HIV CHW Training Registration

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HIV CHW Training Registration

This 15 hour training covers topics such as: HIV prevention methods, diagnosis & linkage to care, HIV treatment methods, as well as HIV stigma reduction & resources. This training is made possible by a collaboration between the Southeast AIDS Education Training Centers (AETC) & the Center for Community Health Alignment (CCHA).

There are only 20 available slots for this training. Slots will be filled on a first come first serve basis - based on the time of registration. Any additional registrants will be utilized as a waitlist. In the event someone is unable to attend you will be contacted. To be eligible you must be able to attend the training in its entirety.

If you have any questions or concerns, please contact the CCHA Training team at CHWInstitute@gmail.com

Trainee's First Name: *

Trainee's Last Name: *

Email address you would like training correspondences and confirmation sent to: *

Trainee Phone Number: *

Organization employed by: (If independent, put N/A) *

Address of place of employment: (If independent, put N/A) *

Title within organization: (If independent, put N/A) *

Training dates you would like to attend: (please select all that apply) *

I would like to be notified of the next VIRTUAL training sessions.

I would like to notified of the next IN PERSON training sessions.

Required

Please select the statement that describes your work in HIV best: *

I am not a CHW, but I am interested in learning more about HIV & AIDS.

I am a CHW interested in learning more about HIV & AIDS.

I have under 2 years experience in community health work with a focus on HIV & AIDS health disparities.

I have over 2 years experience in community health work with a focus on HIV & AIDS health disparities.

How do you describe the populations or communities that you work directly with? (for example, rural elderly, perinatal Latinx families, uninsured patients, CHWs in South Carolina, state policymakers…)
*

Approximately how many families, clients, participants, and/or patients do you work with on an annual basis?
*

I understand that by signing up for this training I am agreeing to attend each of the sessions for their full duration and give feedback by way of survey:
*

Yes

No, but I would like to follow up with CCHA because I am interested in future experiences offered

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