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Community Health Worker Training Program

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The Arizona State University Community Health Worker Training Program (ASU CHW-TP) was developed to prepare Arizona residents to meet the core competencies identified by the Arizona Community Health Workers Association (AzCHOW). The program consists of 2 semesters of online curriculum with monthly virtual mentorship meetings and optional weekly study groups paired with an application process to help learners secure a 480 hour internship or a 2,000 hour apprenticeship with one of our community partners. These placements provide more specialized on-the-job training and mentorship to help learners succeed as a CHW.

The ASU CHW-TP is supported by a grant from the Health Resources and Services Administration (HRSA) through Fall 2025. Learners applying to the program who are new to the Community Health Worker (CHW) profession, or who currently work within health care and are not a current CHW, will be eligible for a $7,500 stipend over the course of the training program. Those who pursue an apprenticeship will be eligible for an additional $7,500 stipend that will be disbursed over the course of their apprenticeship.

This program is supported by HRSA, an administration within the U.S. Department of Health and Human Services (HHS) as part of an award totaling $2,999,934 with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

Please see the Frequently Asked Questions document for additional information about the program. If questions remain, please email us at chwtp@asu.edu

We have reached capacity for our January 2024 cohort. We are still accepting applications for our third cohort beginning August 22 2024.

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Date of Application

M-D-Y

First name

* must provide value

Last name

* must provide value

Phone number

* must provide value

Street address

* must provide value

City

* must provide value

State of residence

* must provide value

Zip code

* must provide value

Please provide the name and phone number of a friend or family member as an alternate contact. This information will not be shared with others and will only be used if we are unable to reach you using the phone number and email address you provided above.

Alternate contact - First and Last Name

Alternate contact - Phone number

What is your date of birth?

* must provide value

M-D-Y

Age at time of application

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We're sorry, but you must be at least 18 years old to be considered for this program. Please consider applying for our next cohort.

What is your gender?

* must provide value

Do you have a high school diploma or equivalent (GED)?

* must provide value

Yes

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What is the highest level of education you have achieved?

* must provide value

What is your current employment status?

* must provide value

Are you a US citizen or permanent resident?

* must provide value

Yes

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Is English your second language?

* must provide value

Yes

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While we are working on offering the program in Spanish, please note that the curriculum is currently provided in English. Do you feel comfortable in your proficiency of the English language to successfully complete the course?

Yes

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Thank you for your interest. Please complete the rest of this form and hit submit - we will contact you via email when the curriculum is available in Spanish.

Do you have any previous experience or training as a Community Health Worker (CHW), Community Health Representative (CHR), Promotora, or other related work? This may include positions such as a Peer Health Educator, Patient Navigator, Community Health Advisor, Outreach Specialist, Public Health Aid, or Care Coordinator.

* must provide value

Yes

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Tell us about your previous experience or training (where, when, what, how long). Please include your supervisor's name and contact information if relevant.

* must provide value

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In 500 characters or less, please describe why you're interested in joining the CHW Training Program and how this program will help you meet your future career goals.

* must provide value

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While online, you will progress through this program with a group of your peers. It is important that you are able to regularly work on the curriculum. How many hours per week can you commit to working on the CHW Training Program?

* must provide value

Completing an online program can be difficult. In 500 words or less, please describe what challenges might get in your way as you progress through the program and how you plan to overcome them.

* must provide value

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This is an online cohort based program. While you will complete work independently, you will be grouped with other learners and progress through the training program together. All learners are expected to enroll in the program full time to stay on track with their cohort.

I agree to the full time expectations of this program

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As a disclaimer, in order to receive funds from the HRSA grant, you will be required to disclose your social security number. This information is stored in an ASU secure financial management system. If you have any questions, please contact chwtp@asu.edu.

After completion of the curriculum you will apply for a clinical placement as either an apprentice or intern. Apprenticeships are paid, full-time positions that require 2,000 hours to complete (approximately 1 year); internships can be paid or unpaid positions and require 480 hours for completion. This program will have 50 apprenticeship positions and 150 internship positions.

Please indicate if you are interested in an apprenticeship. Indicating interest does not guarantee or require you to accept one of these positions.

* must provide value

This program aims to increase diversity among the CHW workforce. By increasing diversity, we increase the ability of CHWs to recognize, understand, and respect differences between groups and individuals. This requires recognizing multiple dimensions, including gender, race, ethnicity, cultural background, socioeconomic status, disability status, and language. The following questions help us to assess diversity in our program.

What is your race?

* must provide value

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Other

Are you Hispanic, Latino/a, or of Spanish origin?

* must provide value

Do you have a physical or mental disability as defined in Section 3(2)(a) of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102)?

* must provide value

What is your current veteran status?

* must provide value

Are you from a rural area?
You can check the classification of your address here: https://data.hrsa.gov/tools/rural-health?tab=Address

* must provide value

Please check the box if to indicate which of the following apply to you:

* must provide value

Environmentally disadvantaged (e.g., less than 50% of high school graduates in my school district go to college; standardized test scores in my district are lower than the state average; I am the first generation in my family to pursue education beyond high school; English is not my primary language and is a barrier to my academic performance; OR at least 30% of students in my school were eligible for free or reduced price lunches)

Economically disadvantaged (e.g., my family's annual income is less than 200% of the federal poverty guidelines)

Neither apply to me

Are you currently an ASU employee or student?

* must provide value

Please indicate your current ASU affiliation(s)

* must provide value

Where did you hear about us?

* must provide value

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