Laptop Request Form

SEIU 1199NW TF

Welcome to the SEIU Healthcare 1199NW Multi-Employer Training and Education Fund!

This is our laptop request form - fill this out to submit your request for a chromebook to help support your academic and job training needs!

These chromebooks are provided by our partner, Eduscape. After submitting this form our staff will review your eligibility, contact you if we questions, and move forward with having our partner, Eduscape, mail you a device.

Orders are processed by our partner every Tuesday and Thursday with shipping being roughly 5 business days. We will let you know when we have submitted the order on your behalf and have a tracking number.

Need access to Microsoft Office products like Word or Excel? We have you covered! Each chromebook request will also come with a custom email from our Virtual Healthcare Institute where you can access online versions of the common Microsoft products for schoolwork and emailing. You don't have to use them, or the email address, if you have your own but they will be available.

On the next page you'll give us your contact information, where to send the laptop, and how long you intend to use it. Let's get you started by clicking 'Next Page' below!
NOTE: PER DIEM & CONTRACT EMPLOYEES ARE NOT ELIGIBLE FOR THIS SERVICE

Contact Information

























NOTE: PER DIEM & CONTRACT EMPLOYEES ARE NOT ELIGIBLE FOR THIS SERVICE


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SEIU 1199NW Training Fund | 15 S. Grady Way, Suite 321 | Renton, WA 98057 | (425) 255-0315 | www.healthcareerfund.org | members@healthcareerfund.org