Self-Direction Employment Interest Form Home > Services > Office for People With Developmental Disabilities > Self Direction > Self-Direction Employment Interest Form A A A Please fill out the form below if you are interested in being matched with families seeking self-direction staff or would like more information on becoming a self-direction staff member. Please note: This is NOT an application for employment. If you have questions please reach out to arsd@heritagechristianservices.org. Name(Required) First Last Email(Required) PhoneWhat is your preferred method of contact?(Required) Call Text Email May we share your information with families seeking self-direction staff?(Required) Yes No Are you currently onboarded with Heritage Christian Services? Yes No What towns/counties are you willing to travel to for work?What is your work availability?Please include specific days and times.What is your desired pay rate? Please list any relevant work experience(s).