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CHW Community Health Worker Application
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.
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
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Email
*
Your 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
No
Do you have internet access?
*
Yes
No
Do you have access to a computer or laptop?
*
Yes
No
Do you receive SNAP benefits from the federal government?
*
Yes
No
Name:
*
Your answer
Age:
*
Your answer
Date of birth:
*
Your answer
Cell phone:
*
Your answer
Street address:
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
Email Address:
*
Your answer
Name of school (if in school):
Your answer
Emergency Contact name
*
Your answer
Emergency Contact number
*
Your answer
Short Essay: Why are you interested in the CHW course?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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