Specifications include, but are not limited to: KY BEST improves English proficiency and awareness of American healthcare norms for foreigntrained new Americans so they are able to secure healthcare employment or enter a healthcare-focused academic program. KY BEST providers will implement a service delivery model that is industry-focused and demand driven – providing workforce preparation and skills training grounded in the English Health Train curriculum developed by Welcome Back Centers. Interviews with current instructors of the curriculum have revealed that, while English Health Train provides a good foundation in healthcare vocabulary and cultural norms in healthcare, it does not seem to be enough instruction to advance English language skills to a point that can change career outcomes. Accordingly, KY BEST providers will be expected to supplement English Health Train with additional ESL training such as TOEFL exam preparation. The successful proposal will demonstrate the vendor’s ability and experience in providing English Language Learners with assessment, training and transition services to further education and employment in a variety of well-paying healthcare pathways.