Community Health Educator Program Employment Application 2016

We are recruiting DC youth to become youth health educators. Young adults between the ages 18-24 will work with adult staff and other peers to give sexual health information, conduct referrals, and distribute condoms, and other safe sex materials in their communities.

The selected participants will receive training on sexual and reproductive health, peer education, group facilitation, communication skills, youth adult partnerships and professional development.

If you have any questions about the application please feel free to contact Marcia Huff by email at marciahuff@youngwomensproject.org, at the office at 202.332.3399 or by text at 202-253-1851.

Applicant Information

Full Name *

Address

Phone#1 *

Phone #2

Email Address *

Date of birth *

Year

Month

Day

Age

Are you currently in school?

Yes

Do you currently have another job?

Yes

Other :

health_job_other

Personal Experience

Are you currently in Foster Care?

Yes

If NO, were you ever in foster care?

Yes

Experience with unstable housing?

health_hosing_other

Education

Highest level of education *

High School Diploma/GED

2 year degree college program

4 year degree college program

Doctorate or Professional Degree

Other :

health_education_other *

Availability

health_worktime_oher *

Employment and Volunteer Experience

Company Name (1)

Supervisor

Position/Title

Dates Employed

Year

Month

Day

Was this a paid experience?

Yes

Company Name (2)

Supervisor

Position/Title

Phone

Dates Employed

Year

Month

Day

Start Date- End Date

Was this a paid experience?

Yes

About You

My career goal is to:

If you could change one thing about your life, it would be:

I want to be a health educator because

Do you feel that sexuality education for young adults is important? Why/why not?

What are some strengths and skills that you can bring to FCC? (For example: ideas, research, experience training peers, computer skills, etc.)

Why do you consider yourself a leader? If you don't consider yourself a leader, why not?

References (Optional)

Please list two (2) professional and/or personal references (For Example: supervisors, teachers, counselors, etc.) Please limit family members or friends to one reference.

Reference 1

Name

Relationship

Company/Organization

Phone

Reference 2

Relationship

Company/Organization

Phone

Signature

Please type in your name and today's date.

Name *

Date *

Year

Month

Day

You are required to attend a group interview session. Please select one of the following dates & times. If you cannot make either then please indicate. *

Thursday, February 4th 4:30pm-6:30pm

Tuesday, February 9th 12noon-2pm

Other

health_session_other *

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Search form

Community Health Educator Program Employment Application 2016

Contact Us

Get News from Us