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Home
About Us
2024 Annual Report
Meet our Team
Employment
Contact Us
In the News
Membership
Renew or Join
Benefits and Options
Membership List 2026
Member Only Resources
Programs and Service Offerings
Rural Connectivity
Hospital Support Services
Rural Clinics
CREATE
Information Technology
Policy and Advocacy
Group Purchasing Services
Provider Recruitment
CPR For Providers
CPR For Employers
CPR Jobs
Sponsors
Organizational Sponsors
Resources
Federal Rural Health Updates
Recruitment and Retention Catalog
COVID-19
Snapshot of Rural Health
Webinar Recordings
Manuals
Coding Resources
Videos & Infographs
Maps
Rural & Frontier Preceptor Tax Credit Certification Form
Events
The Colorado Rural Healthcare Conference
CAH Workshop
Webinars and Workshops
Safety Net Clinic Week & Videos
National Rural Health Day
Career Fair
Blog
Donate
“Grow Your Own” Workforce Program Candidate Application
Your Name
(Required)
First
Last
Your Email Address
(Required)
County
(Required)
Phone Number
(Required)
Do you currently work in the healthcare field?
(Required)
Yes
No
If yes, what is your current title and place of employment?
(Required)
What healthcare education or training program are your currently enrolled in or planning to enroll in?
(Required)
If planning to enroll, what is the expected start date?
Which school or training institution are you attending?
(Required)
What credential or degree will you earn upon completion?
(Required)
What is your expected graduation or program completion date?
(Required)
MM slash DD slash YYYY
Tell us about a moment or experience that made you realize healthcare was the right career path for you. What stood out to you about that experience?
(Required)
Provide 1-2 paragraphs explaining your answer
What have you learned from your own community's healthcare experiences, good or bad, that shapes the kind of healthcare professional you want to be?
(Required)
Provide 1-2 paragraphs explaining your answer
What would success look like for you upon completing this two year program?
(Required)
Provide 1-2 paragraphs explaining your answer
How did you hear about this opportunity?
(Required)
Please indicate the clinic or community where you learned about this opportunity.
Upload a Letter of Reference
(Required)
Upload your reference letter in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
The following three questions are for data collection purposes only and will not be used in the evaluation or scoring of your application:
Have you faced any of the following barriers to pursuing healthcare education and training:
(Required)
Financial/tuition costs
Transportation/ travel related to school or clinical rotations
Childcare or family responsibilities
Access to technology/ online learning
Academic preparation/support
Finding a program within or near community
Other
If "Other," please explain:
(Required)
Are you aware of resources in your community or school that could help with tuition, transportation or academic support?
(Required)
Yes – I have used these resources
Yes – I have not used these resources
No – I am not aware of any
Why haven't you used those resources?
(Required)
Which of the following have you participated in?
(Required)
Formal mentorship program
Informal mentorship program (teacher, supervisor)
Job shadowing/clinic observation
Career counseling
None of the above
Δ
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