Community Health Worker (CHW) or Community Health Representative (CHR) Board Candidate Application

Community Health Worker (CHW) or Community Health Representative (CHR) Board Candidate Application
Name

First NameLast Name
Organization
Role
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Experience & Connection
Are you a Community Health Worker (CHW) or Community Health Representative (CHR)? If so, please briefly explain your role and past experiences.
How have you engaged with or supported communities in South Dakota as a CHW or CHR?
Interest & Connection
Why are you interested in serving on the CHWSD Board?
What skills or perspectives would you bring?
Commitment & Leadership
Can you commit to attending meetings and participating actively? The CHWSD Board typically meets quarterly via Zoom, with one in-person meeting scheduled around the same time as the Annual SD CHW Conference.
Briefly describe any current and/or past leadership or board experience.
Perspective & Vision
What are key challenges facing CHWs in South Dakota?
How can CHWSD support workforce sustainability?
Final Details
Anything else to share? Please share any questions or concerns.
The CHWSD Team and current Board of Directors will review all applications beginning June 1, 2026, for a July 1, 2026 – June 30, 2029 Board Term. Please direct all questions regarding the application process to info@chwsd.org.
Should be Empty:

Experience & Connection