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NW Portland Area Indian Health Board - Behavioral Health Aide Student Agreement
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email Address
(Required.)
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4.
Phone Number
(Required.)
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5.
Expectations:
(Required.)
I understand that I am required to attend the TCHPP's BHA with cohort in year 1 of the cohort.
I understand that I am highly encouraged to attend the NW Elders Knowledge Holders, and Culture Keepers ECHO at least 6 of the 12 times they occur, each year.
I understand that in order to be eligible for National Certification for BHA through the Portland Area CHAP Certification Board (PACCB), I need to be working for a Tribe or Tribal Health Department.
I understand that I will need to log my work experience hours (2,000 hours total) and clinical practicum hours (200 hours total) with my Clinical Practicum Supervisor, if I would like to pursue National Certification.
I understand that I am expected to partake in 30-minute monthly check-ins via Zoom with NPAIHB Program staff.
I understand that I will need to submit grades, course schedules, tuition ledgers, financial aid/scholarship information, and any school related documents that TCHPP/BHA Program staff request.
I understand that I need to submit my grades to the BHA Program Manager at the end of each term, each year.
I understand that the stipend funding will be sent to me in the mail and it is my responsibility to budget and pay for my tuition and school supplies with that stipend funding.
I understand that I am required to notify the NPAIHB BHA Program Manager if I take a leave of absence or if I am put on furlough.
I understand that my images may be used in BHA related news articles and/or program updates.
I hereby acknowledge that checking the boxes above that I understand BHA student expectations and requirements.
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6.
Signture:
(Required.)
