Education Fund Application

Please complete this application form to access the Education Fund.

Human Resources will review completed applications and respond within 1 business day.

IMPORTANT: You must be an active employee with Acclaim Health for at least 3 months before you can access funds. You must also be actively contributing to the Education Fund. Click here to become an Education Fund Member.

If you are trying to submit your expenses for an approved application, please use the Education Fund Reimbursement Request form.

Name(Required)

First Last

Cell #(Required)

Email(Required)

Department(Required)

Current Role(Required)

Who is your supervisor?(Required)

Course Information

Course Name(Required)

Please share the name of the workshop, course, or program you'll be participating in.

Organization Providing the Course(Required)

Start Date of Course(Required)

End Date of Course(Required)

How will participating in this course benefit you in your role and/or future roles at Acclaim Health?(Required)

How much funding are you requesting?(Required)

You can request up to $400 per fiscal year for workshops and courses, up to $2,000 per fiscal year for university / college programs.

I attest that the following statements are true:(Required)

I have been an employee of Acclaim Health for at least 3 months.

My supervisor has already approved this educational opportunity and funding request.

I understand I need to complete the educational opportunity and provide proof of payment to receive the funds.

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

Course Information

Contact us to learn more. 905-827-8800 or 1-800-387-7127

Contact us to learn more.
905-827-8800 or 1-800-387-7127