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.

Name of student group

Please select...

Type of organization

Goal or mission of your organization

Number of Members

Contact Details

Address Line 1

Address Line 2

City

Zip Code

Please select

State

Website/Social channels:

Primary Contact

First name

Last Name

Email Address

Phone

Secondary Contact

First name

Last Name

Secondary Email

Phone

Donor Recruitment Coordinator name

First Name

Last 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?

Your input0/200

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

Your input0/200

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

Your input0/200

How did you hear about DKMS?

Your input0/200

On a scale of 1-10 (10= Outstanding/ 1=Poor), how would you rate your experience with DKMS staff?

Your input0/200

Would you consider hosting another event in the future?

Hosting_Another-Event

Yes

Would you refer a friend to host a DKMS donor registration drive?

Refer_Friend

Yes

Required Fields