Community health leadership program application
Thank you for your interest in the Community Health Leadership Program!
Included below is our Community Health Leader application. You have the option to complete it online, or print and send (email/fax) in your application. Forms are for both individuals and Tribal-Serving organizations.
Program details listed in the application.
(505) 837 - 2104
(505) 837 - 0575
Deadline to Apply: November 20,2020
If applying via the online form below, you are encouraged to read the details of awardee expectations in the Individual and Tribal-Serving Organization documents above prior to submitting.