Healthcare Workforce Development Academy Application and Employer Self-Assessment Tool

Organizational Information

Thank you for expressing interest in the Healthcare Workforce Development Academy.

Please note the application, employer self-assessment tool, and letter of support from a senior leader are required to be considered for the Academy.

Question Title

* 1. Please tell us about your organization.

Organization name

Type of organization (hospital, healthcare system, long term care, community health center, healthcare partnership, labor-management partnership, etc)

Brief description of organization (# of beds/patients served, communities served, types of services, number of engaged employers, etc)

Organization address

Name of senior leader supporting organizational participation

Email address of senior leader

Question Title

* 2. Please provide information on the scale of your programming. Frontline workers are defined as individuals working in jobs that require an Associate Degree or less.

How many people are employed by the organization?

How many frontline workers are employed by the organization?

In the last year, how many frontline workers or applicants participated in your skill and career development programs?

Overall, how many frontline workers or applicants participated in your skill and career development programs?

Question Title

* 3. Has your organization been recognized as a CareerSTAT Frontline Healthcare Worker Champion or Emerging Champion?

Yes