Job-to-Job Program Application
The SEIU-UHW Education Fund has the tools and support to guide members and employers through a reduction in force (RIF) transition. Through our Job-to-Job program, we provide customized, confidential, and convenient on-site services and resources to support management and help eligible* RIF members transition to new careers!
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Gender
Ethnicity
Street Address *
Your answer
Apartment or Unit Number
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Phone Number Type *
Phone Number *
Your answer
Best time to call
Can we contact you by text? *
Email Type *
Email Address *
Please provide an email address for us to send notifications.
Your answer
Employer Name *
Your answer
Facility: *
Your answer
Employee ID Number *
Your answer
Employee Status *
Are you currently receiving benefits from your employer? *
Date of Hire *
MM
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DD
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YYYY
Union *
Department *
Your answer
Position/Classification
Your answer
Pay Rate
Your answer
Differential
Your answer
Have you received written notice of lay-off/RIF *
Projected Lay-off/RIF date? *
MM
/
DD
/
YYYY
Actual Lay-off/RIF date? (If date is in the future, leave blank)
MM
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DD
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YYYY
Managers Name
Your answer
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