Volunteers Needed for Diabetes Week 2015

November 8th through November 14th

The Diabetes Coalition of Palm Beach County is a voluntary alliance of healthcare organizations and community partners working together to prevent diabetes and improve the lives of people living with the disease as well as those who are touched by it through Education, Awareness, Quality Services, Management, and Advocacy.

Annually since 2012, the Diabetes Coalition has organized screening assessment sites during Diabetes Week throughout Palm Beach County (including the Glades) to conduct one-on- one Diabetes Risk Assessments using the American Diabetes Association (ADA ) Risk Assessment tool and Glucose Screenings. The Risk Assessment and Glucose Screening help participants determine their risk level for type 2 Diabetes. If found to be at risk, residents are referred to Palm Beach County’s network of health care programs. All individuals screened will receive a free tote bag and resources.

During Diabetes Week, volunteers, physicians, nurses, students and others are needed to assist with conducting these one-on-one interview assessments and glucose screenings at various sites and locations throughout Palm Beach County. Volunteers are also needed for sites where a large number of non-English speaking residents are expected. English, Spanish and Creole-speaking volunteers are needed.

We also need volunteers to help us with pre-event preparation, set-up, and post-event assessment and analyses activities which include:

. Preparing screening site packets and “filling goodie bags” to be given to each screening participant during the week of November 8th-14th. . Pre-event set-up at the Palm Beach Outlets Mall from 2:00 pm to 4:30 pm for Diabetes Night Out on Thursday, November 12th from 5:00 pm-8:00 pm which is hosted by the Diabetes Coalition, in collaboration with Palm Healthcare Foundation and the Palm Beach Outlets. . Post-event clean up – after our Diabetes Night Out celebration at the Palm Beach Outlets from 8:00 pm – 9:00 pm. . Volunteers to work in collaboration with the Diabetes Coalition’s Resource Data Committee to collect, tabulate, analyze, and present data gathered from Diabetes Week. All volunteers assisting with Risk Assessment Tests and Glucose Screenings will be required to complete volunteer training which is offered via the internet on the Diabetes Coalition of Palm Beach County’s website: www.diabetescoalitionpbc.org. To volunteer, please complete the Volunteer Registration Form. Refer to the 2015 Diabetes Week Screening Location Chart that lists dates, times and locations that volunteers and or translators are needed. Email the completed form to Debby Walters at: [email protected]. If you have questions, please contact Debby. NOVEMBER 2015 DIABETES WEEK Volunteer Registration Form

Name :

Occupation and/or Student:

If student what school/university: ______

Cell Phone or Best Contact Phone Number :

Email Address: ______

Languages Spoken (yes or no) and Translation Capabilities:

English: Spanish: Creole:

T-Shirt Size (Please Circle): S M L XL XXL

Volunteer Opportunities Available: Screening Site Packets and “Goodie Bag” Preparations Dates Times Saturday, October 31st 9:00 am to 2:00 pm Monday, November 1st 9:00 am to 4:30 pm Tuesday, November 2nd 9:00 am to 4:30 pm I would like to volunteer and am available on the following dates and times: Date: Times: Date: Times: Date: Times: Location Address: Mollie Wilmot Center at the Palm Healthcare Pavilion, 5205 Greenwood Ave., West Palm Beach, FL 33407 (on St. Mary’s Medical Center Campus); Telephone Number: 561-833-6333

Diabetes Night Out at the Palm Beach Outlets Thursday, November 12th Pre-Event Set-up and Post-Event Clean-up Activities at the Palm Beach Outlets 1751 Palm Beach Lakes Blvd, West Palm Beach, FL 33401

Pre-Event Set-Up Time: 2:00 pm to 4:30 pm I would like to help and will at the Palm Beach Outlets at: Post-Event Clean-up Time: 8:00 pm to 9:00 pm I would like to help (could be earlier if event ends early): VOLUNTEER SIGN-UP SHEET FOR DIABETES WEEK 2015 SCREENING SITES

Please review the 2015 Diabetes Screening Sites document. Please note: some sites are only offering the Risk Assessment while other locations are also including Glucose Screening. Please list all dates and times that you are available. If additional screening sites are added requesting volunteers, the Screening Site document will be updated.

I am available to volunteer on the following date(s), location(s) and times:

Date(s) Screening Site Name Times Available (starting and ending)

Please note: We recognize that you may not be able to volunteer for the entire time of the screening event, but we ask that you commit to as much time as possible.

All volunteers are asked to report to the site location 30 minutes prior to the actual screening event to allow for set-up and if relieving another volunteer for a smooth transition.

We will confirm your participation via email and provide you with the screening site contact person and phone number.

If for any reason, you unable to volunteer on the date or dates you signed up for, please notify Debby Walters immediately at [email protected]

Diabetes Week 2015 Post-Event Data Collection and Analyses Activities I would be interested in helping the Diabetes Coalition Resource Committee in post-event data activities that include tabulate, analyze, and present data gathered from Diabetes Week. (Those interested, will be contacted after Diabetes Week.) ______Through your participation and our collaborative efforts, the Diabetes Coalition of Palm Beach County will achieve its goal of preventing diabetes and improving the lives of people living with this disease as well as those touched by it through education, awareness, quality services, management and advocacy.