CDF Advocate Program

Transcription

1 CDF Advocate Program The Children s Diabetes Foundation (CDF) is looking for children with type 1 diabetes (T1D) between the ages of 6 and 22, who want to educate, volunteer, and socialize! These awesome youths will be the face of CDF and will need to exude a positive attitude about T1D, while educating and creating awareness for diabetes. Advocates will get together for quarterly social events to promote friendship, support, and fun!

2 Who can be a CDF Advocate? People with type 1 diabetes between the ages of 6 and 22 Those who want to educate others about diabetes (it s not contagious, you didn t get it because you ate too much candy, and cinnamon is not a cure!) Those who want to socialize with other kids with T1D Those who want to volunteer for a great cause and make a difference! Requirements Be willing to share your story about T1D in front of small/large groups or the media Have a positive outlook on T1D (of course, we all have our bad days, but a positive outlook can make all the difference) Complete a minimum of 20 hours of volunteer service at CDF events, the Barbara Davis Center, or the CDF office Commit to the CDF Advocate program for 1 year Get a parent or guardian s permission- they will need to sign page 5 of this packet You ll get a free CDF tshirt and other swag- wear it with pride and it use it as a conversation starter about diabetes and CDF Volunteer Opportunities Education/Awareness booths in the Denver area Write thank you letters to major CDF donors Public speaking opportunities at CDF events Office assistant (mailings, lifting, general office work) Volunteer at CDF events (such as the Run for the Ring, basketball tournament, EPIC Diabetes Conference, and more!) Write a blog for the CDF website to be blasted on social media (younger kids can post a drawing instead) Spread diabetes awareness at your school/after school activities share your video/pictures with us! Visit the Barbara Davis Center for a full or half day to educate BDC patients about CDF. You ll also run contests and hand out CDF swag! Make crafts/write letters to newly diagnosed patients at the BDC Participate in CDF photo shoots/video tapings CDF Advocates will get together 3-4 times a year for fun outings with fellow T1Ds! Get to know each other while doing crafts or visiting the park, trampoline arenas, ice skating rink, bowling alley, and more!

3 CDF Advocate Application Advocate s Name Gender Birthday Date of Diagnosis Parent or Guardian s Name(s) Address City, State, & Zip Code Child s Cell Parent s Cell Home Phone Child s Parent s School Grade Emergency Contact Phone Relationship Food Allergies Tshirt Size What are your hobbies? What is your favorite restaurant? What would you like to get out of being a CDF Advocate? How does your family support your T1D?

4 What is your least favorite thing about T1D? What is a positive thing about T1D? What will you do when a cure for diabetes is found? Do you wear a pump/cgm? What kind? Bonus: Tell us your best diabetes joke!

5 For Parents My child has permission to ride in the car with a licensed driver Yes No CONSENT TO PHOTOGRAPHY, VIDEOGRAPHY, AND PUBLICATION FOR THE CHILDREN S DIABETES FOUNDATION I,, hereby authorize the Children s Diabetes Foundation (CDF) to take videos and pictures of myself and/or my family and to use said photographs for any CDF printed or electronic publication or outside publications related to CDF fundraising or public awareness activities. I authorize the Children s Diabetes Foundation (CDF) to publish my story (and/or my family s story) for any printed or electronic publication inside or outside publication related to CDF fundraising or public awareness activities. Signed Date By signing this form, you are giving your child permission to participate in the CDF Advocate Program. Please return completed application to Mattie Peck at Mattie@ChildrensDiabetesFoundation.org, Fax: , or mail to: Children s Diabetes Foundation 4380 S. Syracuse Street, Suite 430 Denver, CO 80237