OCFS-2150. State Rehabilitation Council Application Form

Form NYS Office of Children and Family Services-2150, State Rehabilitation Council Application Form is a form used by individuals to apply for membership to the State Rehabilitation Council (SRC) for the state of New York. This form is used by the Office of Children and Family Services (OCFS) to assess potential SRC members for appointment.

The parties involved in this form are the individual applying for membership to the SRC and the OCFS. The form consists of several sections such as Personal Information, Employment History, Education History, and Professional Affiliations. It also includes additional sections such as a Statement of Interest, Resume, and References.

The important fields in this form include the Personal Information section, which requires the applicant to provide their contact information, such as name, address, phone number, and email address; the Employment History section, which requires the applicant to provide their current job title and employer; and the Education History section, which requires the applicant to provide their highest level of education and any relevant degrees or certifications. Additionally, the Resume section requires the applicant to provide a resume of their work experience and the References section requires the applicant to provide references and their contact information.

This form would typically be used by individuals who are interested in being a member of the State Rehabilitation Council and wish to apply for the position. The benefits of completing the form include being considered for appointment to the SRC, which can be a valuable experience for those interested in advocating for individuals with disabilities.

In addition to the form, applicants may also need to provide additional documents such as a statement of interest and a resume. Related forms include the State Rehabilitation Council Membership Renewal Form, which is used for renewing an existing SRC membership, and the State Rehabilitation Council Meeting Minutes Form, which is used to record meeting minutes for the SRC.