Training Fund Outreach Request Form
Use this form to request that the Training Fund conduct in-person or virtual outreach for your organization. Please understand that completion of this form does not guarantee the event will take place. Greater advance notice increases the feasibility for us. Our Outreach Team will reach out to finalize details.
Company/Organization Name
Kaiser Permanente
MultiCare
Neighborcare Health
PeaceHealth
Providence
Providence Swedish
SEIU Healthcare 1199NW
UW Medicine
VMFH
Other
Other Company/Organization
What Job Titles and/or Bargaining Units and/or Program Prospects will we connect with?
How many attendees should we expect?
What type of outreach would you like us to do?
Virtual
In-Person/On-Site
In-Person/Onsite Details
What would you like us to do in-person/on-site?
Present to a small group
Present to a large group
Set up and staff an info table
Other
Other in-person/on-site action:
What type of presentation would you like?
Slide show presentation (must be in space with a projector and laptop hookup)
Verbal presentation
Other
Other type of presentation
Facility name where event will be:
Facility address:
Location in facility (ex:
Conference room 301, 1st Floor Breakroom, Cafeteria)
Contact 1
Who should we coordinate with to set this outreach up?
This person should plan to attend the event
What is their email?
What is their phone number?
Add another contact?
Contact 2
Who should we coordinate with to set this outreach up?
This person should plan to attend the event
What is their email?
What is their phone number?
Add another contact?
Contact 3
Who should we coordinate with to set this outreach up?
This person should plan to attend the event
What is their email?
What is their phone number?
Max 3 contacts per Submission
Date 1
What date would you like this event to take place?
Event date should be more than 2 weeks from today to give time to coordinate
What time should the event start?
How long would the event last?
Add another date and time?
Date 2
What date would you like this event to take place?
Event date should be more than 2 weeks from today to give time to coordinate
What time should the event start?
How long would the event last?
Add another date and time?
Date 3
What date would you like this event to take place?
Event date should be more than 2 weeks from today to give time to coordinate
What time should the event start?
How long would the event last?
Max 3 dates per submission
Any other details?
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