2019 Hybrid Online Community Health Worker (CHW) Training Registration Form
The NvCHWA Hybrid Online CHW training course is an eight week course which consists of two mandatory in-person classes and eight weeks of online course material.

We are proud to offer four courses in 2019. Please select your preferred date in the form below depending on your location.

The in-person days occur on the first and last days of class. Plan on the first in-person day being a full day and last in-person day being just a morning. The class locations have been set for the year. Please plan your training dates appropriately.

Thank you for your continued support of the NvCHWA!

First Name *
Your answer
Last Name *
Your answer
Email address *
**Please ensure your email is correct. Confirmation and course correspondence will be sent to the email provided.
Your answer
Organization (if applicable)
Your answer
Position Title (if applicable)
Your answer
Phone number
(xxx)xxx-xxxx
Your answer
Which location would you prefer to take the training? *
Training locations will be decided on based on interest from registrants and availability of space and facilitators. For 2019, locations in both Northern and Southern Nevada will be available for the 1st quarter training. Only a Northern Nevada training location will be available for the 2nd and 4th quarter trainings, and only a Southern Nevada training will be available for the 3rd quarter.
Which Date would you like to register to take the course? *
Registration for the following date(s) are now closed: February 1, 2019 - March 29, 2019
Are you registering as... *
If you have been given a registration code please put your registration code in the "Other" section
In what county do you currently reside and/or work? *
Are you currently working.... *
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