HEET Projects Interest Form

Welcome to our Hospital Employee Education and Training grant interest form!

We’re working with local colleges to create programs for working adults like you! These programs offer unique opportunities and support towards your next career thanks to state grant funding.

Complete this form with your contact information and which projects you are interested in! If you'd like to know more about the various Hospital Employee Education and Training (HEET) grant projects visit our website by clicking HERE

NOTE: Certain benefits, like Training Fund Tuition Assistance, may be reserved for workers at Training Fund contributing hospitals. However, our Navigators can guide you to the Training Fund, college, and community benefits and resources you are eligible to access.

Contact Information

First Name

Last Name

Preferred Phone Number

Mobile Phone

Home Phone

Work Phone

Can we text you with updates or other Training Fund opportunities to enhance your career?

Preferred Email

Email (Please be sure you DO NOT share this email with another hospital worker such as a family/friend/co-worker/spouse/child. You can use your work email if you don't have a personal email.)

Employer

Job Title

Bargaining Unit

Lead Source

Record Type

Opportunity Name

Opportunity Stage

HEET Projects: Please note the colleges connected to HEET projects; only select projects connected to locations you could potentially attend:

Choose the HEET Project(s) that interest you and click submit below!

Part-time nursing pathway at Bellingham TechNursing assistant and associates/bachelors in nursing pathways at Bellevue CollegeNursing pathways for working students at Highline or Green River CollegeNursing access for underrepresented populations at Shoreline Community CollegeMedical Assistant-Phlebotomy Technician at Renton Tech/Clover Park/Shoreline [MA-P or MLT] I'm not interested in a HEET project but I do want to know more about advancing my career

Project Name for Workshop form

Page 4

• Privacy Policy

• Please Note that in completing the attached "Application," you are also agreeing to the following statement:

I have had the opportunity to read and review the SEIU Healthcare 1199NW Training Fund Privacy Policy. By filling out and submitting this Application/Intake Form, I agree to this Privacy Policy and authorize the Training Fund to contact, on my behalf, current or previous employers or educational institutions, or other relevant entities, to obtain information that may be necessary for the administration of the Training Fund's benefits. I further understand this authorization is on-going for the purposes of administering the Training Fund's benefits.

I agree

DATA SHARING WITH LABOR MANAGEMENT PARTNERS

The SEIU Healthcare 1199NW Training Fund provides specific details about active members' usage of Training Fund programs and services to both employer and labor partners. Sharing this information allows labor/management partners to do more targeted workforce planning, and also support individuals in their career and programmatic path. Data that we share does not include Date of Birth and Social Security Number.

Do you agree to allow the Training Fund to share your information with employer partners:

Do you agree to allow the Training Fund to share your information with SEIU Healthcare 1199NW:

TEXT MESSAGING POLICY

Your education and career advancement and training opportunities are important to us. In order to provide you with the up-to-date-service, we occasionally send text messages to our members about their education and training benefits and services. Standard text messaging rates apply.

By completing this form, you authorize text messaging from Fund unless you decline text messaging. To decline Text Messages, email your Regional Education Navigator or members@healthcareerfund.org stating that you do not want to receive text messages.

You can decline text messages at any time. Under some circumstances this may delay your receiving information on your program(s). Please talk with your Navigator (if you don’t have one, one will be assigned on submittal of this form) if you have questions on text messaging.

PHOTO/VIDEO USE POLICY – TRAINING FUND EVENTS

The ability to communicate about Training Fund services to our members and to use information gathered in classes and sessions for further training is important to the Training Fund.

Unless you decline photo/video by the Fund, by completing this form you authorize and agree that the SEIU Healthcare 1199NW Multi-Employer Training & Education Fund and SEIU Healthcare 1199NW may use photographic images or video footage of you, or in which you are included, taken during Training Fund related classes, sessions, or events, for public relations, program marketing, electronic media, or educational purposes.

To opt out from photo/video use, please send a separate email your Regional Education Navigator or members@healthcareerfund.org stating that you do not want your images/video to be used for Training Fund purposes.

You may opt out of photo/video use at any time. Please talk with your Navigator (if you don’t have one, one will be assigned on submittal of this form) if you have questions on photo/video use.

NON-DISCRIMINATION POLICY STATEMENT

The Training Fund is dedicated to equal opportunity education and training. It does not discriminate on the basis of race, creed, color, ethnicity, national origin, religion, sex, sexual orientation, gender expression, age, physical or mental ability, veteran status, military obligations, background, or marital status.

Contact Information