The Donate Life Float Campaign

Donate Life Rose Parade® Float 2014 Donate Life Ambassadors Float Walker Application

OneLegacy is proud to award one Float Walker position in conjunction with the 2014 Donate Life Rose Parade Float to a Donate Life Ambassador who embodies the spirit and philosophy of the program and is a role model to all Ambassadors. The chosen Ambassador will represent their peers as a participant in “America’s Donate Life Celebration.”

The Donate Life Rose Parade Float campaign, a national program of the OneLegacy Foundation, is supported by more than 120 official sponsors, including organ and tissue recovery organizations, tissue banks, hospitals, transplant centers and affiliated organizations. Last year’s Donate Life float was seen by an estimated 800,000 parade spectators and more than 30 million U.S. TV viewers, and tens of millions more heard about the Donate Life mission in broadcast and print news stories about the float and its participants. The 125th Rose Parade, themed Dreams Come True, will take place on Wednesday, January 1, 2014 at 8:00am PST.

Selection Criteria To be eligible for consideration, the applicant must: 1. be a living donor; 2. reside in OneLegacy’s seven-county service area; 3. meet and agree to participate in accordance with the 2014 Ambassador Float Rider Guidelines; 4. be a trained Ambassador, have participated in at least one Key Campaign, and have participated in one or more self-initiated or OneLegacy-produced community events prior to January 1, 2013; 5. be available to participate in a face-to-face panel interview on Saturday, July 20 if chosen as a finalist; 6. be willing and able to relate their personal donation/transplant experience to the public and media; and 7. have previously expressed a personal commitment and enthusiasm toward inspiring the public to donate life as a Donate Life Ambassador volunteer. Selection Process 1. Ambassadors apply to become the 2014 Donate Life Ambassador Float Walker by completing the entire Donate Life Ambassadors Float Walker application. 2. OneLegacy’s Communications Department will review the applications and choose up to four (4) semifinalists who exemplify the model Donate Life Ambassador based on written answers.

OneLegacy 221 South Figueroa Street, Suite 500 Los Angeles, CA 90012 (213) 229-5600 Fax (213) 633- 1655 www.donatelifefloat.org RP36ROL-050113 Donate Life Rose Parade® Float 2014 Donate Life Ambassadors Float Rider Application (cont’d)

3. The semifinalists will be asked to appear before a panel of OneLegacy staff members at OneLegacy’s Los Angeles office on Saturday, July 20 for the privilege of being selected to be the 2014 Donate Life Ambassador Float Rider. 4. The panel will award the most compelling nominee the honor of walking alongside the 2014 Donate Life Rose Parade Float, including a four-night stay at the Sheraton Pasadena for the walker and one guest and four complimentary tickets to Donate Life special events and Rose Parade grandstands. The walker will be selected based on a range of criteria including service as a Donate Life Ambassador and ability to convey the important of organ and tissue donation to the community.

Applications must be received by end of day Friday, June 21 at 5pm via email, fax or mail to:

Attn: Lacey Wood OneLegacy 761 W. Kimberly Avenue Placentia, CA 92870 Fax: (213) 633-1558 [email protected]

As the Donate Life Ambassadors Coordinator, I would like to thank you personally for everything you do to educate and inspire the community on organ and tissue donation. Please remember to complete the entire application and answer the questions to the best of your ability. Examples and details are a great way to get your message across to the interview panel. Make sure to include up to three (3) pages of supporting documentation. I am excited to have the opportunity to possibly announce you as the 2014 Donate Life Ambassador Float Rider at the Donate Life Ambassadors Conference on August 10.

Lacey Wood

OneLegacy 221 South Figueroa Street, Suite 500 Los Angeles, CA 90012 (213) 229-5650 Fax (213) 633- 1650 www.donatelifefloat.org RP36ROL-050113 Donate Life Ambassador Float Riders & Walkers

2006-2013

2013 2012

2011 2010

2009 2008

2007 2006

OneLegacy 221 South Figueroa Street, Suite 500 Los Angeles, CA 90012 (213) 229-5650 Fax (213) 633- 1650 www.donatelifefloat.org RP36ROL-050113 Donate Life Rose Parade® Float 2014 Donate Life Ambassadors Float Walker Application

NOTE: To apply you must be a living donor.

Preferred Phone Home Work Cell

Secondary Phone Home Work Cell

Preferred E-mail

Street Address

City State Zip Code

Ambassador Region

Language(s) Spoken

Ethnicity Date of Birth:

Donation Date

Organ Donated

Transplant Center

Name of Recipient

Your Relationship to Recipient

When did you become a Donate Life Ambassador? (MM/YY)

OneLegacy 221 South Figueroa Street, Suite 500 Los Angeles, CA 90012 (213) 229-5650 Fax (213) 633- 1650 www.donatelifefloat.org RP36ROL-050113 Donate Life Rose Parade® Float 2014 Donate Life Ambassadors Float Walker Application (cont’d)

Which Key Campaigns are you currently actively participating in: Ambassadors to Cities Ambassadors to Hospitals Ambassadors to DMV Ambassadors to Media Ambassadors to High Schools Ambassador eCampaigns

Please check the Donate Life/OneLegacy Events that you have supported as an Ambassador: Donate Life Rose Parade Float Kingdom Day Parade Donate Life Run/Walk Mexican Independence Parade Donor Remembrance Ceremonies Rose Ceremonies Donate Life California Legislative Day Other: Other:

Please answer each of the following questions in 150 words or less on a separate document and attach it to this application.

1. What are the highlights of your participation in one or more Key Campaigns? 2. What is your most satisfying experience relating to your participation in a Donate Life/OneLegacy event listed above? 3. Why did you become a Donate Life Ambassador? 4. How has becoming a Donate Life Ambassador changed or contributed to your life? In addition, you may include up to three pages of supporting documentation to show your participation and commitment to the Donate Life Ambassadors program. Examples: Letters or picture from your Mayor, DMV Manager, OneLegacy DDC, high school teacher, etc. Letters of recommendation may not come from OneLegacy Communications staff members. * * * * * Thank you for your application and commitment to inspire our community about organ and tissue donation as a Donate Life Ambassador. We hope that you feel appreciated and a part of a well-structured, worthwhile program. In addition, we hope we have fulfilled our goal to provide you a volunteer program that allows you the freedom and flexibility to advocate as you choose as a representative of the Donate Life mission.

It is because of Donate Life Ambassadors such as you that we have such a successful volunteer program. Thank You.

OneLegacy 221 South Figueroa Street, Suite 500 Los Angeles, CA 90012 (213) 229-5650 Fax (213) 633- 1650 www.donatelifefloat.org RP36ROL-050113