TUTOR REQUEST FORM

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

Please complete and submit each term you're in need of a tutor! If you need a tutor for different subjects/classes please submit a form for each subject.

If you choose to do 'online' tutoring (through Tutor.com) please read below:

The Healthcare Training Fund contracts with vendors for provision of certain services. Based on the Healthcare Training Fund’s contract with each vendor, the Healthcare Training Fund has agreed that members accessing the service will comply with the policies and terms provided directly by the vendor. By utilizing vendor services though Healthcare Training Fund, members agree to these terms. If the vendor discontinues provision of service due to any reason for a member, Healthcare Training Fund will work with member to explore alternatives that maybe available within current benefits, programs and services.

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

EMPLOYEE INFORMATION: for your name please give us the full first and last name your employer has on file (no nicknames).

First Name

Middle Initial

Last Name

Home Address

Home City

Home State

Home Zip/Postal

Preferred Phone Number

Mobile Phone

Work Phone

Home Phone

Permission to Text (Optional) I consent to receive Conversations (external) text messages from the Healthcare Training Fund. Reply STOP to opt-out; Reply HELP for support; Message and data rates apply; Messaging frequency may vary. Visit https://healthcaretrainingfund.org/privacy-policy/

for privacy policy and https://healthcarerainingfund.org/training-fund-sms-terms-of-use/ for Terms of Service.

By checking this box, you agree to receive SMS messages from the Healthcare Training Fund related to (SMS Use Case). You may reply STOP to opt-out at any time. Reply HELP for assistance. Messages and data rates may apply. Message frequency will vary. Learn more on our privacy policy page and Term & Conditions.

Primary Email

Email (please be sure you DO NOT share this email with another hospital worker such as a family/friend/co-worker/spouse/child - each person needs to have their own email and you can always use your work email if you don't have a personal email)

Employer

Department

Job Title

Bargaining Unit

Current FTE

Date of Hire (mm/dd/yyyy format)

Save my progress and resume later | Resume a previously saved form