Work From Home | Ticket to Work | My Employment Options

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?*

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?
Address*
Street Address Address Line 2 City State ZIP Code
Address*
Street Address Address Line 2 City State ZIP Code
Address*
Street Address Address Line 2 City State ZIP Code
We are not able to serve applicants who reside in Hawaii or Alaska. The jobs that we place clients in only hire in the 48 Hiring contiguous states. You can call the Ticket to Work helpline @ 866-968-7842 and ask for a list of agencies in your state.
***California residents*** If you are currently receiving SSDI/ SSI benefits, you can contact one of our partners directly:
TCOE/A Ticket to Success/MOVE
Linda Patino, Regional Coordinator
Toll Free: 800.540.0307
http://www.tcoe.org/TicketToWork/
For a free job resources list, email help@myemploymentoptions.com.
Best wishes,
Employment Options Staff
***Washington DC and New England State residents*** Our Work At Home partners do not hire in your area. If you are still interested in a job in your community, please change the your answer to the first question on the previous page accordingly.
For a free job resources list, email help@myemploymentoptions.com.
Best wishes,
Employment Options Staff
***Washington DC and New England State residents*** Our Work At Home partners do not hire in your area. If you are interested in a job in your community, you may change the your answer to the first question on the previous page accordingly.
For a free job resources list, email help@myemploymentoptions.com.
Best wishes,
Employment Options Staff
How Did You Hear About Us?*
Employment Options*
Please also choose an answer from the Drop Down Menu Below.
Who Referred You?*
Please choose an answer from the Drop Down Menu Below.
*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 willing to use the guidelines of Ticket to Work and earn over $880.00 per month? (see below)*
- Yes, I am willing to earn over $880 per month, with the help of Ticket to Work
- No, I am not willing to earn over $880 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 2019, a Trial work month is any month in which total monthly earnings are over $880. 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.

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.

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!
Please input the old of 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
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.

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 too):

Working from home as a Customer Service Representative, Administrative Support, or aas 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:*
Have you ever Worked since going on Disability benefits? (If yes, type the start & end dates along with where you worked)*
*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*
Example: XYZ, Inc.
JOB #1 - START DATE*
Month/Year (ex. 10/2005)
JOB #1 END DATE*
Month/Year (ex. 10/2005 or Present)
JOB # 1 - JOB TITLE*
JOB #1: JOB DUTIES (Description)*
(Examples only: answered phones, took orders, responded to emails and filing records)
JOB #1 HOURS: Approximately how many hours did you work per week?*
Example: 20 - 25 hours, 30 - 35 hours. 40 hours
JOB #1 PAY - What was your rate of pay for this job?*
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.

Work At Home Application

This application must be completed on a computer or laptop.

Step 1 of 18

Contact Details

Alternate Contact

CREDIT HISTORY

TYPING TEST

INTERNET SPEED TEST

Experience and Work Goals

WORK HISTORY