Apply for Quality Assurance Coordinator (QAC)

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:	Quality Assurance Coordinator (QAC)
ID:	1167
Location:	Federal Way, WA
Salary Range:	$28.00 - $30.00
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:

Employment Application- Administration Only

Employment History #1

* Are you currently employed?

	Yes
	No

* Company Name

* Job Title

* Date From
Date To

* Phone Number

* May we contact?

	Yes
	No

* Reason for Leaving

Employment History #2

Company Name

Job Title

Date From
Date To

Phone Number

May we contact

	Yes
	No

Reason for leaving

Emergency Contact

* Name and Relationship to you?

* Phone Number

Skills

* Please list any relevant skills or abilities for this position.

* Desired hourly wage

Disclaimer, Authorization, and Signature

I certify the above stated and indicated are true in fact and no misrepresentation of myself has been made. I understand that any false information, omissions, or misrepresentation of facts will result in rejection from this application and; or discharge at any time during employment period. I authorize Supportive Living NW to verify any and all information contained within this application, but not limited to, criminal history and motor vehicle driving records. I authorize Supportive Living NW (SLNW) to contact me using the contact information (telephone, email, and address) provided on this employment application. Method of contact may include but is not limited to phone call, video call, conference call, voicemail, text message, email, and; or physical mail.

* Signature

* Date

Quality Assurance Coordinator (QAC)

* Do you have experience working with DDA or another State-run agency?

	Yes
	No

If yes, please briefly explain.

* Do you have experience managing a team?

	Yes
	No

If yes, please briefly explain.

* Do you have two or more years of related experience?

	Yes
	No

If yes, please briefly explain.

* Are you comfortable with basic technology? Example Microsoft, word, excel, emailing, etc.?

	Yes
	No

* Do you have any of the following Licenses or Certificates

If other please list below.

* Are you available for the schedule of Monday - Friday
8:00 am to 4:00 pm or 9:00 am to 5:00 pm?

	Yes
	No

Submit

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	American Indian or Alaska Native (Not Hispanic or Latino) A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
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	Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
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	Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above races
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	Vietnam Era Veteran A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
	Disabled Veteran 1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
	War/Campaign/Expedition Veteran A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
	Armed Forces Service Medal Veteran A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
	Recently Separated Veteran Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
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