Employment Application

Alzheimer’s Resource of Alaska is an equal opportunity employer. Qualified individuals are considered for employment
without regard to race, color, age, sex, religion, national origin, disability or marital status.

Notice: This application cannot be saved and resumed later. Please gather all necessary information prior to beginning.

Contact Information

 

Application Details

 

Availability

  • We provide services 24 hours/day, seven days a week. Please indicate which days of the week you are available to work. Include the earliest time and the latest time you would be willing and able to work.
 

Transportation

  • Workers may be required to transport clients and complete other tasks by vehicle.
 

Education/Licenses/Certifications

 

Skills

  • Please check all tasks you have received training for and/or feel comfortable providing to both male and female elders.
 

Experience

 

Employment History

  • Start with your current or most recent job and list your employment history. You may attach a resume, however you must complete this application as well or you will not be considered for employment. Please include self-employment, volunteer experience, summer jobs, part-time jobs and hands-on care provided to family members.
 

Authorization, Terms & Conditions:

  • I authorize the Alzheimer's Disease Resource Agency of Alaska, Inc., their staff and representatives to consult (via telephone or written communication) persons with whom I may have been associated including past and present employers and references who may have information pertinent to my competence, character and ethics. I release from liability all representatives of the Alzheimer's Disease Resource Agency of Alaska, Inc. for their acts performed in good faith and without malice in connection with evaluating my application.

    I understand that Alzheimer’s Disease Resource Agency of Alaska may request information from public and private sources about my workers’ compensation injuries, driving record, court record, education, credentials, credit and references.

    I authorize individuals, schools, companies and law enforcement authorities to release any information concerning my background. I release from liability all individuals, schools, companies and law enforcement authorities who provide information to the Alzheimer’s Disease Resource Agency of Alaska, Inc. in good faith and without malice concerning my competence, character, ethics and other qualifications.

    I certify that I have read and understand the information and instructions on this form. That all statements made on this application are true and complete to the best of my knowledge. Any false statements, omissions, or misrepresentation of facts on this application or during interviews will subject me to disqualification or immediate dismissal at any time during employment.
 

References

  • Please provide a minimum of three (3) references, two of which must be previous or current supervisors
 

Verification