Leadership Team Application

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Please complete the following form to be considered to serve on the Nebraska Breastfeeding Coalition Leadership Team. Deadline Tuesday 2/13/26.

The Mission of the NE BFC

Our Mission - Advancing the health of Nebraskans by making breastfeeding the norm through education, advocacy, and collaboration.

Our Vision - A Nebraska where every family is supported to breastfeed through a strong, statewide network of advocates and lactation providers delivering quality, effective care - creating informed communities, equitable access, and a culture that values human milk.

A Leadership Team (LT), composed of up to 13 self-nominated individuals, guides the NE BFC and works with the membership to accomplish the goals of the coalition.

Name *

First and last name

Email *

Phone number *

Address *

Are you affiliated with, or employed by an organization or business? Please specify.

Please indicate whether you represent any of the following (check all that apply): *

Breastfeeding Professional (IBCLC, CLC, CBS, etc.)

BIPOC/Person of Color

Omaha or Lincoln resident

Rural or Small-Town resident

Health Care Professional (MD, RN, PA, NP, Dentist, RD, Mental Health Provider, Public Health etc.)

Family Support Specialist (Doula, Peer Counselor, Community Health Worker, Home Visitor, Early Childhood, etc.)

Hospital-based Provider

In Private Practice

Affiliated with WIC

Affiliated with State or Local government

Other:

Required

Why are you interested in serving on the Leadership Team? What skills or interests might you contribute to the NE BFC? *

Statewide Representation

The NE BFC is a state wide organization. We aim to include and represent the wide variety of lactation providers and families via our membership, our projects, and our leadership. Our goal is to represent the unique needs of ALL Nebraskans.

I understand that the focus of the NE BFC is to represent all Nebraskans.

Yes

Clear selection

Please review the Leadership Team description as written in the current bylaws.

Per the bylaws of the NE BFC, the LT is a group of up to 13 self-nominated individuals.

Members of the LT:

are asked to complete a Conflict of Interest form and a LT Commitment form,
may serve for up to three two-year terms,
are expected to attend four Quarterly Member Meetings (combined with a LT meeting) and eight monthly LT meetings, either in person or virtual, and
agree to participate in at least one NE BFC committee or project.

A complete copy of the NE BFC’s bylaws is available for your review. Please feel free to request a copy.

Please Note: The Quarterly Meetings are currently held on the first Tuesday of February, May, August, and November. Continuing education is held from 10-11 am. A member meeting follows from 11:15 – 12:45, and a LT meeting is held from 1 – 2:30 pm. During months without a Quarterly Meeting, LT meetings are held from 1-2:30 pm on the first Tuesday of the month.

I have read the above information and I understand that by submitting this application, I am applying to be a member of the NE BFC Leadership Team. If selected, I am willing to give of my time, energy, and resources to support the mission of the Nebraska Breastfeeding Coalition.

Yes

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