Kaiser IONE Forgivable Loan Form

First Name

Last Name

Student ID (if known)

I am a Kaiser Employee

Yes

I have submitted my application to the RN-BSN or MSN program

Yes

I believe I have a 3.0 cumulative GPA

Yes

I understand to be considered for this program I must upload my employment verification letter from my HR department to this program application.

I agree

I understand to be considered for this program I must maintain continuous enrollment.

I agree

And, I understand to be considered for this program I agree to work for Kaiser for two (2) years AFTER completion of this degree program.

I agree

To be fully considered for the forgivable loan, you must provide us with an employment verification letter from your medical center’s HR. The letter should include the following information:

Current Kaiser Hospital Foundation/Health Plan Employment
Status (Full Time only)
Funding (Kaiser Foundation Hospital or Southern California)

If you have this readily available, please upload the letter below.

Employment Verification Letter