Applications and Waitlist Forms

How to Submit Completed Documents

  • Mail: Alaska Pioneer Homes – Central Office
    PO Box 112670,
    Juneau, AK 99811-0690
  • Fax: 907-465-4108
  • Deliver: To the Juneau Central Office (State Office Building) or at any of the Pioneer Homes across the state
  • Email: Call Central Office at 907-465-4416 to arrange for a secure email submission

The Alaska Pioneer Homes waitlist is broken down into "active" and "inactive" branches.

The active waitlist is for those who are ready to enter a Pioneer Home of their choice within 30 days of receiving an admissions offer. The inactive waitlist is for those applicants interested in moving into a Pioneer Home at some point in the future. *Note* There is no penalty for staying on the inactive waitlist. There is no limit on transferring between the two branches of the waitlist.

Inactive Waitlist Application Packet

Forms in the Inactive Waitlist Application Packet include:

  • Waitlist Application Instructions
  • Waitlist Application Form
Copies of the individual forms can be found at the bottom of this page.

Active Waitlist Application Packet

Forms in the Active Waitlist Application Packet include:

  • Waitlist Application Instructions
  • Waitlist Application Form
  • Certificate of Need Form
  • History & Physical Form
Copies of the individual forms can be found at the bottom of this page.

Inactive to Active Waitlist Transfer Packet

Forms in the Active Waitlist Transfer Packet include:

  • Waitlist Transfer/Change Form
  • Certificate of Need Form
  • History & Physical Form
Copies of the individual forms can be found at the bottom of this page.

Veterans Packet

Only applicable to veterans applying to the active waitlist for the Alaska Veterans and Pioneers Home

Individual Forms