Saving Lives Service Award Form

The Saving Lives Service Award recognizes excellence in service to school sanctioned groups or non-profit community/civic charitable organizations that seek to support our mission.
School Details
Please select
Please select

Have you or your school hosted other drives previous to this application?

Hosted other drives
Have you or your school hosted other drives previous to this application?

What inspired you to get involved with DKMS and host a donor drive?

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Was this a patient related drive? If so, please share more information about their story

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Did you face any unexpected obstacles? How did you overcome them?

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On a scale of 1 to 5 (5 = Outstanding, 1 = Poor), how would you rate your drive with DKMS, and why?

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What would you do differently if you hosted another drive?

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How do you plan to stay involved in the fight against blood cancer?

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What interesting take-aways do you have from hosting a DKMS donor registration drive?

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Primary Contact
Refer_Friend
Advisor/Staff Contact
Donor Recruitment Coordinator name
Date for the Donor Drive

Education and awareness of our mission is key to a successful drive, what creative components did you execute in your promotion plan prior to your event?

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Diversity of our donor pool is an important focus for DKMS. Tell us about your efforts to reach a diverse population for your event?

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What interesting take-aways do you have from hosting a DKMS donor registration drive?

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If selected are you willing to provide a completed W-9 form (for U.S.-based recipients)?

W-9 form
W-9 form for U.S.-based recipients

If selected are you willing to provide a Bank routing and account information for direct deposit

Bank Routing and Account Information
If selected are you willing to provide a Bank routing and account information for direct deposit

If your organization is already partnered with DKMS in some capacity then you are not eligible to partake in this grant opportunity?

Already partnered with DKMS
If your organization is already partnered with DKMS in some capacity then you are not eligible to partake in this grant opportunity?

How would you rate your experience with DKMS staff?

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Would you host another drive with DKMS?

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Required Fields