Note!!! This is not an application form Thank you for your interest in furthering your education through the Kaiser Permanente Nurse Scholars Academy. The programs offered by the Nurse Scholars Academy are currently only for Kaiser Permanente employees from the NCAL region. Sign up today to receive more information on how to become a Kaiser Permanente Nurse Scholar.Personal InformationNUID*This is the same as your windows logon or your MyHR logon. One letter, followed by six numbers.Name* First Last Email* Enter Email Confirm Email Phone*May we text you at this number?YesNoPlease provide a telephone number and/or email address that you check frequently, so we may reach you immediately when we have important updates!Work InformationKaiser Foundation Hospitals (KFH/HP) or Medical Group (TPMG)*Who pays your paycheck? Does the department that pays you fall under KFH/HP or TPMG? This is not necessarily the same as the location you work in.KFH/HPTPMGWhat Service Area do you work in?Select the primary area where you are physically locatedCentral ValleyDiabloEast BayFresnoGSAA (Greater Southern Alameda Area)Marin/SonomaNapa/SolanoNorth Valley (Sacramento Area)San FranciscoSan JoseSan MateoSanta ClaraOther Region (not NCAL)What is your home facility?*Tell Us MoreI am interested in the following program(s)Select one or more of the available programs. RN to BSN Program at Samuel Merritt University Choice Program (for non-represented nurses) Nurse Residency Program Nurse Fellowship Program Middle Management Program Advanced Management Program Nurse Executive Accelerated Leadership Development Program Nurse Executive Fellowship Program Comments
