LifeGift

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SIGN UP TO BECOME A PARTNER FOR LIFE

Join LifeGift in the Workplace Partnership for Life, an innovative national initiative sponsored by the U.S. Department of Health & Human Services.

Company/Organization*:

*Please enter your company or organization’s name as you would like it to appear on your membership certificate and the roster of Workplace Partnership for Life.













WORKPLACE IMPLEMENTATION
Please check the method(s) you will use to reach every employee in your organization.

Electronic Sharing — Send an electronic message promoting donation and include the website address for the Glenda Dawson Donate Life – Texas Registry to every employee.

Paper Distribution — Send a letter from the President/CEO promoting donation to every employee and include a donor registry form.

Host an on-site donor awareness program.

Other — Please describe:

Will you also promote organ and tissue donation with your clients or customers?
Yes No

If yes, what is the estimated number of clients/customers who will receive this information?

What method(s) will you use to promote the donor registry with them?