Direct Care Worker Track: Grant Application

Direct Care Worker Track: Grant Application

Use this application to express interest in being part of the Pennsylvania Homecare Associations' (PHA) Direct Care Worker Track of the Training and Mentorship Program funded by the Department of Labor and Industry Job Quality Grant.
Applicant Full Name*

First NameLast Name
Eligibility Requirements:
- Applicants must be seeking employment or newly employed in home care, home health or hospice
- Applicants should be new to the industry (within 6 months)
- Applicants must work 40 hours in the industry to receive grant funding
- Applicants must work in Pennsylvania
Steps For Grant Funding:

Step 1: Complete this application to apply to be considered for the grant program

Step 2: Complete the MyLearning Center (MLC) Training Videos within 30-days of completing this application. Track your progress within MLC or using this form.

Step 3: Accept a job offer with a home care, home health or hospice agency and work your first forty (40) hours. See PHA Job Board for work opportunities if you're not already hired by an agency

Step 4: Complete the Grant Satisfaction Survey following steps 1-3.

By successfully completing the above items, you will be awarded $300.00.
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about this grant opportunity?*
Have you ever worked for a home care, hospice, or home health agency before?*

YesNo
I was recently hired and referred by an agency/organization to apply to be apart of this grant*

YesNo
Name of agency/organization that you're employed with and referred you to the grant program?*
Name of the person who referred you to complete the grant application*
Email address of the person who referred you to complete the grant application*
I agree to complete 15 hours of training videos on the Pennsylvania Homecare Association's Learning Center website within 30 days of completing this application (Link to be shared once application approved). I understand that if I fail to complete the videos in this time frame, I will need to reapply.*

Yes, I agree
I agree to apply to at minimum three (3) jobs using the PHA job board and provide documentation that I was hired and worked forty (40) hours at home care, home health, or hospice agency*

Yes, I agree
I agree to complete a satisfaction survey at the conclusion of the training program. I understand that if I fail to complete this survey, I will not be awarded the completion bonus of $300.00.*

Yes, I agree
Have you applied to the Pennsylvania Homecare Association’s (PHA) Direct Care Worker Mentorship and Training grant program before?*

YesNo
The Department of Labor and Industry is asking for participation in their intake questionnaire regarding this grant program.

The purpose of the survey is to gather insights on your current experiences and perceptions of your job and employer. Your feedback will be valuable in assessing your satisfaction, as well as identifying strengths and potential areas for improvement in your workplace.

Please click here to be redirected to the Direct Care Worker Job Quality - Participant Intake Questionnaire. Please note, this will open in a new tab for you to complete once you submit your application.

Participation is strongly encouraged.
I have received the Department of Labor and Industry's Direct Care Worker Job Quality - Participant Intake Questionnaire. *

Yes, I received the link to participate.
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