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Community Health Worker I | High School Program (ages 16+

Level Up Application Packet

The application is a fillable PDF for you to download, make changes, and redownload with your changes to print and sign. Since we require a handwritten signature, if you need accommodations to be able to complete this application please reach out to alyssa@highsierraahec.org or call us at (775) 507-4022 and ask for Alyssa.

La solicitud es un documento que puede editar para que la descargues, hagas cambios y vuelvas a descargarla con tus cambios para imprimir y firmar. Este documento también se puede imprimir si prefiere escribir todo a mano. Requerimos una firma manuscrita, si necesita adaptaciones para poder completar esta solicitud, comuníquese con alyssa@highsierraahec.org o llámenos al (775) 507-4022 y pregunte por Alyssa. Si necesitá un tranductor, por favor pregunta para Azucena o Michelle.

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When you have completed your application send it to alyssa@highsierraahec.org with the subject line:
Completed Level Up Application - First Initial of Student. Last Name of Student
(Example: Completed Level Up Application- M. Smith)

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639 Isbell Rd, Suite 290

Reno, NV 89509, USA

EIN: 43-1981060

 
 
 
 
 
 
High Sierra AHEC is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant #5U77HP23062-09  with 50% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

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