Living Healthy with Diabetes Cross-Training Application
Living Healthy with Diabetes is an evidence-based, diabetes self-management program developed by Stanford University. It is designed to help others coordinate their diabetes, manage their own health, stay active, and take charge! We are looking for people who are motivated to help themselves and to assist others. Leaders work in pairs to lead the six-week workshop in community settings such as senior centers, libraries and churches.

You must already be trained in Living Healthy with Chronic Conditions to attend.

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Email *
Full Name *
Mailing Address *
Phone Number *
Do you have or care for someone with diabetes? *
Why are you interested in becoming a Living Healthy with Diabetes lay leader? *
How long have you been involved in the Stanford-developed Living Healthy Series? *
Which counties are you willing to travel to for workshops? (please select all that apply) *
Required
I agree to teach two entire Living Healthy with Diabetes workshops within 12 months. I will teach in strict accordance with the course as written in the Leader's Manual and as taught to me at the leader training. I will attend all four days of the leader training.                             Please e-sign below. *
Note: Community volunteer leaders may qualify to receive an honorarium and mileage reimbursement depending on distance travel. Senior Center staff may be eligible for a hosting fee.  Please contact PTRC AAA (336-904-0300) or agewell@ptrc.org for more information.
Once application is approved, payment instructions will be sent to you.
Refund Policy: Cancellations will occur a 5% administration fee.
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