Skip to content
Webinar Archive Access: Community Health Worker’s (CHW)/Promotores de Salud history and process, 6/16/20
*
1.
Please tell us your:
(Required.)
Name
Organization
State/Territory
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email Address
*
2.
What is your organization type? (check all that apply)
(Required.)
F2F
FVAO
Other Family Organization
Title V Agency
Other State Agency
Other MCHB-funded Organization
Other Professional Organization
Individual Family
Individual Provider
Other (please specify)
3.
In what language do you feel most comfortable expressing yourself? (Optional)
English
Spanish
Other (please specify)
4.
How do you identify your ethnicity/race? (Optional)
American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latino/a/x
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
Prefer not to answer
Some other race/ethnicity:
Current Progress,
0 of 4 answered
