Disability Connections — Independent Living Coordinator Candidate Questionnaire
Answer questions about your experience, judgment, communication, and understanding of the Independent Living Coordinator role.
SECTION 1 — APPLICANT INFORMATION
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Telephone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Position Applied For
*
Please Select
Independent Living Coordinator — Full-Time
Where did you learn about this position?
*
Please Select
Disability Connections website
Questco/PrismHR
Indeed
LinkedIn
GVRA referral
College or university
Disability organization
Employee or community referral
Another job board or website
Other
SECTION 2 — UNDERSTANDING THE POSITION
QUESTION 1 — After reviewing the job description and Disability Connections’ website, describe your understanding of an Independent Living Coordinator’s role. How is this work different from direct care, personal care, or performing tasks for someone?
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Please provide a clear and complete response. A few well-developed paragraphs are sufficient.
QUESTION 2 — A consumer contacts Disability Connections and describes several concerns, including housing, transportation, and difficulty getting information from another agency. How would you approach the conversation, determine what is most important to the consumer, and decide what to do next?
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Please provide a clear and complete response. A few well-developed paragraphs are sufficient.
QUESTION 3 — A consumer in Middle Georgia needs accessible transportation for an upcoming appointment. Explain how you would research possible resources, what online tools you would use, and how you would verify that the information is accurate and current.
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Please provide a clear and complete response. A few well-developed paragraphs are sufficient.
SECTION 3 — DOCUMENTATION EXERCISE
Jordan needs accessible transportation to an appointment next Thursday. Jordan already contacted one provider, but it does not serve Jordan’s county. You discussed two possible resources. Jordan chose to contact the first resource independently and asked you to email the second resource. Jordan agreed to contact Disability Connections again if neither option works.
QUESTION 4 — Write a brief service note based on this situation as though it were being entered into the consumer’s service record. Do not add facts that are not included in the scenario.
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Please provide a clear and complete response. A few well-developed paragraphs are sufficient.
SECTION 4 — TEAMWORK
You receive a consumer question and are not confident that you have complete or accurate information. Another teammate may have experience with the issue, but the consumer would like an answer quickly. What would you do, and how would you communicate with the consumer and your team?
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SECTION 5 — LEADERSHIP AND ACCOUNTABILITY
Describe a time when a supervisor, team lead, or coworker corrected your work or asked you to change how you completed a task. How did you respond, what action did you take, and how did you make sure the issue did not continue?
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SECTION 6 — TECHNOLOGY
Tell us about a database, documentation system, project-management platform, or other workplace technology you have used. If assigned a system you had never used, how would you learn it and ensure your entries were complete and accurate?
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SECTION 7 — ADDITIONAL INFORMATION
Additional qualifications or experience
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I reviewed the responses and confirm they accurately represent my experience and judgment.
*
I confirm
SECTION 8 — ACCESSIBILITY
Would you like Disability Connections to contact you about an accommodation or an alternative way to participate in the hiring process?
Yes
No
Preferred contact method
Please Select
Phone
Email
Text message
Other
Optional accommodation request
Do not provide a diagnosis, medical records, or detailed medical information.
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