The Long-Term Care Foundation The Adult Family Home Training Network Worker Sponsorship Pilot Program


The cost of the training and—for certain specified training—employee salary and benefits during the training, will be paid by The Long-Term Care Foundation from a portion of the training benefit negotiated for Adult Family Homes in the collective bargaining agreement with the State of Washington.
Information collected from this application will be part of a data analysis of the pilot program

Adult Family Home Name(Required)
Adult Family Home Contact (person to help manage sponsorship process):(Required)
Is your adult family home approved to offer on-the-job training?(Required)
Do you currently have a Medicaid contract?(Required)
Do you have an applicant that you would like to sponsor through one or more qualifying training?(Required)
Sponsored Applicant:(Required)
Student Date of birth
Hire Date/Intend to Hire Date
Military Veteran:(Required)
Does the applicant have previous health care experience?(Required)
Does the applicant currently hold any certifications?(Required)
Please check off what the applicant has completed below to work in Adult Family Home:(Required)
Which of the trainings below are needed for applicant to become a long-term care worker?(Required)
Which of the trainings below are needed for applicant to further long-term care worker professional and career development?(Required)
Which of the following DSHS-approved training companies will you choose to provide the training you require?
Is the applicant able to take the training online?(Required)
Applicant's Highest Grade Completed:(Required)
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