1601 East-West Road, Burns Hall 4
th
Floor Makai Wing, Honolulu, HI 96848
An Equal Opportunity Employer
RCUH Appointment Sign-Up Form for
TIAA-CREF Individual Retirement Counseling
Instructions: If you are interested in attending an individual TIAA-CREF counseling session, please
complete and submit the survey below via email to rcuh_benefits@rcuh.com or fax to (808) 956-5022
by 4:00PM HST on February 13, 2013.
**Dependent upon the number of responses received, we may or may not be able to accommodate
all employees with individual counseling. Preference will be given to employees based on the
date/time the sign-up form is received by RCUH. Selected employees will be notified of their reserved
time slots via email confirmation (Do NOT show up for a session unless you have received an email
confirmation by our office). RCUH and TIAA-CREF reserves the right to schedule a group session if
the demand is too large to accommodate everyone.
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Name: _________________________________ Project Name: ___________________________
Daytime Phone Number: _________________________________
Email: _________________________________________________
(1). Date of Session: Indicate choice (i.e., “”) next to date(s) listed. If you are not available to
attend a session for the dates listed below, you may also “” next to the “Waiting list for future
sessions” option to be contacted when future sessions are scheduled.
OAHU
Location: TBD
OUTER ISLANDS
Location: TBD
Tuesday, March 12, 2013
Maui – Waiting List
Wednesday, March 13, 2013
Big Island – Waiting List
Thursday, March 14, 2013
Kauai – Waiting List
*Waiting List for Future Sessions*
(2). Time of Session: Indicate top 4 choices next to time slot (i.e., 1
st
, 2
nd
, 3
rd
, etc.)
9:00 AM – 10:00 AM
1:00 PM – 2:00 PM
10:00 AM – 11:00 AM
2:00 PM – 3:00 PM
11:00 AM – 12:00 PM
3:00 PM – 4:00 PM
- Email completed form to: rcuh_benefits@rcuh.com or fax to (808) 956-5022.