Apply to be a T1D Screening Queen College Ambassador
Presented by Leo's Lion T1D Foundation in support of the T1D Screening Program
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your City and State
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What college/university do you attend?
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How many years have you been living with T1D? (Answer can be 0)
*
Instagram Handle
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TikTok Handle
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Our message centers around T1D screening. How will you help spread that message to your audience?
*
Submit
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