2018 Berkeley Free Clinic Certified Enrollment Counselor Application
Thank you for your interest in the Berkeley Free Clinic's Certified Enrollment Counselor (CEC) Section.

The Berkeley Free Clinic's CEC Section trains community members to become Certified Enrollment Counselors who are authorized to help clients enroll in the following:
1. Health insurance through Covered California and Medi-Cal (Medicaid) plans using www.coveredca.com
2. Food benefits through CalFresh using mybenefitscalwin.org

Basic Eligibility Requirements to join our section:
1. 18+ years of age
2. Have a California ID (this is required to be certified with Covered California)
3. Be able to fulfill trainee requirements listed here: https://docs.google.com/document/d/1Gb0Em27vPamtBerwCNW-wQbqqSxrN4tYok_xYQkfyJQ/edit#

Questions? Email us at cec@berkeleyfreeclinic.org

Application deadline: July 8th, Sunday
Interviews start: July 15th, Sunday
(if we extend an invitation for an in-person interview. Exceptions are only for those who are out of town during this time it will be for an online interview)
Decisions made: Aug 5th, Sunday
Training Cohort begins: Aug 25th, Saturday

Please keep responses to ~250 words.
We look forward to reading your application!

Name: *
Your answer
Preferred Gender Pronoun(s): *
Your answer
Phone Number: *
Please write your email address here so that we can contact you if we extend an interview offer.
Your answer
Email You Regularly Check: *
Please write your email address here so that we can contact you if we extend an interview offer.
Your answer
Are you already a part of the BFC? *
Tell us a little about yourself! *
Tell us about yourself as a person. This could (optionally) include your personal background, any barriers you have overcome, socioeconomic status, culture, race, ethnicity, sexual orientation, education, training, life, volunteer or work experiences, and future ambitions. We want to get to know you a bit.
Your answer
Why do you want to join the Berkeley Free Clinic, and in particular the CEC section? *
Your answer
What is your vision for the U.S. healthcare system? *
Your answer
Respond to this statement: The U.S. healthcare system discriminates against people of color. *
Your answer
Tell us about a time when you helped empower someone OR describe a time when you yourself felt disempowered. *
Your answer
What are your long-term plans for the next few years? What are your current commitments? *
This may include but is not limited to school/education, work, volunteering, other projects, etc. We want to get a better idea of how CEC will fit into your current schedule and timeline.
Your answer
Is there anything else you would like us to know more about you?
Your answer
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