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.  

Additional Information:

EMAIL:

smokefreesignals@gmail.com

 

Phone:

(505) 837 - 2104

Fax:

(505) 837 - 0575

Deadline to Apply: November 20,2020

Outreach Flyers

2020_07.27- Updated CHL Individuals Flye
2020_08.10-CHLP_CommunityMessageBoard_Fl

Applications

2020_08.10-CHLP_Individual-Josiah MacBoo
2020_08.10-CHLP_Organization_Page_1.jpg

Tribal-Serving

Organizations

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.