Boston Medical Center Vital Village Netw | Greater Boston Birth Equity Coalition Forms

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Greater Boston Birth Equity Coalition

Fields marked with an asterisk (*) are required.

Section

Overview/Background

Vital Village Networks (VVN) has partnered with community leaders, health care providers, and advocates to launch the Greater Boston Birth Equity Coalition focused on serving families furthest from opportunity as they welcome new children. Community partners from across the region worked collaboratively to design the foundational elements of a coalition governance and decision making structure that uplifts the dignity of its members and is grounded in healing-centered practices.

The design team is now seeking nominations for 11 members to serve as leaders for the official founding of a Greater Boston Birth Equity Coalition. We are also seeking advisors to join the Elder Council to provide sage guidance to the coalition. Next, we are also seeking coalition members to express interest in joining.

We are inviting people from all walks of life to join in co-leading this coalition. We value and welcome all forms of leadership centered in upholding and protecting the dignity of children and birthing people.

If you, or someone you’d like to nominate, fit this description and are ready to be a part of designing solutions for Boston children and families, please complete this interest form. A member of Vital Village Networks and the Design Team will schedule time for a deeper conversation.

Choose Form

Express Interest in Coalition General Membership

Nominate or Express Interest in Coalition Elder Council

This field is required

Service Leader Interest/Nomination Form

Members of this Service Leadership team will collaborate to fully continue to design and launch the coalition. Each member of this team will receive a yearly stipend to honor their time commitment.

Each member should be able to commit to the following items

Commit 4-6 hours per month to the coalition
Be available for a 2-day Service Leadership Team retreat in the first quarter of 2024
Commit to a 2-year term

Nomination inquiries will be reviewed by a sub-committee from the community design team, followed by an interview. The Birth Equity Coalition’s Service Leadership Team will be announced in the first quarter of 2024.

Choose a Form for Service Leader

Express Interest to be a Coalition Service Leader

Nominate a Coalition Service Leader

This field is required

Nominate a Coalition Service Leader

Nominator's Name (Your Name)

Nominator's Email Address

Who would you like to nominate?

Nominee First Name

Nominee Last Name

Do you feel the nominee would be able to commit to monthly service leadership on behalf of the coalition for a 2 year period?

Please describe why you would nominate this person [ feel free to share examples of their leadership, expertise, and support for the community with regard to children and families, birth equity, justice and human rights]:

May we contact you for more information regarding your nomination:

Express Interest in Coalition General Membership

Birth Equity Coalition–Community Membership Form

Members of the coalition will collaborate as equal partners in achieving the shared vision of ensuring equitable and just experiences for people planning, preparing for, and welcoming children into their lives.

Each member would support the coalition through the following actions:

Helping to create a nurturing community of like-minded and diversified folks with shared interests, and networking opportunities for interactions, collaborations, and support.
Sharing availability for participating in the coalition
Supporting Member Outreach, Engagement, Growth, and Retention
Sharing or discussing their experiences, ideas, problem-solve, and generate solutions-oriented and holistic approaches to prevent maternal morbidity and mortality, and improve maternal and infant health and birth care
Participating in the development and sharing of resources, communications, advocacy actions and events

We hope to respond to your inquiry by the end of January 2024.The first membership meeting will take place in the first quarter of 2024.

First Name

Last Name

Pronouns

Email Address

Address Section

Street

City

State

Country

Zip/Postal Code

How did you hear about the Boston Birth Equity Coalition?

Vital Village Networks (Newsletter, Event, or Group)

Social media

Boston Medical Center (or another hospital)

Local community events

Other

This field is required

If "Other", please mention:

Why do you want to be a part of the Greater Boston Birth Equity Coalition and Network?

What types of events, meetings, trainings, networks, or resources would you like to be connected to?

If "Other", please mention:

How much time do you feel you would like to dedicate to this coalition?

If "Other", Please mention:

Is there language that you prefer to engage in for the coalition? Please describe below.

Birth Equity Coalition–Elder Council Forms

The wisdom, knowledge and engagement of elders is crucial for guiding efforts to promote justice and equity for all birthing families. The Coalition Design Team recommended an Elder Council be convened to support the success of coalition efforts and ensure cultural and historical knowledge, wisdom and guidance are incorporated.

We invite you to express interest or nominate others for this important role.

Nomination inquiries will be reviewed by a sub-committee from the community design team, followed by a conversation. The Birth Equity Coalition’s Elder Council will be announced in the first quarter of 2024

Choose a Form for Elder Council

Elder Council Expression of Interest Form

Elder Council Nomination Form

This field is required

Elder Council Expression of Interest Form

First Name

Last Name

Email Address

Mailing Address

Street

City

State

Country

Zip/Postal Code

Please describe why you would want to join the Elder Council? [Feel free to share examples of your leadership, expertise, and support for children and families in your community through your current or past work, family responsibilities, volunteerism or service in your neighborhood, faith-based community, health and education systems.]

Alternative: Feel free to share examples of your leadership, expertise, and support for the community with regard to cultural knowledge, children and families, birth equity, justice and human rights

Would you be able to provide the coalition with council and guidance by engaging in discussions (virtually or in-person) between 2-4 times per year?

Are you presently engaged in any community groups, programs, services or organizations?

If Yes, please describe:

How long would you like to serve on the Elder Council?

May we contact you for more information regarding your nomination

Elder Council Nomination Form

Nominators Name (Your Name)

Nominators Email Address

Who would you like to nominate?

Nominee First Name

Nominee Last Name

Do you feel the nominee would be able to engage in discussions (virtually or in-person) between 2-4 times per year to provide the coalition with council and guidance.

Please describe why you would nominate this person for the Elder Council

Feel free to share examples of their leadership, wisdom, guidance, expertise, and support for the community with regard to cultural knowledge, children and families, birth equity, justice and human rights

May we contact you for more information regarding your nomination?

Please confirm your submission by typing your full name.

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Greater Boston Birth Equity Coalition

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