Employment Partners strives to empower individuals towards self-sufficiency by providing the skills and support needed to succeed in the workplace.

As an approved Employment Network in the Social Security Administration’s Ticket to Work and Self-Sufficiency Program, Employment Partners offers pre-employment and post-employment services to “Ticket Users.”

To be eligible for assistance under the Ticket program, you must be between the ages of 18 and 64 years of age, currently receiving Supplemental Security Income (SSI) and/or Social Security Disability Income (SSDI), and be interested in attempting a return to work under the protections of the Ticket Program. These protections, or what we refer to as “safety nets,” allow individuals receiving Social Security disability benefits an opportunity to try to work, while protecting their benefits.

Employment Partners provides comprehensive employment services that include benefits counseling, resume building, interviewing skills, and job search and placement assistance. In addition we will provide support services once you have obtained employment and will be available for information and assistance with reasonable accommodations in the workplace. Our employment services are provided at no cost to you.

Application for DisAbility Partners Employment Services

Thank you for your interest in the employment services of DisAbility Partners and Ticket To Work. Please note the Ticket to Work Program is only available to persons who are receiving SSDI or SSI.

We service 14 Western North Carolina counties: Buncombe, Henderson, Madison, McDowell, Polk, Rutherford, Transylvania, Haywood, Jackson, Macon, Swain, Cherokee, Graham and Clay.

As part of our efforts to provide Individualized Services to our clients we ask you to please complete this questionnaire. By doing so, it will help insure that, we, as a provider, are able to meet your needs. Please make every effort to fully and clearly answer all questions. If you require any assistance you may contact Eva Reynolds Employment Network Coordinator at 828-298-1977 or email This email address is being protected from spambots. You need JavaScript enabled to view it..

Please complete form below and hit the “submit” button when you’re done. We will contact you after reviewing the information provided.

Last Name(*)
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First Name(*)
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Middle Initial
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Street Address(*)
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City(*)
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State(*)
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ZIP Code(*)
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Home Phone(*)
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Cell Number
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Best Time to Call
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Email Address(*)
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Date of Birth(*)
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SSDI Benefit Amount Received(*)
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SSI Benefit Amount Received(*)
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Are you currently working?(*)
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Date you Last Worked

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Date of Your Disability

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Are you Working with VR?(*)
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If Yes, VR Name:
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Are You Currently Working with an Employment Network?(*)
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If Yes, Employment Network Name:
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What are your Career Goals? (i.e. work full time, career you seek)(*)
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Highest Level of Education Completed
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If you have Special Training or a Degree, what Field is it in?
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List any Licenses or Certifications, which Field they are in, and if they are Current:
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Do you have a Valid Driver License?(*)
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Do you Own a Vehicle?(*)
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If no, How do you Plan to Get to Work?
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Please note: Ticket assignments to Disability Partners Employment Network Services are accepted on a case-by-case basis. Submission of this form does not guarantee ticket assignment. The form is used so that we can properly evaluate the needs of each Ticket-to-Work ticket holder.
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