Online ALTC Employment Application

Contact Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Phone *

Phone Type *

Cell
Home

Email *

Position

Position applied for *

Location of position applied for *

Date of Application *

General Information

Are you now or have you been previously employed by ALTC?

If yes, what position and department

Starting Date

End Date

Will you accept part-time or temporary employment?

Do you have relatives employed by ALTC?

There are some limitations on the employment of relatives. Each case is considered separately for potential conflict of interest. If yes, indicate name, relationship, and department.

Name, relationship, and department of relative

Military & Veteran's Status

Have you served on active duty in the U.S military services within the last 15 years?

If yes, what branch & active duty dates

Have you ever obtained employment in WA state through the use of veteran's preference?

Do you claim veteran's preference?

Computer & Equipment Skills

Please indicate the years of experience you have for each skill.

Word

Excel

Powerpoint

Data entry

Database use

Typing speed (WPM)

Other Computer Experience

Please briefly describe any other software or equipment experience

Language Skills

Please list any launguages you have full fluency in (excluding English).

Language Fluency

Language

Years Fluent

Competency

Spoken
Written

Licenses and Certifications

Do you possess a valid Driver's License? *

A valid driver's license is required only when stated on the job announcement. Federal Law requires anyone employed by ALTC to present proof of identity and authorization to work in the United States.

Licenses and Certifications

Type of License or Certificate

License/Certificate Number

Issuing Agency

Expiry Date

Education History

High School Graduate or GED

Higher Education

College or University Attended

Degree Type

Area of Study - Major *

Please list your specific field of study, e.g. Psychology, Social Work, Human Services, etc.

Area of Study - Minor

Separate multiple minors with commas.

Status of degree

Credit Hours Earned

If you did not earn a degree, how many credit hours did you earn?

If your degree is in progress, what is your anticipated graduation date?

Employment History

Please enter at least three (3) previous employers, if available.

We use this information to score your experience and primarily use the information provided on your application, not your resume.

The more complete the information on your application is, the more accurately we can score it.

Employment History

Job Title *

Employer Name *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Work Location

In-person
Remote
Hybrid

Start Date *

End Date *

Hours per week *

Please input the number of hours you worked per week. If your hours varied, please enter the average number of hours you worked per week.

Number of employees you supervised *

Supervisor's Name *

Supervisor's Title *

Supervisor's Phone

Job Duties *

Reason for leaving *

Current position? *

May we contact? *

Please upload your resume, transcripts, licenses, or other documents here.

If selected for an interview, we will also request the following additional documents if you are able to upload them now:

Diploma (digital, copy, or clear picture) OR Transcript showing your degree (unofficial is okay)
Letter of Recommendation (from a supervisor) OR Performance Evaluation (from within the last few years).

If you are experiencing any issues uploading documents through our website, please email your documents (PDF preferred) to SEWAALTCEmployment@dshs.wa.gov.

Upload Supporting Documents

Drag & Drop Files, Choose Files to Upload You can upload up to 6 files.

How did you hear about this position with Aging & Long Term Care?

If other, please describe:

Are you willing to relocate for this position?

If you are moving to the area, please give us an ETA for your move: *

Notes or Comments

Please list any extra notes, comments, or other considerations regarding your application.

Updating preview…

This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.

Signature of Application *

Clear Signature

I hereby certify that all information on this application is true and understand that erroneous information on this application may result in the removal of my name from consideration for employment or may result in termination of any employment. I understand that this information may be subject to verification.

Previous Employer Authorization Signature

Clear Signature

I authorize all previous employers to furnish ALTC with reference information including but not limited to job title and duties, dates of employment, work quality, disposition, reason for leaving, re-hire consideration and hereby release them and ALTC from all liability or any damage whatsoever arising therefrom. (Failure to sign does not bar consideration for employment)

Date of Signature

If you encounter any issues while submitting your online application:

Please email SEWAALTCEmployment@dshs.wa.gov and include information on:

What happened when you tried to submit your application? (i.e. the re-Captcha wouldn't load, the page didn't respond, etc.)
What type of device you were using (i.e. iPhone, Android, PC Laptop, Macbook, etc.)
What web browser you were using (i.e. Chrome, Safari, Firefox, etc.)
Date and time you were having issues

You may also submit a .pdf version of the application (download here) and attach your supporting documents and email to SEWAALTCEmployment@dshs.wa.gov.

Contact Information

Phone Number

Position

General Information

Military & Veteran's Status

Computer & Equipment Skills

Language Skills

Language Fluency

Licenses and Certifications

Licenses and Certifications

Education History

Higher Education

Employment History

Please enter at least three (3) previous employers, if available.

Employment History

Please upload your resume, transcripts, licenses, or other documents here.

If you encounter any issues while submitting your online application:

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Contact Information

Phone Number

Position

General Information

Military & Veteran's Status

Computer & Equipment Skills

Language Skills

Language Fluency

Licenses and Certifications

Licenses and Certifications

Education History

Higher Education

Employment History

Please enter at least three (3) previous employers, if available.

Employment History

Please upload your resume, transcripts, licenses, or other documents here.

If you encounter any issues while submitting your online application:

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