CHW Supervisor Training Attendee Registration
Price: $500.00. Scholarship funding is available to SC residents who qualify. To apply for scholarship aid, please complete the application form.

CHWI's CHW Supervisor Training is designed for CHWs, healthcare & public health professionals looking to gain a better understanding of the CHW Model in order to be more effective CHW supervisors (not to be confused with a training for individuals to learn how to supervise). This training is open to anyone looking to advance their career through CHW management or supervision. CHWs and allies are welcome!

If you have any questions regarding registration or training, please contact our Training Assistant, Mychelle Harris, at mychelle@sc.edu or the CHWI Training Team at CHWinstitute@gmaill.com 

For more information on this training and others, please visit our website: https://communityhealthalignment.org/training-opportunities/
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First Name *
Last Name *
Date range of training series you wish to attend *
Who is paying for your training? *
If receiving financial support through grant or other previously established agreement, please provide the grant name or note agreement below.
What payment method are you using to pay for your training?
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Place of Employment if employed *
Address of place of employment *
Position Title at Place of Employment *
Email *
Phone Number *
First and Last name of person invoice for payment should be sent to *
Email of person invoice for $500.00 payment should be sent to. If registering for training based on prior agreement (such as a contract or grant), please list point of contact for said agreement *
For any questions regarding logistics of payment please contact Evangeline Cornelius at ecorneli@mailbox.sc.edu
Brief Description of said agreement (legislative proposal/ Diabetes Free SC, etc.)
Phone number of point of contact/party responsible for payment *
Billing address to be used for payment *
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 supervisor training 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. *
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