Community Health Worker: Host Site Application

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Community Health Worker: Host Site Application

Community Health Worker Apprenticeships in Partnership with Trailhead Institute and Serve Colorado

Thank you for your interest in becoming an apprenticeship host site!

Community health workers are a vital link between patients and the fragmented health care system, building trust and helping community members overcome barriers to care. Together, Trailhead Institute and partners developed and launched Colorado’s first blended community health worker apprenticeship program also registered with the U.S. Department of Labor.

What is the name of your organization? *

Mailing Address *

Primary Contact (First, Last Name, and Title) *

Trailhead Institute offers three options for hosting or participating workforce development. Please select the option you are interested in applying for: *

Registered Apprenticeship ONLY. This option does NOT include any additional funding for wage reimbursements, it DOES include 144 hours of free training (related instruction) provided to the apprentice through our training partners at the Patient Navigation and Community Health Worker Training Program and MSU Denver

Registered Apprenticeship + AmeriCorps. This option DOES provide $33,000 in a living allowance/ wage for the apprentice reimbursed monthly to the host site. It does NOT include health insurance and workers compensation (required to be paid 100% by the host site, appx. $10,000). It DOES provide 145 hours of free training. At the end of the AmeriCorps service term the apprentice will be eligible for an education award equal to $6,493

Community Health Worker Upskilling Training Only

Required

Do you have a staff member at your site who has time and interest to serve as a quality mentor during the experience?

Yes

Other:

Clear selection

How long are you interested in hosting a member / apprentice?

One Year

Six Months

Three Months (CHW Upskilling training only)

Clear selection

Would your organization be able to contribute funds towards the member / apprentice costs. Approximately $10,000 in healthcare, workers compensation, and unemployment insurance?

Yes

Other:

Clear selection

Does your organization have sufficient capacity to lead a public awareness effort around the position, host the hiring process, and submit reimbursement cost invoices?

Yes

Other:

Clear selection

When are you interested in hosting a member / apprentice?

Right away

Within three months

Within six months

Greater than six months

Clear selection

Registered Apprenticeship + AmeriCorps

Please note* If you are applying for the blended apprenticeship + AmeriCorps program you must be either a local public health department or in partnership with a local public health department. If you are only interested in registered apprenticeship, there are no restrictions on the type of organization or partnership.

Is your organization a local public health department in Colorado?

Yes

Clear selection

If no, does your organization have a partnership with the local public health department in your county?

Yes

Clear selection

If you are not applying as a local public health department, please briefly describe your partnership with the local public health department in your area:

Please briefly describe the work the community health worker apprentice will be doing in your organization *

Please briefly describe how you plan to advertise your community health worker apprentice position? *

The next step in the application process is a brief interview to ensure your organization understands the roles and responsibilities of being a host site, and to answer any additional questions you may have.

Please provide a few times and dates you are available for an interview, along with your contact information, in the space below:

Please let us know what additional questions you have?

THANK YOU!

Workforce Programs and Initiatives Team at Trailhead Institute

email: workforce@trailhead.institute

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