you have the ability to directly connect your computer to your Internet or to the cable modem?
*
Yes, I am able to directly connect my computer to my internet/modem
No, I am not able to directly connect my computer to the internet/modem
DIRECT CONNECT means that you CANNOT use a router and/or a wireless technology to connect to the Internet. Your Internet cable/cord must directly connect into your computer (PC)
You answered that you are unable to directly connect your internet/cable modem to your PC. NONE of our work from home employers allow wireless connections due to security concerns.
You may still complete the application for community positions.
HINT: You can always hook your computer during work directly to your internet and then use your router during non-working hours.
Do you have a land line phone line or can you get one if needed?
*
Yes, I currently have a landline phone
No, I do NOT have a landline phone. -- "Yes" I am able to get one if needed.
No, I do NOT have a landline phone. -- "No" I am unable to get one if needed.
NOTE: A land line phone is a traditional phone line that goes through your telephone company's lines --NOT-- over the internet. A land line phone always plugs into a wall jack NEVER the computer.
**Special Note** Most phone companies have a reduced rate for people receiving SSI or SSDI.
Are you comfortable using the Internet? Know common shortcuts? Able to install software?
*
Yes
No
Are you able to sit for 4+ hours a day at a computer?
*
Yes
No
Can you set aside regular set hours for working at home and not be distracted or interrupted during those hours?
*
Yes
No
This includes no distractions from babies, pets, TV's or other background noise.
All of the work from home employers we work with require that a person work set hours and are W-2 positions. If you are physically or emotionally unable to work set hours, we will be unable to assist you directly with a work from home position.
You can also call Maximus (Ticket to Work Help line) at 866-968-7842 for help finding other Employment networks in the program as well. You can email
help@myemploymentoptions.com
for a list of other job resources to help you. You will automatically get a list of resources via email autoresponder.
Thank you for your interest in Employment Options
Can you set aside regular set hours for working at home and not be distracted or interrupted during those hours ?
*
Yes
No
This includes no distractions from babies, pets, TV's or other background noise.
All of the work from home employers we work with require that a person work set hours and are W-2 positions.
You may still complete the application for a community position.
Are you able to read without assistive technology program (ex. Zoomtech, Jaws)
*
Yes, I am able to read and use the computer without needing assistive technology programs
No. I require the use of technology programs such as Zoomtech or Jaws to read
Unfortunately, at the present time, none of our work-from-home partner companies have software that is compatible with Jaws and/or Zoomtech. People using Zoomtech limit their ability to work at home because the nature of the work requires employees to have 10-12 windows open at one time on their browser.
You can also call Maximus (Ticket to Work Help line) at 866-968-7842 for help finding other Employment networks in the program as well. You can email
help@myemploymentoptions.com
for a list of other job resources to help you. You will automatically get a list of resources via email autoresponder.
Thank you for your interest in Employment Options
Are you able to read without assistive technology program (Ex. Zoomtech , Jaws)
*
Yes, I am able to read and use the computer without needing assistive technology programs
No. I require the use of technology programs such as Zoomtech or Jaws to read
Unfortunately, at the present time, none of our work-from-home partner companies have software that is compatible with Jaws and/or Zoomtech. People using Zoomtech limit their ability to work at home because the nature of the work requires employees to have 10-12 windows open at one time on their browser.
You may still complete the application for a community position.
Which Work at Home job on our website do you qualify for and have the most interest in? Type the MEO number.
*
To view our jobs:
https://www.myemploymentoptions.com/job-openings/
TYPING TEST
Please open the website
www.typingtest.com
. Complete the two minute typing test. Then, input your test results below.
#1 Typing Speed (WPM-Words per Minute)
*
#2 Errors (Words)
*
#3 Accuracy (%)
*
#4 Adjusted Speed (WPM - Words per Minute)
*
What Type of Computer will you be using at home?
*
I will be using a LAPTOP
I will be using a DESKTOP
How Old Is The Computer (Desktop or Laptop) That You Will Use When Working?
*
My computer is between 1 and 5 years old
My computer is older than 5 years
My computer is less than 1 year old
We are sorry but based on your answer, your computer is older than what our employer partners ask for and what is compatible with their specific software for work at home positions.
If you decide to use a different system or obtain a newer computer in the future, please feel free to return to this application and apply again at any time.
You can also send an email to
help@myemploymentoptions.com
to receive an automatic list of job resources. Within the resource email, you will find a website for other agencies in the Ticket to Work program.
Thank you for your interest in our company!
