Winter 2021 HS BF Cohort Application

Dear Healthy Start Grantees,

Healthy Start (HS) Cohorts provide space and place for HS grantees to come together to learn about what others are doing, document promising practices, and co-create tools and resources for the broader community. Cohorts provide small groups of HS staff (20-25) with opportunities to connect with other HS staff across the country, lift up and spread successful practices, and brainstorm solutions for common challenges.

The Healthy Start TA & Support Center is pleased to launch the second Healthy Start Breastfeeding Cohort! The goal of the Breastfeeding Cohort is to convene Healthy Start grantees – who are prepared to and interested in enhancing and strengthening their breastfeeding work – to create shared best practices for promoting, protecting, and advancing breastfeeding among Healthy Start clients. The Breastfeeding Cohort will meet on the first Wednesday of each month from 2-3:30 p.m. EST from March through June 2021 (March 3, April 7, May 5, and June 2).

This application will take 20-30 minutes to complete. Please note:

Do not fill out this application on someone else's behalf (including for staff who you plan to onboard soon).
Only complete this application if you are prepared to commit to participating in the Breastfeeding Cohort from March 2021 through June 2021.
You must receive approval from your Healthy Start Project Director and your direct supervisor (if different from your PD) before submitting this application.

If you are interested in participating in the Breastfeeding Cohort, please complete this application by COB Monday, 2/22. If you have any questions, please email healthystart@nichq.org. Thank you for your interest in joining the Breastfeeding Cohort!

Be well,
The TA & Support Center

1. First Name: *This question is required.

2. Last Name: *This question is required.

3. Email address: *This question is required.

4. Healthy Start Program Name: *This question is required.

5. Role/title within Healthy Start: *This question is required.

6. How long have you worked at this Healthy Start program? *This question is required.

7. Healthy Start Project Director: *This question is required.

13. How many CLCs are employed or subcontracted by your Healthy Start program? *This question is required.

14. How many IBCLCs are employed or subcontracted by your Healthy Start program? *This question is required.

15. If you have CLCs or IBCLCs at your organization, are they part of the Healthy Start Project or are they paid for by a different grant? Please explain. *This question is required.

18. What breastfeeding initiatives is your project currently running or has run in the past? *This question is required.

19. What experience/expertise would you bring to the Breastfeeding Cohort? *This question is required.

20. What do you hope to gain from participating in the Breastfeeding Cohort? *This question is required.

21. Is there anything else you would like us to know about you or your Healthy Start program?

If yes, which cohort did you/are you currently participating in?

	1	2	3	4
Identify areas of risk along the continuum of care where Healthy Start staff can/should promote and support breastfeeding	Rank Identify areas of risk along the continuum of care where Healthy Start staff can/should promote and support breastfeeding as 1 out of 4	Rank Identify areas of risk along the continuum of care where Healthy Start staff can/should promote and support breastfeeding as 2 out of 4	Rank Identify areas of risk along the continuum of care where Healthy Start staff can/should promote and support breastfeeding as 3 out of 4	Rank Identify areas of risk along the continuum of care where Healthy Start staff can/should promote and support breastfeeding as 4 out of 4
Identify areas along the continuum of care where family members can/should be involved, connected and engaged in infant and young child feeding	Rank Identify areas along the continuum of care where family members can/should be involved, connected and engaged in infant and young child feeding as 1 out of 4	Rank Identify areas along the continuum of care where family members can/should be involved, connected and engaged in infant and young child feeding as 2 out of 4	Rank Identify areas along the continuum of care where family members can/should be involved, connected and engaged in infant and young child feeding as 3 out of 4	Rank Identify areas along the continuum of care where family members can/should be involved, connected and engaged in infant and young child feeding as 4 out of 4
Form a shared understanding of how to engage and provide support to breastfeeding people virtually	Rank Form a shared understanding of how to engage and provide support to breastfeeding people virtually as 1 out of 4	Rank Form a shared understanding of how to engage and provide support to breastfeeding people virtually as 2 out of 4	Rank Form a shared understanding of how to engage and provide support to breastfeeding people virtually as 3 out of 4	Rank Form a shared understanding of how to engage and provide support to breastfeeding people virtually as 4 out of 4
Review standard policies and practices for supporting breastfeeding past 6 months	Rank Review standard policies and practices for supporting breastfeeding past 6 months as 1 out of 4	Rank Review standard policies and practices for supporting breastfeeding past 6 months as 2 out of 4	Rank Review standard policies and practices for supporting breastfeeding past 6 months as 3 out of 4	Rank Review standard policies and practices for supporting breastfeeding past 6 months as 4 out of 4

Space Cell	Yes
I am applying on behalf of myself. I understand that my spot cannot be transferred to another staff member.	I am applying on behalf of myself. I understand that my spot cannot be transferred to another staff member.: Yes
If selected, I acknowledge the expectation to attend a minimum of 90% of scheduled cohort meetings.	If selected, I acknowledge the expectation to attend a minimum of 90% of scheduled cohort meetings.: Yes
This application has been approved by my project director and direct supervisor.	This application has been approved by my project director and direct supervisor. : Yes