CHW Research & Resource Center
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Name:
Email:
Comment:
Email Address
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First Name
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Last Name
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What is your current job title?
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Which of the following describes your role?
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Community Health Worker / Promotor/ a / Patient Navigator
Peer Navigator / Advocate / Counselor
Social Worker / Case Manager
Clinical Provider (RN, MD, NP, etc.)
Program or Project Coordinator / Manager
Executive / Leadership
Academic / Researcher
Policy / Government Representative
Consultant
Student / Trainee
Retired
Other
Where are you located?
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New York City
New York State (Outside of NYC)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Other U.S. Territory
Outside of the U.S.
Select your U.S. state, territory, or country. NYC residents, please select “New York City.”
What is the name of your organization?
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African Services Committee
AIRnyc
Albert Einstein College of Medicine
Alliance for Positive Change
Arthur Ashe Institute for Urban Health
Asian American Center of Frederick
Bronx Community Health Network
BronxCare Health System
BronxWorks
Brookdale University Hospital Medical Center
Brooklyn Community Services
Brooklyn Perinatal Network
CABS Health Network
CAMBA
Caribbean Women’s Health Association
Center for Pan Asian Community Services
Central Family Life Center
Charles B. Wang Community Health Center
Chinese-American Planning Council
Clinical Directors Network
Coalicion Mexicana
Columbia University
Community Health Action of Staten Island
Community Health Center of Richmond
Community Mediation Services
CUNY Bronx Community College
CUNY Graduate School of Public Health and Health Policy
CUNY Hostos Community College
CUNY Kingsborough Community College
CUNY LaGuardia Community College
CUNY Research Foundation
Delta Health Center
El Rio Community Health Center
Emory University
Empire BlueCross BlueShield HealthPlus
Enlace Chicago
Fifth Avenue Committee
Grameen America
Grameen Primacare
Harlem Congregations for Community Improvement
Healthfirst
Henry Street Settlement
Icahn School of Medicine at Mount Sinai
India Home
Institute for Family Health
Jewish Association Serving the Aging
Korean Community Services of Metropolitan New York
Lantern Community Services
Make the Road New York
Mississippi State Department of Health
Montefiore Medical Center
Mount Sinai Health System
National Association of Community Health Workers
New Alternatives for Children
New Jerusalem Worship Center
New York Academy of Medicine
New York Common Pantry
New York-Presbyterian Hospital
Northern Manhattan Perinatal Partnership
NYC Administration for Children’s Services
New York City Department of Health & Mental Hygiene
NYC Health + Hospitals
NYC Health + Hospitals/Bellevue
NYC Health + Hospitals/Coney Island
NYC Health + Hospitals/Elmhurst
NYC Health + Hospitals/Harlem
NYC Health + Hospitals/Jacobi
NYC Health + Hospitals/Kings County
NYC Health + Hospitals/Lincoln
NYC Health + Hospitals/Metropolitan
NYC Health + Hospitals/North Central Bronx
NYC Health + Hospitals/Queens
NYC Health + Hospitals/Woodhull
NYC Housing Authority
New York State Department of Health
NYU Langone Health (including SOM, PCC, and IEHE)
NYU Langone Hospital - Brooklyn
NYU Langone Health - Family Health Centers
NYU Langone Hospital - Long Island
NYU Rory Meyers College of Nursing
NYU School of Global Public Health
Ottawa Pathways to Better Health
Pan American Concerned Citizens Action League
Partners In Health
Public Health Solutions
Red Hook Initiative
Refugee Women’s Network
RiseBoro Community Partnership
Rising Ground
Rush University Medical Center
Salt Lake County Health Department
Sheltering Arms Children & Family Services
Suffolk County Department of Health Services
SUNY Downstate Medical Center
The Neighborhood Center
Urban Health Plan
VIP Community Services
Visiting Nurse Service of New York
Voces Latinas
Wyckoff Heights Medical Center
Other (please specify)
If you selected "Other", write your organization.
Which best describes your organization type?
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Community-Based Organization (CBO)
Healthcare Provider (Clinic, Hospital, FQHC)
Government Agency / Public Health Department
Academic Research Institution
Managed Care Organization / Health Plan / Insurer
Policy / Advocacy / Trade Association
Faith-Based Organization
Elected Official / Representative Office
Consulting
Other
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