Support Coordination Expression of Interest

Support Coordinator Application
Part 1: Personal Details
Name

First NameLast Name
E-mail
Mobile Number
Residential Address:
Preferred contact method:

EmailPhone
How did you hear about My Supports?

Search Engine (Google, Yahoo, etc.)Social MediaPrinted AdvertisementWord of MouthOther
Part 2: Professional Background
How many years experience do you have as a Support Coordinator?

0 -6 months1 year2 years3 years4 years5+ years
Please briefly explain your experience in Support Coordination:
Do you have any relevant qualifications?

YesNo
If yes, please provide details
Part 3: Caseload Information
Number of Active Participants you currently support:
Are you able to transfer your current caseload to My Supports?

YesNo
If yes, please briefly describe your caseload
Part 4: Alignment with My Supports
Why are you interested in joining My Supports?
How do you feel your values align with our person-centered-values-based approach?
I have lived experience of disability, as a family carer or friend or I am a person with a disability.

YesNo
Please describe how your lived experience (either personal or through caregiving) influences your approach to Support Coordination:
Part 5: Work Preferences
Are you interested in working under our work-from-home model?

YesNo
Are you interested in full time or part time employment?

Full timePart time
If part time, what are your desired work hours?
What is your preferred start date?
Part 6: Additional Information
Are there any other details or experiences you'd like to share that support your expression of interest in this role?
Part 7: Attached Documents

If you would like to, upload your resume below
Resume *

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Thank you so much for your application to work with us at MySupports.
We will reach out to talk about next steps.
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Support Coordinator Application

Part 1: Personal Details

Part 2: Professional Background

Part 3: Caseload Information

Part 4: Alignment with My Supports

Part 5: Work Preferences

Part 6: Additional Information

Part 7: Attached Documents