Request to Meet: Native American Maternal Health Community Advisory Board 
The Maternal Health Community Advisory Board (The CAB) has begun it's second year and welcome requests to hear from individuals, programs, and efforts focused around Indigenous maternal & family health. The CAB is a grassroot effort and cannot provide official IRB or Tribal Council guidance for Tribal Nations. 

The goal for this space is collaboration, curiosity, and mutual respect for the betterment of programming efforts that will impact Native children and families across Montana.

This intake form is to ensure the CAB members have sufficient understanding of the guests and their goals. This will ensure cultural safety, respect, and meeting efficiency. 

Important: CAB meetings strictly meet after work hours, once a month. However, a review of materials can take place with proper planning and consideration. 

Questions can be directed to Chelsea Bellon: chelsea@hmhb-mt.org
Sign in to Google to save your progress. Learn more
Email *
Contact Name *
Contact -email address *
What organization/group/project do you represent? *
Do you have a website the CAB members can review? *
Based on CAB member availability, how many of the 18 members minimum do you anticipate needing in attendance? *
What level of feedback or collaboration are you hoping to accomplish? *
Required
Does this project provide the space and opportunity for interested CAB members to take part outside of the CAB?

Example: advisory boards, paid contract work, partnerships, etc. 
Clear selection
Does your project plan to work in a way that continues to engage community voices and Indigenous knowledge?

How do you plan to center community voices in the entirety of your project. 
Think start to finish. 
When seeking lived experience, Indigenous feedback or working with underserved populations to leverage your programming, it's imperative people are paid for their time and knowledge. 

The CAB is funded through a grant and members are being paid for their time during these sessions with outside organizations. 

Please remember this practice as you move forward in your work. 


If you would like to connect with our staff to explain this practice or brainstorm ideas, please reach out. 
What are the names of the people who will attend the meeting? If you're unsure yet, provide the number of anticipated guests. *
What are your goals by meeting with the CAB? Provide specific objectives or outcomes.  *
Will you provide relevant documents for review prior to meeting to ensure the CAB has adequate time?
Note: CAB members operate in confidentiality. 
Clear selection
If the CAB supports your work, how do you plan to disseminate or share the outcomes and updates with the CAB?

Please provide a detail list of the steps or timeline in which information will be shared with the CAB. 

It's important the CAB members are provided with updates given the valuable feedback and knowledge shared. 
*
What is the date in which you hope to meet with the CAB? Provide month and date.
Note: the CAB meets monthly and cannot guarantee scheduling.
*
Do you have any additional needs or comments?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report