Let us know how we’re doing.

Contact LOVE Community

Located in Lincoln, NE

We LOVE hearing from you. If you have any general questions, suggestions, concerns or would like more information about Donations & Volunteer options please email:

Devon at [email protected]

Or you can send a message using the contact form on this page.

    Subject

    Your Message

    If you'd like to receive a response please fill out the information below:

    Your Name

    Your Email

    Your Phone

    Extended Family Home Application

    EFH Requirements:

    • Minimum of 19 years of age
    • High school diploma or GED
    • Valid driver’s license and vehicle insurance
    • A current cover letter and resume
    • 1 year direct care experience supporting individuals with Developmental/Intellectual Disabilities.
    • Successfully complete and pass all background checks including but not limited to:
      • Nebraska Adult and Child Protective Services Central Registry
      • Nebraska State Patrol Criminal Background Check
      • Federal Bureau of Investigation Background Check
      • Office of the Inspector General Report Check
      • And the Nebraska Sex Offender Registry
    • LOVE Community will provide the additional required training.

    LOVE Community is an Equal Opportunity Extended Family Home (EFH) Provider Contractor. EFH Provider Contract offers are made on the basis of qualifications, and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

      Full Name*

      What Name(s) Have You Used In The Past?

      Date of Birth*

      Email Address*

      Primary Phone*

      Other Phone

      In Which County Do You Reside?*

      Please Check Each Statement That Is True For You*

      Have You Provided Direct Support for Individuals with Developmental Disabilities And For How Long?*

      Are You Currently An EFH Provider?*
      YesNo

      Your Current EFH Contract

      If you're not currently contracted as an EFHP with another service provider please skip the next 2 questions

      Name Of The Service Provider You're Currently Contracted With

      How Long Have You Contracted As An EFH With This Service Provider?
      Less than 1 year1 year or more2 years or more3 years or moreMore than 5 years

      Describe How Your Personal And Professional History Has Prepared You To Become An EFH Provider*

      What Interests You Most In Becoming An EFH Provider?*

      Living Environment*

      So You Have Children?*
      YesNo
      If yes, please list how many and age range in the "other" section.

      Do You Have Pets?*
      YesNo
      If yes, please list how many and type of animal in the "other" section

      Living Arrangement*

      Do You Use Tobacco Products?*
      YesNo

      Check Each Characteristic/Need You Would Be Comfortable Supporting*

      What Are Your Interests or Hobbies?*

      Life Style*

      Please Check If Any Of The Following Describe Your Home*

      You Made Plans To Attend A Function & The Companion Decided Not To Attend Last Minute. What Would You Do?*

      How Would You Support A Companion If You Were Working A Day Job & The Companion Became Ill & Needed To Go Home For The Day?*

      How Would You Support A Companion That May Utilize Profanity or Aggressive Behaviors As A Form Of Communication?*

      How Would You Support A Companion In Building Relationships With Members Of The Community?*

      How Would You Support A Companion In Developing Plans For Increasing Their Personal Quality Of Life?*

      What Process Would You Use In Assisting The Companion In Joining In On Family Activities?*

      Criminal History

      Have You Ever Been Convicted Of A Crime?*
      YesNo

      If You've Been Convicted Of A Crime, Provide All Convictions, Including Class Of Conviction(s) (Felony/Misdemeanor), Reason For Conviction(s), Date(s) Of Conviction(s) And Any Rehabilitation That Occurred

      Education

      Please Select The Highest Level Of Education You Have Achieved*

      Please Provide A Detailed List Of Schools That You Attended. Please List The Location (City And State), Credentials Or Diplomas Achieved And Dates Of Attendance*

      Vocational Staff Application

      Voc Staff Requirements:

      • Minimum of 19 years of age
      • High school diploma or GED
      • Valid driver’s license and vehicle insurance
      • A current cover letter and resume
      • Experience supporting individuals with Developmental/Intellectual Disabilities.
      • Successfully complete and pass all background checks including but not limited to:
        • Nebraska Adult and Child Protective Services Central Registry
        • Nebraska State Patrol Criminal Background Check
        • Federal Bureau of Investigation Background Check
        • Office of the Inspector General Report Check
        • And the Nebraska Sex Offender Registry
      • LOVE Community will provide the additional required training.

      LOVE Community is an Equal Opportunity Employer. Offers are made on the basis of qualifications, and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

        Full Name*

        Any Previously Used Name(s)

        Date of Birth*

        Email Address*

        Primary Phone*

        Other Phone

        Please Check Each Statement That Is True For You*

        Have You Provided Direct Support for Individuals with Developmental Disabilities And For How Long?*

        Are You Currently Employed As A Direct Support Staff or Manager?*
        YesNo

        If You Are Or Have Been A Direct Support Staff, Please Provide The Names And Length of Service At Each Employer

        Please Upload Your Most Recent Resume*

        What Interests You Most In Becoming A Voc Staff Member with LOVE Community?*

        Describe How Your Personal And Professional History Has Prepared You To Become A Voc Staff Member*

        Do You Have Independent Means of Safe And Reliable Transportation?*
        YesNo

        Do You Have Current Vehicle Insurance?*
        YesNo

        Criminal History

        Have You Ever Been Convicted Of A Crime?*
        YesNo

        If You've Been Convicted Of A Crime, Provide All Convictions, Including Class Of Conviction(s) (Felony/Misdemeanor), Reason For Conviction(s), Date(s) Of Conviction(s) And Any Rehabilitation That Occurred

        Education

        Please Select The Highest Level Of Education You Have Achieved*

        How Did You Learn About LOVE Community?*
        LOVE Community WebsiteReferred by current LOVE Community StaffClassified AdOther...