"*" indicates required fields EmailThis field is for validation purposes and should be left unchanged.Organization Name*Select Organization NameAAA Comprehensive HealthcareAchievable HealthAll for Health, Health for AllAll-Inclusive Community Health CenterAltaMed Health Services CorporationAngeles Community Health CenterAPLA Health & WellnessArroyo Vista Family Health CenterAsian Pacific Health Care Venture, Inc.BAART Comunity HealthcareBartz Altadonna Community Health CenterBehavioral Health Services, Inc.Benevolence Health CentersBuddhist Tzu Chi Medical FoundationCareMed Community Health CentersCenter for Family Health and EducationCentral City Community Health CenterCentral Neighborhood Health FoundationClinica BienestarChinatown Service CenterClinica Monsenor Oscar A RomeroCommunity Medical Wellness Centers USAComplete Care Community Health CenterComprehensive Community Health CentersEast Valley Community Health CenterEisner HealthEl Proyecto Del BarrioFamily Health Care Centers of Greater Los AngelesGarfield Health CenterGracelight Community HealthHarbor Community ClinicHerald Christian Health CenterInstitute for Multicultural Counseling and Education ServicesJWCH InstituteKedren HealthKHEIR ClinicLos Angeles Christian Health CentersLos Angeles LGBT CenterMission City Community Network, Inc.Northeast Community ClinicNortheast Valley Health CorporationParktree Community Health CenterPlanned Parenthood LAPlanned Parenthood of Pasadena and San Gabriel ValleySaban Community ClinicSan Fernando Community Health CenterSouth Central Family Health CenterSouthern California Medical CenterSt. Anthony Medical CentersSt. John's Community HealthT.H.E. Health and Wellness CentersTarzana Treatment Centers, Inc.TCC Family Health CenterThe R.O.A.D.S. FoundationTri-State Community Healthcare CenterUMMA HealthUnicare Community Health CenterUniversal Community Health CenterValley Community HealthcareVenice Family ClinicVia Care Community Health CenterWatts Healthcare CorporationWestside Family Health CenterWhite Memorial Community Health CenterWilmington Community ClinicYehowa Medical ServicesOrganization Address Street Address Address Line 2 City ZIP / Postal Code Contact Name and Signatory* First Last Title*Phone*Email* Current Medical Assistant Wage*Are you aligned with offering apprentices a minimum-wage salary at the time of hire?* Yes No During months 1-6Are you aligned with providing a salary increase once the apprentice is certified—typically set at the midpoint between minimum wage and your starting Medical Assistant salary?* Yes No During months 7-13I would like to be considered as an employer representation on Propel's state apprenticeship committee.* Yes No Maybe This committee has voting rights on programmatic decisions.How long is your probationary period?* 30 days 90 days Other
