Enrollment Application

Bookmark this page. This form is required for consideration in The Empowerment Center’s Community Health Worker Academy. Read the details below.

The CHW Academy is highly competitive and space is limited. Every application submission is carefully reviewed, and acceptance is based on readiness and fit for the program. Please complete your application in full and take your time—accuracy matters.

How it works

Complete the form to join the Waitlist for Summer 2026 Cohort.

After you submit, keep a close watch on your email inbox for next steps and an update on your application status. If you are selected, we look forward to supporting you on your CHW journey.

What you’ll need

Before you begin

✓
30 minutes of uninterrupted focus time
✓
A laptop or computer
✓
A stable internet connection and a quiet work space

TEC’s Mental Health CHW Academy Enrollment Form

Enrollment Application

Complete the form to join the Waitlist for Summer 2026 Cohort.

Before you begin

TEC CHW Academy Enrollment Application