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Apprenticeship Stipend Application

Before applying for the CHWTP apprenticeship stipend, the following components are required and must be submitted with this application: 

  • Must provide employment/apprenticeship offer letter from the employer. Employer must be a registered apprenticeship through the Minnesota Department of Labor and Industry.
  • Must provide copy of CHW Certificate if complete OR 
  • Must provide Student ID number and consent to MNCHWA verifying with school.
  • Must agree to a minimum of 1 year apprenticeship commitment with the employer. 
  • Must have a clear understanding of how the apprenticeship program works.

CHWTP Apprenticeship Stipend Application

Step 1 of 3

Name(Required)
Home Address(Required)
Max. file size: 50 MB.
What is your race? (select all that apply)(Required)
What is your ethnicity?(Required)
What is your gender?(Required)
Please select all languages that you speak(Required)
0 of 30 max characters
What is your start date at your Apprenticeship?(Required)
0 of 30 max characters
What is your Apprenticeship Site address?(Required)
Select type(s) of vulnerable populations served at Apprenticeship Site:(Required)
Select your primary role at Apprenticeship Site: (select all that apply)(Required)
How many hours a week do you work in your Apprenticeship Site?(Required)

Max. file size: 50 MB.