CHW Profile Form
Hello / Aloha / Talofa lava / Malo 'e lelei:
Due to HRSA (our funder) requirements, all Community Health Workers and other type of outreach workers in the CHW Workforce Collaborative are required to complete this CHW Profile Form. This form only needs to be completed once per worker.
Your information will be kept anonymous and confidential and will not be shared with your employer.
AAPCHO will use this information to demonstrate the diversity of our health care workforce across all local partners nationally; and HRSA intends to use this information to understand how job opportunities were created through government funding from their agency.
If you have any questions or concerns, please contact Joe Lee at email@example.com and Vanessa Wan at firstname.lastname@example.org.
Thank you / Mahalo / Fa'afetai lava/ Malo aupito!