Based on your answer, your computer is older than what our employer partners ask for and what is compatible with their specific software for work at home positions.
You may still complete the application for a community position.
What type of PC Operating System will you be using at home?
*
Window 7
Windows 8
Windows 8.1
Windows 10
Vista
XP
All in One PC system
MAC (Apple) system
Cell Phone
**Special Note: Windows 7, Vista, MAC's, All-In-One PC's and Cell phones are 'Not Acceptable' for our Work At Home program. If you have questions, please call us at 800-441-3114 Ext 0.
We do not accept Work At Home applicants applying with a Windows 'VISTA' or 'XP' or 'Windows 7' operating systems. Microsoft ended Mainstream support and updates for XP and Vista operating systems some time ago, and therefore can no longer get important security updates etc. Effective January 14, 2020, Microsoft will also stop providing updates and support for Windows 7.
All-in-one PCs, MACs and cell phones are also not accepted by most of our Work from Home employers as Microsoft systems are largely preferred.
You are welcome to upgrade your Operating system to another version and come back and apply with us at any time.
For referral sources, you can email
help@myemploymentoptions.com
for a list of other general resources to help you.
You can also call the' Ticket to Work Help Line) at 866-968-7842 for help finding other Employment networks. Thank you for your interest in Employment Options!
Type of PC Operating System will you be using at home?
*
Window 7
Windows 8
Windows 8.1
Windows 10
Vista
XP
All in One PC system
MAC (Apple) system
Cell Phone
**Note: For those with Windows 7 systems: Starting January 14, 2020, Microsoft will No longer provide updates or support for Windows 7. Effective 10/30/19, due to Microsoft's announcement, Employment Options will no longer be able to accept Windows 7 applicants for our Work At Home program. Our employer partners that we work with will soon no longer be accepting applicants with Windows 7. MAC's, All-In-One PC's and Cell phones are also 'Not Acceptable' for our Work At Home program.
We do not accept Work At Home applicants applying with a Windows 'VISTA' or 'XP' or 'Windows 7' operating systems. Microsoft ended Mainstream support and updates for XP and Vista operating systems some time ago, and therefore can no longer get important security updates etc. Effective January 14, 2020, Microsoft will also stop providing updates and support for Windows 7.
All-in-one PCs, MACs and cell phones are also not accepted by most of our Work from Home employers as Microsoft systems are largely preferred.
You may still complete the application for a community position.
What type of Processor will you be using at home?
*
Single Core (lower than i3)
Dual Core (i3, i5 or i7)
Quad Core (i3, i5, i7)
Other/unknown
What is your processor speed? (GHz)
*
*Only type the number, not unit of measure. To find, go to "Control Panel" then choose "Systems"
How much RAM do you have? (GB)
*
*Only type the number, not unit of measure. To find, go to "Control Panel" then choose "Systems"
What is the size of the monitor that you will use for work? (inches)
*
*Many employers require specific size monitors for their software. Measure screen size diagonally.
INTERNET SPEED TEST
Please open
http://speedtest.myemploymentoptions.com/
and perform a speed test for your internet upload and download speeds. Please input the numbers in the corresponding fields below. Our Work at home employers request this information and you must have a specific minimum speed to use their technology.
Please input your DOWNLOAD SPEED result here. (Only input the number- do not include the MBPS unit of measure)
*
Example: If the speedtest result for download speed is 4 MBPS. You will input 4 in the answer field.
Based on the answer you provided, your internet Download speed does not meet our minimum requirement for work from home positions. Our employer partners provide us with specific speeds that must be in place in order to use their software. The minimum currently is 1.0 MBPS or greater.
You are welcome to check with your Internet provider about an upgrade and re-apply anytime on our website. To find other agencies in the program you can call the main Ticket to Work helpline @ 866-968-7842.
Best Wishes,
Employment Options Staff
Please input your DOWNLOAD SPEED result here . (input the number only- do not include the MBPS unit of measure)
*
Example: If the speedtest result for download speed is 4 MBPS. You will input 4 in the answer field.
Based on the answer you provided, your internet Download speed does not meet our minimum requirement for work from home positions. Our employer partners provide us with specific speeds that must be in place in order to use their software. The minimum currently is 1.0 MBPS or greater.
You may still complete the application for a community position.
Please input your UPLOAD SPEED result here. (Only input the number- do not include the MBPS unit of measure)
*
Example: If the speedtest result for Upload speed is 4 MBPS. You will input 4 in the answer field.
