Application

"*" indicates required fields

Step 1 of 7

Welcome! To qualify for free employment and benefit counseling services from My Employment Options (MEO) 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)

This field is hidden when viewing the form

utm_campaign

Which benefits are you currently receiving?*

SSI (Supplemental Social Security Income)

SSDI (Social Security Disability Income)

Both SSDI & SSI

SSI Retirement

None of the Above

Based on your answer, you may qualify for a free employment assessment from our other division, Ask MEO, that assists job seekers who are not on Social Security disability benefits. You will now be transferred to their website to complete the application process.

Continue to AskMEO

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

Contact Details

Legal Name*

First Last

Nickname

Email*

Enter Email Confirm Email

Mobile Phone Number*

Home or other Phone Number

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

SMS / Text Consent: By providing a telephone number and submitting this form you are consenting to be contacted by Employment Options, Inc. by SMS text messages.

Cost: Message & data rates may apply
To stop receiving text messages: you can opt out from receiving text messsages from us at any time. Reply with the word STOP and you will be removed from our text list.
Getting help: You can get more help by texting the word HELP.
Privacy Policy: View our Privacy Policy at https://myemploymentoptions.com/privacy-policy/
Frequency: We typically send around 2-3 messages a week. The actual number of messages may very depending on your needs.

Address*

Street Address Address Line 2 City State ZIP Code

We are not able to serve applicants who reside in Alaska or Hawaii. You can call the Ticket to Work helpline @ 866-968-7842 and ask for a list of agencies in your state. The program itself has agencies in all 50 states.
For a free job resources list, email [email protected].
Best wishes,
Employment Options Staff

This field is hidden when viewing the form

How Did You Hear About Us?*

Please indicate which weekday and time of day is best to reach you.*

Please provide a business day, Monday-Friday.

Thank you for your interest in the free federal Ticket to Work Program. Based on your answer, you would not qualify. Recipients have to be receiving SSDI and/or SSI disability and be between the ages of 18-64. Social Security manages the guidelines.

You can email [email protected] for a list of other job resources.

Or go to our website and hover over “About Us” and “FAQ” for additional resources.

Thank you!
Employment Options Staff

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: http://www.askearn.org/state-vocational-rehabilitation-agencies/
For a job resources list, email [email protected] (Automatic email will be generated to you)
Best wishes,
Employment Options Staff

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.

We are unable to serve applicants that are under the age of 18 or 65 and older. 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.

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

If you are a CURRENT CLIENT, please contact your job counselor or contact us at 1-800-441-3114 to get in touch with someone who can assist you.

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
Best wishes,
Employment Options Staff

TYPING TEST

Please open the website www.typingtest.com. Complete the two minute typing test. Then, input your test results below. My Employment Options does not own the typing test website. There may be ads on the testing site.

#1 Typing Speed (WPM-Words per Minute)*

#2 Errors (Words)*

#3 Accuracy (%)*

#4 Adjusted Speed (WPM – Words per Minute)*

INTERNET SPEED TEST

Please open https://www.speedtest.net/ and perform a speed test for your internet upload and download speeds. Please input the numbers in the corresponding fields below. Note: The link above will take you to an external site that could have pop ups and is not owned by My Employment Options. 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 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 can continue with the application and our screening staff will discuss this issue further when they contact you.

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 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.

WORK HISTORY

Check all that apply:*

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. If you have not worked, please type “I have never worked while receiving benefits.”

Please upload a Resume if you have one and fill out the work history section below. If you have ‘never’ worked, but have volunteer experience, please enter that as work history.

RESUME UPLOAD:

Accepted file types: doc, docx, pdf, Max. file size: 64 MB.

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)

This field is hidden when viewing the form

Company Origin

This field is hidden when viewing the form

Current Company Origin

Application

Contact Details

TYPING TEST

INTERNET SPEED TEST

Experience and Work Goals

WORK HISTORY

QUICK LINKS

GET IN TOUCH