CHW Diabetes Specialty Training Attendee Registration
The Diabetes Specialty Track is a 20-hour training for Community Health Workers or other community facing professionals who wish to gain foundational knowledge related to populations impacted by diabetes that can assist in serving their community.

Pricing: Free. Pricing announcements coming July 2023

Module 1 - introduction and foundation - Thurs & Fri, 9 am - 11:30 pm
Module 2 - management and prevention methods - Mon - Fri, 9 am - 12 pm 

If you have any questions regarding registration or training, please contact CCHA Training Assistant, Mychelle Harris, at
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Training date you wish to attend (please select all components that apply) *
The March and June cohorts have reached capacity. These cohort are currently full. 
Name of Organization/Place of Employment (if not currently employed, write N/A) *
Address of organization/place of employment *
Position Title at Place of Employment *
Email *
Phone Number *
Relation to CHW Work in populations affected by diabetes *
I understand that by registering for this training, I am committing to being present for the full duration of each training session and receipt of my Diabetes Specialty certificate of completion is left to CCHA Training staff discretion should I not to be able to fully engage as described in CCHA Training policies. *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy