Kaiser Permanente Medical Assistant Career Launch Scholarship Program Application

We suggest you read through the application, gather all necessary information, and draft your essay responses in a word document before filling out the online application. You will not be able to save your application once you begin.

 

Seattle Vocational Institute Medical Assistant (MA) Program Criteria:

  • High School Diploma (or GED) Requirement: A high school transcript or GED completion document is required. Please bring Seattle Vocational Institute a copy of your HS or GED transcript no later than June 25, 2018 (the sooner the better).

  • Age: You must be 18 years old by September 24, 2018. 

  • Criminal Background Check: Complete a criminal background check administered by SVI.

  • Physical Exam and Immunizations Requirements: You are required to meet the health requirements of healthcare industry employers. During the MA program, a physical exam and immunizations will be required (immunization fees will be included in the scholarship program).

  • Student Health Insurance Responsibility: You are responsible for having health insurance coverage (not covered by the scholarship program). We may be able to connect you with support for enrolling in a health insurance program.

  • Placement Test: You will take an academic skills assessment at SVI during the admissions workshop.

    ALL APPLICATIONS MUST BE SUBMITTED BY June 1, 2018 at 5:00 P.M.

Part 1: General Information

Identification Questions (Seattle Colleges appreciates your response to the following questions. All information will be kept confidential)

Part 2: Education & Work Experience

Please list any schools, colleges, or universities, degrees started or completed, and dates attended.*(required)

Previous School

Previous School 2

Previous School 3

Please list your work experience. Highlight any previous healthcare related positions, if applicable:

Previous Employer 1

Previous Employer 2

Previous Employer 3

Part 3: Essay Questions 

Suggested Length: 300 words

Essay Question #1

Essay Question #2

Part 4: References and Signatures

Please list two references that can speak to your experience and background (examples: teacher, supervisor, case manager, not a friend or family member).*

Reference 1

Reference 2

*Consent Disclosure for Release and Exchange of Information and Records:

I understand that by submitting this application, I am voluntarily participating in the Kaiser Permanente Medical Assistant Career Launch Scholarship, which is a collaborative effort between Seattle Colleges and Kaiser Permanente. I hereby authorize the following release and exchange of information records:
  1. Entities that may share and receive my information & records:
    • Seattle College District
    • Kaiser Permanente
  2. Information that may be shared: 
    • Demographic information (name, address, phone number, email, Social Security Number, student ID, race/ethnicity, primary language, housing status, type and duration)
    • College enrollment, academic progress, certificate completion and employment data
    • Attendance at Kaiser Permanente Medical Assisting Career Launch Scholarship-related programs, services and meetings
    • Education, skill, and workforce program assessments and plans
    • Education, skill, and workforce program progress and completion status
I understand my information will be treated in a confidential manner consistent with Federal and State privacy laws and shared only with those with a legitimate educational interest as it relates to the Kaiser Permanente Medical Assisting Career Launch Scholarship program.  I further understand that the above entities may use aggregate data in reports or presentations, but only if it is done in a manner that does not allow me to be individually identified.
Please note that once you press submit, your application will be sent to the Kaiser Permanente Medical Assistant Career Launch Scholarship Program Application Committee for review. Make sure all required fields are entered and that you are satisfied with your application prior to submission. 
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