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Northwest Care Application - Direct Support Professional

Thank you for your interest in the Direct Support Professional (DSP) position. This application helps us learn more about your experience, strengths, and interest in supporting individuals with disabilities in a respectful, person-centered environment. Please take your time answering the questions honestly and thoroughly. The information you provide will be used to determine whether your skills and values align with the needs of the people we support and the standards of our organization.

Personal Information

Name

*

Phone Number

*

Email Address

*

Street Address

*

City

*

State

*

Zip

*

Are you 18 years of age or older?

*

Are you 18 years of age or older?

Yes

No

Are you a veteran?

*

Are you a veteran?

Yes

No

Are you legally eligible to work in the US?

*

Are you legally eligible to work in the US?

Yes

No

If hired, are you willing to submit to a background check?

*

If hired, are you willing to submit to a background check?

Yes

No

Do you have any founded reports of child abuse against you?

*

Do you have any founded reports of child abuse against you?

Yes

No

Do you have any substantiated adult abuse against you?

*

Do you have any substantiated adult abuse against you?

Yes

No