Nomination form for the Outstanding CHW Dr. Joel S. Meister Award 2018
The Arizona Community Health Outreach Workers Association (AzCHOW) would like to recognize and honor the service of a Community Health Worker (CHW) in Arizona.

The American Public Health Association definition is: “A Community Health Worker (CHW) is a frontline public health trusted member of and/or has an in depth 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 deliver. A CHW 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.” (American Public Health Association, 2009)

CHWs are also known as Community Health Representatives, Cultural Health Navigators, Promotores, Community Health Advisors, etc…

Recognition of Awardee will occur during luncheon award in recognition of Dr. Joel S. Meister (pioneer and co-founder of the Promotora/CHW movement in Arizona) on June 22.

You can nominate a co-worker (CHW), a CHW from another organization that you think deserves to be recognized, or you can nominate yourself. Just tell us the following:

Name of Nominee *
Nominee's Organization/Employer *
Nominee's Title *
Nominee's Address
Nominee's Phone Number *
Nominee's Email *
Name of the nominator (person who is nominating) *
Nominator's organization and title *
Nominator's Email *
Nominator's Phone Number *
In a paragraph of no more than 200 words, please explain why you would like to nominate this person and why you believe this person should be recognized as the AzCHOW 2018 Outstanding CHW. In your response you may include an explanation of work, job functions, duties of health promotion, length of involvement as a CHW, description of population and community served, for example. You can upload a file or copy and paste your answer below.
Paste your essay here if you prefer not to upload a file.
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