CNA Cooperative Leadership Initiative – Interest Form
Thank you for your interest in joining the CNA Cooperative Leadership Committee!This initiative is led by WDC to help create a worker-owned cooperative for Certified Nursing Assistants in the Denver Metro Area. Please fill out this form to let us know a little more about you and your interest in getting involved.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Are you currently a CNA?
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Yes
I’m in training
I’m interested in becoming one
No
Where are you located? (City or Zip Code is fine)
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Do you have experience in home health care or caregiving? (If yes, please describe briefly)
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Why are you interested in joining the CNA Co-op Leadership Committee?
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What would you hope to bring to the committee or learn through this experience?
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Do you need language interpretation or disability accommodations to participate? (If yes, please let us know what kind of support would be helpful)
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How did you hear about this opportunity?
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WDC website
A friend or colleague
Email or newsletter
CNA training program
Social media
Other
Submit
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