Workplace Partner

WORKPLACE PARTNERSHIP FOR LIFE

Sponsored by the U.S. Department of Health & Human Services and the transplant community, the Workplace Partnership campaign allows employers, large and small, to offer hope to the community by promoting organ, tissue, marrow and blood donation in their workplaces.

Each employer enrolled in the program is asked to commit to at least one activity to help educate employees and promote donation.

Possible activities include:

Inviting a LifeGift-sponsored speaker to present the topic of organ and tissue donation to employees.
Placing articles on donation in company newsletters.
Distributing Texas donor registry information to employees.

Thank you for helping us offer hope to the community!

SIGN UP TO BECOME A PARTNER FOR LIFE

Side Body:

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.

Company President/CEO *

Key Contact *

Address *

City *

State *

ZIP *

Phone *

Ext.

Fax

Email *

Website

Number of Employees in the U.S. *

Workplace Implementation

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:

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

If Other, please describe:

Will you also promote organ and tissue donation with your clients or customers?

Yes

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?

*Denotes required field

Leave this field blank

Math question * 12 + 3 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.