Based on the answer you provided, your internet Upload speed does not meet our minimum requirement. Our employer partners provide us with specific speeds that must be in place in order to use their software. The minimum currently is 1.0 MBPS or greater.
You are welcome to check with your Internet provider about an upgrade and re-apply anytime on our website. To find other agencies in the program you can call the main Ticket to Work helpline @ 866-968-7842.
Best Wishes,
Employment Options Staff
Please input your UPLOAD SPEED result here. (input the number only- do not include the MBPS unit of measure)
*
Example: If the speedtest result for Upload speed is 4 MBPS. You will input 4 in the answer field.
Based on the answer you provided, your internet Upload speed does not meet our minimum requirement. Our employer partners provide us with specific speeds that must be in place in order to use their software. The minimum currently is 1.0 MBPS or greater.
You may still complete the application for a community position.
Experience and Work Goals
Why do you want to return to work at this time? Type at least 2 paragraphs (Include how many hours a week you want to work)
*
The Customer Service Experience that we ask for in the next question MUST BE in the last 10 years.
Please describe your Customer Service experience or background that you have -- that is at least 1 year or more -- from a past job or volunteer experience." (Examples of Customer Service could include cashier, tech support, sales, customer service rep, etc)
*
What is your 'Vocational Goal' for the next 3-18 months? (please read explanation below)*
*
*A Vocational Goal is the specific 'kind' of occupation or educational goal that you plan to be doing in 3-18 months. Common examples of job titles could include (but are not limited to):
Working from home as a Customer Service Representative, Administrative Support, or as Technical Support Representative. Other examples include working as a Sales Representative, Customer Service Representative, or a Marketing Representative.
What is Your Long Term Vocational Goal?
*
Type ONE brief sentence as to what you hope your long term vocational goal (job titles you want to target) might be. This is very Important to us so * Please read and be precise* - This is information is also used on the Individual Work Plan that will be sent to you at a later date if you make it through the screening process.
WORK HISTORY
Check all that apply:
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Currently Working
No earnings in the past 18 months
Earnings in the month prior to the month Ticket assigned
Earnings in 3 of the past 6 months
Earnings in 6 of the past 12 months
Earnings in 12 of the past 18 months
Have you ever Worked since going on Disability benefits? (If yes, type the start & end dates along with where you worked)
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*If you have not worked, please type "I have never worked while receiving benefits"
Please fill in the Work history fields below starting with
your most recent job first
. Please complete each field specifically and do not just put 'see resume.' You can still attach your resume (if you have one) at the end of this section. If you have 'never' worked, but have volunteer experience, please enter that as work history. We are unable to assist job hunters with no work history with the exception of recent college grads.
Job #1 - EMPLOYER NAME
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Example: XYZ, Inc.
JOB #1 - START DATE
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Month/Year (ex. 10/2005)
JOB #1 END DATE
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Month/Year (ex. 10/2005 or Present)
JOB # 1 - JOB TITLE
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JOB #1: JOB DUTIES (Description)
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(Examples only: answered phones, took orders, responded to emails and filing records)
JOB #1 HOURS: Approximately how many hours did you work per week?
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Example: 20 - 25 hours, 30 - 35 hours. 40 hours
JOB #1 PAY - What was your rate of pay for this job?
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ex. $12.00 per hour
JOB #2 - EMPLOYER NAME
Example: XYZ, Inc.
JOB # 2 - JOB TITLE
JOB #2 START DATE
Month/Year (ex. 10/2005)
JOB #2 END DATE
Month/Year (ex. 10/2005)
JOB #2: JOB DUTIES (Description)
(Examples only: answered phones, took orders, responded to emails and filing records)
Job#3 - EMPLOYER NAME
Job#3 - JOB TITLE
Job#3 - START DATE
Month/Year (ex. 10/2005)
Job#3 - END DATE
Month/Year (ex. 10/2005)
Job#3 - JOB DUTIES
(Example only: . answered phones, took orders, responded to emails and filing records)
Job#4 - EMPLOYER NAME
Job#4 - JOB TITLE
Job#4 - START DATE
Month/Year (ex. 10/2005)
Job#4 - END DATE
Month/Year (ex. 10/2005)
Job#4 - JOB DUTIES
(Example only: . answered phones, took orders, responded to emails and filing records)
RESUME UPLOAD: If you have a Resume, please upload it here.
Accepted file types: doc, docx, pdf.
*We can only accept the following file types: doc, docx or pdf format. We understand that not everyone will have a resume. If you do not have one, simply skip this question.
Company Origin