Community Health Worker Grant Application
About this free form template

Apply for Community Health Worker Program Funding

Community health workers (CHWs) serve as vital bridges between healthcare systems and underserved communities, addressing health disparities and improving outcomes for vulnerable populations. This Community Health Worker Grant Application template is designed for nonprofit organizations, healthcare providers, community-based organizations, and public health departments seeking funding to establish or expand CHW programs that advance health equity.

Why Community Health Worker Programs Matter

CHWs are trusted members of the communities they serve, uniquely positioned to provide culturally appropriate health education, connect residents to care, and address social determinants of health. Research consistently shows that CHW interventions reduce hospital readmissions, improve chronic disease management, and increase access to preventive services—particularly among populations experiencing health disparities.

This grant application template helps you articulate your program's vision, demonstrate community need, outline evidence-based care coordination protocols, and show measurable health equity outcomes. Whether you're launching a new CHW initiative or scaling an existing program, this application guides you through the comprehensive information funders need to evaluate your proposal.

What This Grant Application Template Includes

Our Community Health Worker Grant Application covers all essential components that foundations, government agencies, and healthcare funders typically require:

Organization and Program Overview – Establish your credibility by describing your organization's mission, track record serving the community, and specific CHW program goals. Detail your target population, geographic service area, and how your initiative addresses documented health disparities.

CHW Training and Certification – Demonstrate program quality by outlining your CHW training approach, curriculum components, certification pathways, and ongoing professional development. Funders want assurance that your CHWs will have the competencies needed to deliver evidence-based interventions.

Care Coordination Protocols – Describe your systematic approach to care coordination, including screening processes, referral pathways, follow-up procedures, and collaboration with clinical partners. Show how CHWs will integrate into existing care teams and health systems.

Social Determinants Screening – Explain how your program will identify and address social determinants of health (food insecurity, housing instability, transportation barriers, etc.) through validated screening tools and robust community resource networks.

Health Equity Framework – Articulate your commitment to health equity through culturally responsive practices, community engagement strategies, and approaches to reducing specific disparities affecting your target population.

Program Outcomes and Evaluation – Define measurable goals, key performance indicators, data collection methods, and evaluation plans that demonstrate program impact on both individual health outcomes and population-level health equity.

Budget and Sustainability – Present a detailed budget narrative showing how grant funds will be allocated, along with your sustainability plan for continuing the program beyond the initial funding period.

Perfect for Healthcare and Community Organizations

This template serves diverse organizations working to advance community health:

  • Nonprofit health organizations launching CHW initiatives to serve specific populations
  • Community health centers expanding care coordination capacity through CHW integration
  • Public health departments implementing population-level CHW interventions
  • Hospitals and health systems developing community-based CHW programs to reduce readmissions
  • Community-based organizations seeking funding for health equity initiatives
  • Faith-based organizations establishing health ministry programs with trained CHWs
  • Social service agencies adding health components to existing community support programs

Streamline Your Grant Writing Process with Paperform

Creating compelling grant applications requires gathering extensive information from multiple stakeholders while maintaining a professional, cohesive narrative. Paperform makes this process seamless with its document-style editor that lets you craft an application that reads naturally while collecting structured data for reporting.

The conditional logic features ensure applicants only see relevant questions based on their program model—for example, showing different follow-up questions for new programs versus program expansions. Calculation fields can help organizations budget accurately right within the form, ensuring financial projections add up correctly before submission.

With Paperform's design flexibility, you can create an application that reflects your funder's brand guidelines while maintaining a professional, accessible experience for applicants. Embed the form directly on your foundation's website or share it via custom link.

Automate Your Grant Review Workflow with Stepper

Once applications start coming in, managing the review process efficiently becomes critical. Connect this Paperform template to Stepper to automate your entire grant review workflow—from initial acknowledgment emails to reviewer assignments, scoring compilation, and final decision notifications.

Set up Stepper workflows to automatically route applications to review committees based on funding priorities, send reminders about upcoming deadlines, create scoring sheets in your project management tool, and keep applicants informed throughout the process. This automation ensures every application receives fair, timely consideration while reducing administrative burden on your grants team.

Why Organizations Trust Paperform for Grant Applications

Professional and Accessible – Create grant applications that are comprehensive yet user-friendly, with clear instructions, helpful descriptions, and a logical flow that guides applicants through complex requirements.

Secure and Compliant – With SOC 2 Type II compliance and robust data protection, Paperform keeps sensitive organizational and financial information secure throughout the application process.

Collaborative Review Process – Export submissions to share with review committees, integrate with tools like Google Sheets or Airtable for scoring and evaluation, or connect to Slack for real-time application notifications.

Flexible and Customizable – Easily adapt this template to match your specific funding priorities, required attachments, reporting requirements, and evaluation criteria.

Insightful Reporting – Use Paperform's analytics and AI Insights to identify application trends, common challenges applicants face, and opportunities to provide additional technical assistance.

Trusted by over 500,000 teams worldwide and SOC 2 Type II compliant, Paperform provides the professional form infrastructure that foundations, government agencies, and healthcare funders need to manage competitive grant programs effectively.

Launch Your CHW Grant Program Today

Community health worker programs represent a proven investment in health equity with measurable returns in improved health outcomes and reduced healthcare costs. This grant application template helps you identify the most promising initiatives and gather the comprehensive information needed to make confident funding decisions.

Whether you're a family foundation supporting grassroots health initiatives or a large health system investing in community partnerships, this template provides the structure to evaluate CHW program proposals fairly and efficiently. Customize it to reflect your funding priorities, integrate it with your grants management systems using Stepper automation, and start building a portfolio of high-impact community health investments.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.