Family Advisory Council Nomination Form

When nominating a parent or guardian for the Children’s Family Advisory Board or a Family Advisory Council, please provide detailed answers to the questions on this nomination form. This information will be used to select council members. In order to recruit a council that represents families of different backgrounds and medical specialties, we are not able to accept every nominee.

Please consider the following attributes when making your nomination. Family advisors should:

  • Share insights and information about their experiences in an educational way.
  • See beyond their personal experiences
  • Respect the perspectives of others
  • Have a positive outlook on life and a sense of humor
  • Feel comfortable speaking in a small group setting
  • Be willing to share their child’s medical experiences on behalf of Children’s

Self-nominations are welcomed. Nominees can also live outside of the greater Omaha area. Meetings are either fully virtual or offer both virtual and in-person attendance (subject to COVID-19 or other seasonal precautions).

  • Your Information (person submitting nomination)

  • Nominee Information


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