Pre-Application Questionnaire

Thank you for your interest in employment at Regional Hospital for Respiratory and Complex Care. Please complete the following pre-application questionnaire and click “submit” when finished. We will contact you for an interview if your qualifications match a current opening.

Name: *

Address:

City:

State:

Zip:

Phone: *

Email: *

Please note your highest level of education.
(Please mark all that apply)
Associate Degree in Nursing (A.D.N.)
Bachelor of Science in Nursing (B.S.N.)
Master of Science in Nursing (M.S.N.)
Bachelors Degree in Respiratory Therapy
Associates Degree in Respiratory Therapy
Technical Degree in Respiratory Therapy
Other Associates Degree
(specify field)
Other Bachelors Degree
(specify field)
High School Diploma or G.E.D.

Please enter or cut and paste your work experience from your resume in the box below:

Please add any additional information that pertains to your qualifications for the job for which you are applying:

How did you hear about us? *
(Please mark all that apply)
Radio advertisement on WARM 106.9
Radio advertisement on Smooth Jazz 98.9
The News Tribune (Tacoma)
Nurseweek Career Fair
NWjobs.com (Seattle Times website)
School career fair
Direct mail postcard
Internet search
Referral from an employee at Regional Hospital
Referral from a friend
Email
Other Media
(Please Specify)

* Required Fields

Accredited by
The Joint
Commission

Member of
National Association
of Long Term Hospitals

Member of
Washington State
Hospital Association

Regional Hospital for Respiratory and Complex Care,
a Joint Commission-accredited facility, is a Long-Term, Acute
Care Hospital (LTACH) providing specialized hospital services
for critically ill patients experiencing prolonged recoveries.
12844 Military Road South, Seattle, WA 98168
(206) 248-4604 phone • (206) 439-4685 fax