Register Your Off to College Event with The Diabetes Link
First Name
Last Name
Email
Organizational Affiliation
Chapter of The Diabetes Link
JDRF (Local / Regional)
ADA Chapter
Camp
Clinic
College or University (Department / Faculty)
High School
Other
Organizational Affiliation (Please Describe)
e.g. The Diabetes Link Chapter at George Mason University; the Northeastern JDRF Chapter; Drexel University; San Ysidro Valley High School; Joslin Diabetes Clinic; etc.
Event Name:
Event Date:
Event Time:
Please indicate TIME ZONE approximate start and end times.
Please provide any website or registration link for event:
Event Format:
Virtual
In Person
Will it be recorded?
Yes
No
Address
Please provide the address of your event:
Address Line 1
Address Line 2
City
State/Province
Postal Code
Country
Please select...
USA
Canada
How many attendees do you expect at your event? (approximate is fine)
Please tell us who you have connected with:
Please include any flyers and/or marketing you have used to promote your event:
* Slide Deck Supplement includes slides you can add to an existing presentation that would describe The Diabetes Link's campus chapter network and how to get involved.
Any other questions?
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