PMA Airlift Volunteer Commitment Form

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Thank you for joining our PMA Airlift Team. This important group of volunteers helps to spread the Diabetes Family Connection Positive Mental Attitude (PMA) to those who need it most. You are signing up to be a package builder and shipper and your commitment is for one year.

Email *

What is your full name? *

What is the best email address to contact you about assignments? *

What is the best phone number to contact you? *

Which of the following cities do you live closest to? *

Asheville

Charlotte

Greensboro/Winston Salem

Raleigh

Wilmington

What is your connection to the Diabetes Family Connection? Please check all that apply. *

My child attends Camp Morris

My child used to attend Camp

Our family has attended The DFC Family Retreat

My teen has attended The DFC Teen Retreat

I am a DFC Staff member at Camp Morris or another DFC Program

I am family member of a DFC staff member

I am a DFC Donor

Other:

Required

My connection to diabetes is best described as ____ ? Please check all that apply. *

I live with T1D

I have a child with T1D

I have a grandchild with T1D

I have a friend or loved one with T1D

I work with people living with T1D

I don't have a connection to T1D

Other:

Required

I would commit to sending ____ packages a month. *

1 package a month

2 packages a month

3 packages a month

Other:

I understand that I am responsible for the following as a PMA Airlift volunteer.

I agree and understand this requirement to be an PMA Airlift Volunteer

I would like more information about this requirement.

I understand that I will receive notification of PMA Airlift package assignments by email on a weekly basis.

I am required to fill and ship assigned package within 2 weeks of the PMA Airlift assignment.

I will be responsible for filling the package as outlined in the directions.

I understand that some pieces of the PMA Airlift packages will be supplied to me by the DFC. If I need more of these supplies, I will email admin@thedfc.org a supply request.

I understand that I will need to cover the cost of filling and shipping the package as part of my role as a PMA Airlift volunteer.

I understand that I must reply to the assignment email with a confirmation of my ability to fill the request. If I CANNOT fulfill an assignment, I have the right to notify The DFC within 5 days of the assignment so the package can be reassigned..

I understand that I am committing to send packages for 1 year as a PMA Airlift volunteer.

I understand that if my status as a PMA Airlift volunteer needs to change, I will email admin@thedfc.org.

If I have any questions or concerns I will contact The DFC at admin@thedfc.org.