RVA Health Corps Application 2024 Updated 07.12.2024

2024 - 2025 RVA Health Corps Application

Please complete the following form
“Improving communities by connecting residents to health care services and organizations"

Thank you for your interest in the City of Richmond’s RVA Health Corps AmeriCorps Program, a federally funded grant initiative aimed at making positive, impacting change at the local level.

We are looking for a team of individuals whose primary motivation for seeking the position is a desire to help the community and is not solely financial. AmeriCorps members receive a living allowance (or stipend) which is disbursed evenly over the service term, and an education award at the successful conclusion of their assignment. Terms of service begin September 2024 and conclude August 2025. Below are the descriptions of the program roles, service hour requirements, and monetary living allowances for the service commitment.

The living allowance listed below is determined by our grant and is non-negotiable. Therefore, please seriously consider this compensation level. If you are still interested in this position, we invite you to complete the application.

Community Health Workers Position Summary

The City of Richmond’s RVA Health Corps AmeriCorps Program will onboard Richmond residents who will serve as AmeriCorps members, delivering direct services to vulnerable neighborhoods as Community Health Workers (CHWs). CHWs are public health workers who typically reside in the communities they serve, connecting individuals and families with health care systems and serving as frontline public health professionals who help to bring care and healing to those in need with duties such as:
- Home and/or community building visits
- Health and nutrition education
- Mental health literacy
- Informal chronic disease counseling
- Referrals to healthcare providers and local health agencies
- First aid
- Treatment of simple or common illnesses
- Community enhancement activities
Minimum Time
- Serve Part-time [900 hours for the year of required service].
- Receive a $11,600 living allowance (taxable, divided and paid out bi-weekly)
- Receive an educational award: $3,697.00
Application Requirements
- All applicants must be at least 17 years of age.
- Applicants are not required to have a high school degree but must be committed to obtain their GED by the end of the program year. Additionally, no prior health-related job experience is required.
The City of Richmond is an Equal Opportunity Employer and does not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status as defined in local, state, or federal law.

Work Sites
The city of Richmond’s RVA Health Corps AmeriCorps program has multiple community organizations that serve as host sites for the AmeriCorps members. Please check the box next to the site(s) that you may be interested in serving as an AmeriCorps member. Site preferences are not guaranteed to applicants.

BON SECOURS HOSPITAL

A hospital with a commitment to be of service to all who need care and help, especially the poor, underserved and dying.

LA CASA DE SALUD

A nonprofit organization created in 2014 to help eliminate barriers to accessing health information, health services, and prevention programs by the Hispanic community.

RICHMOND HENRICO HEALTH DISTRICTS

The Virginia Department of Health’s combined agencies serving the city of Richmond and Henrico County, providing a multitude of services and information to residences of both municipalities.

CROSSOVER HEALTH MINISTRY

A non-profit organization that provides high-quality, compassionate healthcare to uninsured and Medicaid patients, offering high quality healthcare, promote wellness, and connect community talents and resources with people in need in the name of Jesus Christ.

CAPITAL AREA HEALTH NETWORK (CAHN)

CAHN is a non-profit organization that offers primary care, HIV/AIDS care, pediatrics, behavioral health, cardiology, dental and more services in six locations in Richmond, VA

HEALTH BRIGADE

Formerly the FAN FREE CLINIC– carries on a 53-year legacy as Virginia’s oldest free and charitable clinic offering a growing array of medical, mental, and other health services.

WAYMAKERS FOUNDATION

The Waymakers Foundation addresses food insecurity among Latino and Hispanic communities affected by the COVID-19 pandemic. They serve about 900 families monthly, providing culturally appropriate food. The foundation also offers health, education, and cultural programs.

VCU HEALTH

VCU Health is a comprehensive healthcare network affiliated with Virginia Commonwealth University (VCU) in Richmond, Virginia.
Rank your order preference for the following work sites. Please note that work sites are not guaranteed for your placement.

