Contact Information for CREATE Applicant

Fill out ALL fields before clicking the Submit button.

**PLEASE APPLY EARLY**

Applicants are encouraged to apply 2-3 months prior to the start date of the course. This is because applications are accepted and reviewed on a monthly basis, so in the event your application is denied the first time, you can reapply the following month.

  • Multi-Agency Applicants:

    Applications are considered multi-agency when a request for training includes multiple agencies being reimbursed or covered by the agency applying for CREATE. Applications are considered single-agency if the only participants come from the applicant entity or if participants from outside entities are invited but would not be reimbursed or covered by the agency applying for CREATE. ***IF YOU HAVE A MULTI-AGENCY APPLICATION, be sure to send all participating agencies this 'Information Request Packet": https://coruralhealth.org/wp-content/uploads/2013/10/Information-Request-to-Participating-Agency.pdf
  • Create and/or Update Organizational Profile Information Form in ImageTrend (OATH)

    An Organizational Profile Information Form is required for all entities completing a CREATE grant and is a prerequisite to accessing the grant application. This is NOT the education program recognition gatekeeper process. The profile status must show "Updated" with a certification date during the current state fiscal year (July 1 - June 30).

    How to Create/Update an Organizational Profile Information Form on OATH:

    Log in/create account in CDPHE's ImageTrend portal.

    Reference this OATH instructional for guidance on creating or updating an organizational profile.

    Questions or concerns regarding OATH should be directed to CDPHE.

  • Has your organization recently updated the EMTS organizational profile information form?

    If yes, upload the PDF output below (sent to your organization's profile gatekeeper).

    If no, your organization's profile gatekeeper must update the profile information form in OATH and provide the output PDF.

    Click here for more information on the EMTS organizational profile.

  • **The organization profile information must be updated to receive access to the CREATE application.
  • Max. file size: 50 MB.

    Click here to view an example of what the PDF output should look like.

    The organizational profile information form must show that it's been updated within the past 12 months. Do not upload profile gatekeeper applications here.