Endorsement Questionnaire

Thank you for your interest in receiving an endorsement from Campaign for a Healthy Nebrasksa!

To be considered for an endorsement and financial contributions, candidates must complete this questionnaire. We may also contact you for clarification as needed. Endorsements will be made on a monthly rolling basis.

If you have any questions, please reach out to info@campaignforahealthynebraska.org.

(Note: This form does time out. We recommend typing your responses externally, then copying and pasting them into the form.)