Domestic Violence and Sexual Assault Training

Domestic Violence and Sexual Assault Training for Community Health Aides

Training to be held June 28 - July 1, 2022

Alaska Native Tribal Health Consortium

Consortium Office Building, Conference Room 1

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* 1. First Name

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* 2. Last Name

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* 3. What level of Community Health Aide training have you completed? (Please note: Only health aides at Session III level or higher are eligible to attend.)

Session III

Session IV

Community Health Aide Practitioner

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* 4. Mailing Address

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* 5. Email address

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* 6. Phone Number

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* 7. Tribal Health Organization

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* 8. Village Clinic

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* 9. I have permission from my field supervisor and CHAP director to attend this training.

Yes

No

Permission is pending