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Thank You for your interest in Total Living Concept.

The form below can be used to contact our Human Resource Department and apply to be a Housemate with one of the People We Support. To find out more details about our Housemate opportunities , please review our Housemate FAQ page.
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Please complete the form below and click the submit button.

YOUR INFORMATION:

Your Name:

Your E-Mail:
Contact Number:
with area code
Current Address:
include city, state & zip

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How did you learn about us?

Ad Friend / Relative Other
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Have you previously applied
to be a housemate for us:

Yes No
If yes, when?
Do you have any friends or
relatives that are employed with us?
Yes No
If yes, who?
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YOUR QUALIFICATIONS:

Would you be able to pass
a State Background Check?

Yes No
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Would you be able to pass
an apartment rental application?

Yes No
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If necessary could you provide
rental references?

Yes No
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After reading the Housemate FAQ
section, do you feel you meet the
availability requirements?

Yes No
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Other Comments:

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Our Privacy Policy

For assistance, please contact the technical coordinator.

© 2005-2008 Total Living Concept
1132 West James Street, Kent, Washington 98032
(253) 854.7663
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A Non-Profit Corporation Serving Adults with Developmental Disabilities