Massachusetts Association of Community Health Workers
Join Massachusetts Association of Community Health Workers for free.
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Name:
Email:
Comment:
First Name
Last Name
What is your current gender identity?
Work Email
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Alternative Email
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Current Employer (if applicable)
Job Title
Home Zip Code
Which region do you work in?
Western Mass
Central Mass
Greater Boston
Metrowest
Northeast
Southeast
See map: https://machw.org/join/
Do you currently work as a CHW?
*
Yes
No
What is your relationship to CHW’s?
Supervisor
Former CHW
CHW ally
Employer
Other
What is your race or ethnicity?
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latine/a/o
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Not Sure
Prefer Not to Answer
Other
What pronouns do you currently use?
She/Her/Hers
He/Him/His
They/Them/Theirs
Ze/Zir/Zirs
Prefer not to say
Other
