Occupation Profile - Questions? Call 800.973.7687

Occupational Profile Form

Completing this profile will take about 10-15 minutes (for most people). Many individuals that complete this profile find it helpful to have either a list of their prior work experiences or their resume available. Upon completion of this profile, you will immediately receive an email confirmation stating that we have received your information. After review, you will be contacted by telephone or email to either clarify your submission or discussion specific opportunities - as may be available.

A word of caution and support: Be specific. If you are a job seeker with a disability, this may very well be your first step to that next opportunity -please treat it as one. As you complete each section, please do so with the notion that a Sierra employee will be reviewing your materials – therefore, incomplete, grammatically awkward, or poorly spelled materials will not bode well for you. Let the best of who you are come through.

Also, you should note that many of the fields are required. Without these critical pieces of information, we will not be able to effectively assist you.

Read our privacy policy to see how we handle the personal information you give to us.

A paper version of this profile can be sent to you if you make the request in writing to:

The Sierra Group
TTW Profile Project
491 Allendale Rd.
Suite 320
King of Prussia, PA 19406

First Name
(Required)
Last Name
(Required)
Home Address
(Required)
City
(Required)
County
(Required)
State
(Required)
Zip Code
(Required)
Best Telephone Number
to Reach You
(Required)
Email
(Required)
Date of Birth (mm/dd/yy)
Are you currently
working? (Yes/No)
(Required)
Are you receiving
SSI? (Yes/No)
(Required)
Are you receiving
SSDI? (Yes/No)
Are you an active
service member or
a veteran?(Yes/No)
(Required)
If you answered yes to the previous
question, please list the branch of
service in which you served or are
serving.
Please list your highest rank or
current rank.
Are you receiving
any residual benefits
from the Veterans
Administration? (Yes/No)
(Required)
Are you a Veteran
with a service
connected disability? (Yes/No)
(Required)
Describe the nature of the
disability that qualified you
for your SSDI/SSI benefits
Do you currently have
any medical restrictions
that would prevent or
inhibit you from returning
or starting new work? (yes/no)
(Required)
If you do have current medical
restrictions that would prevent
or inhibit you from returning to
or starting work - please describe them
here. If this is not applicable
- please type NA in the
response field.
(Required)
How many hours a week do
you want to work? (enter a
whole number from 1 through 40)
(Required)
How much do you think that
you will earn per hour once
successful in your job search?
(enter any amount from $5.00 per
hour through $100.00 per hour)
(Required)
What is your highest level
of education?
(Required)
When did you achieve this
educational milestone?
(mm/yy)
(Required)
What was your last job title?
(Required)
Do you have a current
resume? (Yes/No)
(Required)
Have you been to a
CareerLink or County Job Center for job
search assistance?
(Yes/No)
(Required)
Are you actively looking
for jobs? (Yes/No)
(Required)
How many jobs have you
applied for in the past 60
days? (any whole number
from 0 through 1000)
(Required)
Are you working with a
Vocational Rehabilitation
Job Coach, Long-Term Disability
Carrier, or the VA? (Yes/No)
(Required)
If yes, which one?
Use NA if you answered No to
the previous question.
(Required)
How many hours per week
do you have available to dedicate
to job (enter a whole
number from 1 through 40)
(Required)

Are you interested in any of these fields?
(check all that apply)

Call Center or Customer Service Work: Work at Home Opportunities: Work in the Healthcare or Allied professions: Information Technology: Equipment Operation or Driving (CDL): Retail:

Describe the type of job that
you are looking for - be specific
about location, hours, pay, desire or
ability to relocate, and challenge.
(Required)
Do you believe that you are
currently qualified and able
to maintain successful
employment in a job as
you have just described?
(Required)
Describe any assistive
technology that you use or own
Assume that the perfect job
is available to you. Please
use the space provided to
compose a cover letter for
this employer. Reference
how your skills and experiences
translate into the opportunity
that you previously described.
(Required)

We would like to receive your suggestions or comments. Please sign our guestbook.

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