SEIU Healthcare 775NW | MCOI Team Application Form

MCOI Internship Application Form

SEIU Healthcare 775NW, the Long-Term Care Workers Union, represents 38,000 home care and nursing home workers in Washington State and Montana and is the region's fastest growing union. Interns participate in an eight (8) week campaign in selected areas of Washington State. The initial training will be in SEIU Healthcare 775NW's Federal Way office. Interns will then return home, and work in their own areas.

Click here for more details or call our Member Resource Center toll-free at 1 (866) 371-3200.

Email: *

First Name: *

Last Name: *

Mailing Address: *

City: *

State: *

Zip Code: *

Phone:

Cell Phone:

Best Time To Reach You: *

  9am to Noon
  Noon to 3pm
  3pm to 6pm
  6pm to 9pm

I have a driver's license, automobile insurance and a reliable car I can use:

Yes

I can work at least one day on the weekend:

Yes

Please specify any allergies or special dietary needs.:

Approximate Length of SEIU Membership: *

Why would you like to be a MCOI Intern?: *

What experience outside of SEIU Healthcare 775NW do you have which would be valuable for this internship?: *

After reading the pledge below, "sign" by typing your name and today's date.

"I have read and understand the MCOI Job Description. I pledge that I am able or willing to learn to meet all of the requirements. If invited to participate in the MCOI program, I will personally commit to follow the values, vision, mission and message of our union to the best of my ability; to set aside personal priorities in order to build a stronger union, and to motivate caregivers to take action in support of a strong union. When my internsthip time is complete, I will use my new leadership skills to assist in building a stronger union and winning for long-term care workers."

Name / Date: *

* denotes required field