Personal Information

Please complete all sections of this application and provide a signature where requested.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Mobile
Email address
example@example.com
Date of Birth

MonthDayYear
Date
Social Security Number
Citizenship Status (Please check only one)

US Citizen by birthUS Citizen by naturalization
Are you a permanent resident?

YesNo
Work Authorization Status

Are you legally authorized to work in the United States? ☐ YesNo

Educational Background
Name of High School, Years Attended, Major/Field, Graduated (Y/N)
Name of Technical School/Other, Years Attended, Major/Field, Graduated (Y/N)
Name of College, Years Attended, Major/Field, Graduated (Y/N)
Languages
Are you bilingual?
Other languages spoken at home?

Employment History

You may list three to six employers. Account for the last ten years, if applicable.
Employer 1 - Name
Type of Employment
Employment Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor
Phone
Start Date
End Date
Employer 2 - Name
Type of Employment
Employment Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor
Phone
Start Date
End Date

Reference #1
Name
Company
Address
Telephone Number
Number of Years Acquainted
Reference #2
Name
Company
Address
Telephone Number
Number of Years Acquainted
Reference #3
Name
Company
Address
Telephone Number
Number of Years Acquainted

**Personal Statement
(Must be included in application)

**Personal Statement**(Must be included in application)**

You may type a 400-word statement in the space below explaining:

(i) What you will contribute to this AmeriCorps program

(ii) How the experience will advance your personal and professional goals

(iii) What the term "commitment" means to you.

Please spend time preparing your statement. Be thoughtful and honest in preparing your answer. Applications without a Personal Statement will not be considered

RVA Health Corps Application 2023-2024
Submit your personal statement here. Maximum 400 words

0/400
Please note: Prior to admission to the program, all candidates will be required to submit to FBI and criminal checks, and national sex offender registry Candidates selected for an interview will be requested to provide state issued identification to properly conduct the National Sex Offender Registry Check.
How did you hear about this position?
I give City of Richmond Office of Community Wealth Building’s [OCWB] RVA Health Corps AmeriCorps program permission to obtain a Criminal History Record/Sex Offender & Crimes against Minors Registry Search, VA State Police, State of Residency, if applicable, an FBI fingerprint background check and a drug and alcohol screening as a condition of my acceptance and service. I understand that this information will be maintained in my file and will remain confidential. (Please include full legal name in the box below.)
Signature

Clear
Date

MonthDayYear
Date
Applicant Certification
I certify and affirm that the information provided by me during interviews, on this application and all other related documents to be true in all respects, and I further understand that any false or misleading statements or omissions, whenever discovered, will be grounds for immediate termination from further consideration or termination from service in the program.

I understand and agree that nothing in this application or anything conveyed during any interviews is intended to create a contract for acceptance. If accepted, I agree to conform to the guidelines and policies of this City of Richmond’s Office of Community Wealth Building’s [OCWB] RVA Health Corps AmeriCorps Program.

I understand that I or the City of Richmond's OCWB RVA Health Corps AmeriCorps Program may terminate my service at any time, with or without cause, and that any assurances of continued service, whether written, oral or by conduct, shall not be interpreted as changing the “at will” nature of my service.

I understand that if I am accepted in the program, I will be required to satisfy the requirements of the Immigration and Control Act by showing eligibility for legal employment in the U.S. before my first day of orientation.

I understand that the City of Richmond’s OCWB RVA Health Corps AmeriCorps Program will conduct a routine background investigation in connection with my application including but not limited to a criminal background check.

I understand that I will be subject to random drug screenings throughout my service.

I authorize the City of Richmond OCWB’s RVA Health Corps AmeriCorps Program to verify all references and information provided by me in this application. I release the City of Richmond and the RVA Health Corps AmeriCorps program and any person or company responding to any reference or request for information from any claim or liability regarding any information or opinion supplied.
Applicant’s Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

2024 - 2025 RVA Health Corps Application

Work Sites

Educational Background

Languages

Employment History

Reference #1

Reference #2

Reference #3

**Personal Statement

Applicant Certification