Language
English (US)
Training / Education Organization Submission Form
Use this form to submit information about your organization's opportunities in healthcare training or education. If approved, your opportunity description and website link will be uploaded and displayed on The Health Collaborative's Workforce Innovation website. You also may follow up with us at WorkforceInnovation@healthcollab.org. Please note, submission of this form is is not a guarantee your opportunity will be included on our website.
Organization (as you prefer it to be displayed on website)
*
Organization Contact
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
-
Area Code
Phone Number
County(s) where opportunity is Located
*
Opportunity is open to students in which geographic areas?
*
Does this opportunity fall under:
*
Career/ Credential Training
Post-Secondary Education
Text Content
In this section, you will submit your text exactly as you prefer it to be on our website.
Please give a thorough description of your organization's training and education opportunities. Include any details you feel would entice an applicant to take a deeper look at your program(s). You have a character limit of 200.
*
0/200
Website link to connect people for more info:
*
Video Content (Optional)
There are potential opportunities to share video content with our website! We will not edit or take credit for your videos, and will comply if you request their removal from our site. You can also submit videos through e-mail. You can submit one or both options, which include:
(1) Video from a healthcare professional speaking on how they currently benefit from their previous training or education at your organization, or in our medical community (to be used as part of a series of rotating videos showing the benefits of training in our region).
Browse Files
Cancel
of
(2) Video from a healthcare professional speaking on their career or what a day in the life of someone in their profession entails (to be used in our Virtual Content Library).
Browse Files
Upload a file here.
Cancel
of
Date Submitted
*
-
Month
-
Day
Year
Date Picker Icon
Please verify that you are human
*
Submit
Should be Empty: