EOHHS - Enrollment MH SE Region 6 CNA Initiative - MassHire Greater New Bedford Workforce Development Board

Please complete the form below to finalize your participant’s enrollment in the EOHHS -MassHire SE Region 6 Direct Healthcare CNA Initiative. Thank you!

Your Email Address *

Partcipant Info

Layout

Participant's First Name *

Participant's Middle Name

Participant's Last Name *

Participant's MOSES ID *

Program Info

Program Training Provider *

Layout (copy)

Orientation Date (copy) *

Academics Start Date (copy)

Clinical Start Date (copy)

Exam (Target Date) (copy)

Layout

Recruiter Info

Assigned MassHire SE Region 6 Recruitment Team *

All Massachusetts residents are eligible to enroll. Participants that reside outside of the MH SE Region 6 area will be assigned to the program recruiter nearest to where that person lives. Enrollment for this grant will be through one of our MH SR Region 6 Recruiters. Recruiters are encouraged refer participants to their local MH Career Center should they deem that the person would benefit from additional support services under WIOA. Choose one:

Layout

Where does the participant reside? *

N/A
Within assigned Board/Career Centers WDA
Mass resident living outside of Region 6 WDA

EOHHS Grant Application

Upload Application *

Click or drag a file to this area to upload.

EOHHS – Enrollment MH SE Region 6 CNA Initiative