CHW – Welcome

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First Name

Last Name

Phone Number

Occupation

Employer

County

Secondary Language (If Any)

Ethnicity

How do you best relate to the community you serve?

What is your primary area of focus as a CHW?

How long have you been a CHW?

What is your target population?

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CHW ($25 per year) Includes:

ILCHWA Monthly Newsletter

ILCHWA Blog Access

Membership Directory Access

Access to Job Oppurtunities

Quarterly CHW Trainings

CHW Conference Discount

Post A Job or Resource

Early Event Registration Access

Organization Logo Website Feature

Total $25.00 / year