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Kaiser Permanente Community Benefit Common Application Form for Professional Development Training Opportunities

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Thank you for your interest in the Kaiser Permanente Community Benefit training opportunities. These trainings are available for individuals representing safety net organizations only. If you are applying as a team, each team member should fill out a separate application form. Note that some training opportunities have restrictions; please contact your Hub/Regional Manager for details.

If you have questions regarding the status of your application, please contact the person/organization who provided you with this application. Please note that if selected to participate in a Kaiser Permanente Community Benefit training opportunity, you are required to complete an online survey about your experience approximately one month after the end date of the offering.
1. Which Kaiser Permanente Hub/Region are you applying to? (Select one) *This question is required.