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Patients, Families & General Public Volunteer Info Form
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Contact Information
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Your Interest Area
Which volunteer activities are you interested in supporting? (please check all of interest): Serve on a Chapter Board
Assume a leadership position in a chapter
Serve on a Fundraising Committee
Cultivate media contacts
Promote Public Awareness and/or Mito Awareness Week activities with Press Releases and articles
Serve on a Support Group Program Committee
Update the Resource List
Respond to inquiries made by new families affected by mitochondrial disease
Attend support group meetings
Assist with local fundraising activities
Help plan a fundraising event
If you attend or plan to attend a Chapter or Mito Group meeting, what types of programs would be of interest to you?: Medical information (list topics below)
Awareness/Special Events
Fundraising Activities
Speakers (list topics below)
A visit from a UMDF representative
Please add any suggestions or comments that you feel would be helpful to you and your family.:
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