CHW Community Health Worker Application

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A CHW is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. A community health worker also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support, and advocacy.

Price: $350 with additional fees to apply

CHWs also help:

Reduce Cost- Community health workers (CHWs) help patients prevent costly medical expenses by supporting self-management and coaching patients in disease prevention.

Improve Care- Community health workers (CHWs) help patients adhere to provider recommendations by connecting them to community-based resources.

Advance Quality- Community health workers (CHWs) help to reduce educational, cultural, and language barriers between patients and healthcare providers which is vital to quality care.

If this career interests you please complete this registration form. There is a limited number of seats for each class. The course is virtual and the dates listed are only for the virtual class meetings. The remainder of the classes are self-paced online.

If you have any questions or concerns please email me at kerrmt@uindy.edu
Thank you,

Monique Kerr
Program Coordinator
MICI-AHEC
University of Indianapolis

Email *

Which cohort would you like to attend? *

YMCA

Fall 25

Other:

Are you an Indiana resident?

*If you are a non-resident of Indiana, you can not participate in this training as training is only for Indiana residents.

Yes

Do you have internet access? *

Yes

Do you have access to a computer or laptop? *

Yes

Do you receive SNAP benefits from the federal government? *

Yes

Name: *

Age: *

Date of birth: *

Cell phone: *

Street address: *

City: *

State: *

Zip Code: *

Email Address: *

Name of school (if in school):

Emergency Contact name *

Emergency Contact number *

Short Essay: Why are you interested in the CHW course? *

A copy of your responses will be emailed to the address you provided.

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