Family Connects Oregon (FCO)Steering Committee Application

Family Connects Oregon (FCO)

Steering Committee Application

Thank you for your interest in joining the Family Connects Oregon (FCO) Steering Committee!! Once we receive your application, our team will review it and respond within 6 weeks. In the meantime, if you have any questions, please reach out to LaShanda Hill at lashanda.n.hill@oha.oregon.gov.

Please enter date of your application submission*

First Name*

Last Name*

Organization*

What organization are you representing?

Title*

What is your role in the organization?

Email Address*

Phone number*

1. How does your professional, educational and /or personal experience in maternal and child health make you an ideal candidate for the Steering Committee?*

2. What strengths, contributions, and resources will you bring to the Steering Committee?*

3. Which of the following membership categories do you represent?*

Please select all that apply.

community-based care and support providers (e.g., midwifery, doulas, perinatal and lactation support)

evidence-based home visiting models (e.g., Nurse-Family Partnership, Healthy Families Oregon)

other Oregon home visiting models (e.g., Babies First!, CaCoon)

perinatal clinical professionals

local hospital/health systems

tribal health representation

non-governmental maternal child health and early childhood system policy representative and advocates

local public health subject matter expert

Family Connects program implementation

Regional Health Equity Coalitions (RHECs)

Medicaid Coordinated Care Organizations (CCOs)

commercial health insurance plans

data and evaluation

culturally specific/health equity representation

4. Are there additional membership categories that you represent?

Thank you for your interest in serving on the FCO Steering Committee!

Send me a copy of my responses

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