Community Health Worker Maternal Health Program Funding Application
About this free form template

Community health workers (CHWs) play a vital role in reducing maternal mortality disparities and improving birth outcomes in underserved communities. If your organization is seeking funding to launch or expand a CHW-focused maternal health program, this comprehensive application template makes the process clear and straightforward.

This Community Health Worker Maternal Health Program Funding Application is designed for nonprofits, health clinics, community organizations, and public health departments applying for grants to address maternal health inequities. The form walks applicants through program design, population needs assessment, CHW certification requirements, doula service integration, prenatal and postpartum care protocols, and expected improvements in maternal and infant health outcomes.

Built with Paperform, this template allows funding bodies to collect detailed program proposals, supporting documentation, budget breakdowns, and outcome metrics in one streamlined submission. Conditional logic ensures applicants only see relevant questions based on their program model, while calculation fields help organizations plan budgets and target populations transparently.

For funders and grant administrators, Stepper (stepper.io) can automate the review workflow—routing applications to program officers, tracking scoring and feedback, sending decision notifications, and triggering award agreements. If contracts or memoranda of understanding are required, Papersign (papersign.com) enables secure eSignatures directly from the submission, keeping compliance documentation tied to the original application.

Whether you're funding community doula programs, CHW certification initiatives, or comprehensive maternal health interventions, this template helps you gather the data that matters—program reach, health equity focus, evidence-based protocols, and measurable impact on maternal and infant health disparities.

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.