Healthcare Career Pathway Interest Form

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The Healthcare Career Pathway (HCP) is an innovative partnership that was initially formed to address the critical shortage of healthcare workers in Contra Costa County. HCP offers a unique training program for Certified Nursing Assistants that removes obstacles to success by providing wrap-around support and services. Our goal is to help motivated job seekers graduate with the training, essential skills, and certification needed to become a caregiver the community needs.

The original partnership includes leadership from three organizations in Contra Costa County, California: Empowered Aging, Mt. Diablo Adult Education, and Opportunity Junction and is generously supported by John Muir Community Health Fund. Additional partners include Harder + Co. Community Research, Loaves and Fishes, Contra Costa Food Bank, and various skilled nursing facility leaders.

Please fill out the following interest form to receive more information on our work and to access future toolkits and resources. Feel free to check out our website at www.HealthcareCareerPathway.org and the HCP Potential Partner Packet for more information as well.

Email *

First Name *

Last Name *

Title *

Affiliation/Organization *

Industry Sector *

Government - Federal

Government - State

Community Based Organization

Long Term Care Provider - Skilled Nursing Facility

Long Term Care Provider - Assisted Living

Long Term Care Provider - Home and Community Based

Educational Institution - K12 Adult School

Educational Institution - Private School or College

Educational Institution - Public College/University

Area Agency on Aging

State Unit on Aging

Philanthropic Organization

Other:

Required

How did you hear about HCP? *

What about HCP interests you? *

CNA Training Program *

My organization currently offers CNA Training.

My organization previously offered CNA Training.

My organization would like to offer CNA Training, but does not currently.

My organization does not offer CNA training.

Required

Interest in HCP *

I would like more information on the HCP model.

I/My organization would like to sponsor/help fund the HCP model.

I would like to adopt the HCP model for our training programs.

I would like to advocate for more organizations to adopt the HCP model.

Other:

Required

Additional Comments or Feedback:

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

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