Job Placement Waitlist
What is your full name?
What is your email address?
Please use an email address different than your current work email
Are you legally eligible to work in this country?
What is your availability?
Do you currently hold a Community Health Worker (CHW) Certification
Are you interested in being certified as a CHW or certified in the Parkinson's program?
Please provide your cover letter and resume below
Anything else you'd like to let us know about you?