CHW 101 Registration & Scholarship Form

First name

Last name

Email

Phone

Position

Country

*****Please note, we aim to tailor our CHW 101 training so it is more culturally appropriate for participants in Africa & other parts of the world. At this time, CHW 101 is only offered to participants in the US*****

Decision Maker?

Are you a decision maker at your organization that can decide how your organization pays for training and/or services we offer?

Device & Internet?

Do you have a smartphone (or another device) AND internet (or airtime) to participate in this virtual training?

Returning or New Student

Have you attended a CHW Strength training in the past?

CHW 101 Training Registration

CHW 101 Registration & Scholarship Form