Tuition Assistance and/or Career Counseling Benefit Application
Looking to access Tuition Assistance and/or Career Counseling for the first time? If yes, you've found the right form!
Date of Birth
Best Method of Contact
Best Contact #
Can you receive texts to this phone number?
What is the best time to contact you?
Any time, doesn't matter
Ethnicity (Check all that apply)
Prefer Not to Answer
Cascade Behavioral Health
Kaiser Permanente (Formerly Group Health Cooperative)
Highline Medical Center
UW Medicine - Northwest Hospital & Medical Center
Swedish Medical Center
Swedish Medical Center - Edmonds
UW Medicine - Valley Medical Center
Kaiser Permanente Campus Locations
Bellevue Medical Center
Burien Medical Center
Capitol Hill Campus
Downtown Medical Center
Everett Medical Center
Factoria Medical Center
Federal Way Medical Center
Kent Medical Center
Lidgerwood Medical Center (Spokane)
Lynnwood Medical Center
Northgate Medical Center
Northshore Medical Center
Olympia Medical Center
Port Orchard Medical Center
Poulsbo Medical Center
Puyallup Medical Center
Rainier Medical Center
Redmond Medical Center
Renton Medical Center
Riverfront Medical Center
Silverdale Medical Center
South Hill Medical Center (Spokane)
Tacoma Medical Center
Tacoma South Medical Center
Verndale Medical Center (Spokane)
MultiCare Campus Locations
MultiCare Good Samaritan
MultiCare Valley Hospital
Have you ever been employed at any of the other Training Fund contributing employers (listed above)?
FTE (Enter a number between 0.1-1.0)
Date of Hire (If Known)
How did you hear about the Training Fund?
Word of mouth (co-worker)
Training Fund representative
Training Fund email
Training Fund letter in mail
New employee orientation with employer
Are you a Per Diem or Agency employee?
If yes, unfortunately you do not qualify for benefits. Please refer to eligibility guidelines at
NEXT STEPS: Select the option that's right for you.
I don't know what I want to do. I'd like to speak to someone.
I know what I want, but have additional questions. (transcripts, schools, schedules, etc.)
I know what I want and I'm ready to get started.
A Training Fund navigator will contact you within a few days to set up a time to for a phone consultation/meeting. Your navigator can discuss your ideas and options and help you identify your next steps.
You will be sent a follow up e-mail within a few days with a questionnaire about your educational background and goals. Once you submit the questionnaire you will be contacted by an education navigator to set up an enrollment meeting. With more information up front from the questionnaire things will move forward more quickly at your initial meeting.
Please tell us in the space provided above what we can do to help.
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