Start a Chapter of the College Diabetes Network

About You!













Diabetes Connection-Select "yes" for the statement that best describes you.





Your Health Info









Your Chapter/School Information








Enter the name of your school followed by "CDN Chapter".

Your Career Interests









i.e Health Center, Disabilities Services, Student Affairs/Student Government, Residential Life, Local Diabetes Organization, etc.


Please include a couple different dates and times that work best. Don't forget to include your timezone!

Need assistance with this form?