Community Health Worker Program Funding Request

Streamline Your Community Health Worker Program Funding Applications

Securing funding for community health worker (CHW) programs requires a detailed, professional application that clearly demonstrates your organization's readiness, community needs, and expected outcomes. This Community Health Worker Program Funding Request template gives nonprofit healthcare organizations, community clinics, and public health departments a structured, comprehensive tool to present compelling grant applications.

Built with Paperform's flexible form builder, this template guides applicants through every critical component of a CHW program proposal—from population health needs assessments and workforce training certifications to care coordination models and outcome measurement frameworks. The intelligent conditional logic adapts questions based on your program focus, ensuring reviewers receive exactly the information they need to make funding decisions.

Perfect for Healthcare Organizations and Grant Seekers

This template is designed for community health organizations, federally qualified health centers (FQHCs), county health departments, nonprofit hospitals, and community-based organizations applying for federal, state, foundation, or corporate funding to establish or expand community health worker programs. Whether you're targeting underserved populations, addressing chronic disease management, or improving health equity, this form captures the comprehensive data funders expect.

Automate Your Funding Workflow with Stepper

Once your funding request is submitted through Paperform, you can use Stepper to automate your entire grant management workflow. Automatically route applications to review committees, send notifications to stakeholders, create project tracking records in your CRM or project management tools, and trigger follow-up communications—all without manual data entry. This keeps your team focused on program delivery rather than administrative tasks.

Secure, Compliant, and Professional

With SOC 2 Type II compliance and robust data security, Paperform ensures sensitive program and community health data is protected throughout the application process. Customize the form's design to match your organization's branding, embed it directly on your grants page, or share it as a standalone link. The professional presentation helps your application stand out while the structured format ensures you never miss critical information funders need to evaluate your request.