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.