Northeast PA AHEC CHW Interest Form
Please register for the Community Health Worker Training Program. Once you register Chelsea will reach out to you to discuss the program, tuition, scholarships, and course requirements.  

March 5- May 17; Tuesdays and Thursdays 9-12 live, Fridays asynchronous work - THIS CLASS is CLOSED

Next class:
June 11- August 20; Tuesdays and Thursdays 9-12 live, Fridays asynchronous work

If you have any questions, please let me know!

Email Me: cwolff@nepa-ahec.org 
Text/Call: 570-290-8723

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Email *
Name *
Preferred pronouns/name  *
Phone # *
Have your worked in healthcare before? *
Have you worked as a Community Health Worker? *
Current job title. *
How long have you been at your current job? *
Do you have access to laptop or tablet? Will be needed to attend zoom classes.  *
County you live in *
If Other county, what county do you live in?
Which course are you interested? *
Required
Which class would you prefer? (check all that apply) *
Required
Are you interested in becoming or learning more about being an NHC and AmeriCorps member?

Only available to those in Lackawanna & Luzerne county.
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