DSAGC Employment Questionnaire

The goal of this questionnaire is to give the Down Syndrome Association of Greater Cincinnati a better understanding of your employment history, desires, goals, and preferences. With this information, we will be able to help match employers with interested candidates who are qualified for the position and ready to become employed. Note, all information will be kept confidential until permission is given.
1.First and Last Name
2.Email Address
3.Have you ever been employed?
4.Are you currently employed?
5.Do you have a ride to work?
6.How far from home are you willing to travel for work?
7.How would you get to work?
8.Do you need help finding a ride to work?
9.How many days do you want to work?
10.How many hours do you want to work per day?
11.Do you have a Job Developer / Coach?
12.Are you connected to Opportunities for Ohioans with Disabilities (OOD), the Kentucky Office of Vocation Rehabilitation, or another state agency (IN)?
13.Do you have a state waiver?

14.Do you have a resume or an employment profile document?
15.Would you like a job that regularly uses money (including making change) or math?
16.Would you like a job that required reading and writing?
17.How frequently do you use a computer?
18.Do you use a cell phone?
19.Do you have any specific adaptations or accommodations needed to perform a job? (large font, step stool, sensory triggers, etc)
20.Can you stand for periods of time?
21.Can you lift and carry 15 pounds?
22.Do you like working with customers? 
23.I am happiest when I am....
24.My biggest strengths are....
25.My ideal job environment would be...
26.What else should we know about you?