Join the Coalition : How To Help : Florida Community Health Worker Coalition

Join the Coalition

The Florida Community Health Worker Coalition is a passionate group of 800+ volunteers dedicated to the promotion of the community health worker profession in Florida.

You too can be part of our CHW Community by filling out the interest form below.

Name

First Name *

Last Name *

Email (Required)

Address

Country

Address Line 1 *

Address Line 2 *

City *

State/Province *

Postal Code *

County (Required)

Are you a certified CHW?

Language Preference (Required)

If you chose "other", please specify what your language preference is in the box below.

Please list your employer below. If you are not employed, please type "none" in the box below. (Required)

Specific Department

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Please choose the option that BEST describes you: (Required)

Please choose the subgroup most relevant to your CHW interests: (Required)

Please use the space below for any comments or questions you may have.

Subscribe to our email newsletter?

Yes, I want to subscribe to your email newsletter.

Join the Coalition

Join the Coalition

Community Partners:

Mailing Address