Membership Form: Florida Alliance for Diabetes Prevention and Care

Dear Colleague:

In recognition of your involvement in diabetes health issues on a personal or professional basis, you are
invited to join the Florida Alliance for Diabetes Prevention and Care. The Alliance is a statewide, voluntary
partnership of organizations and individuals who are committed to improving Florida’s diabetes health
system through community-level actions.

Who can be a member?

Anyone interested in diabetes prevention and control in Florida may join the Alliance. Members include
organizations (county health departments, community health centers, hospitals, universities, insurers,
professional associations), health care professionals (community health workers, nurses, dieticians,
certified diabetes educators) and members of the community (faith-based programs, lay educators,
individuals who have diabetes or care for a person with diabetes). Members focus on a range of issues
such as: professional and community education, data and research, and building community partnerships.

What does the Alliance do?

The mission of the Alliance is to empower communities to improve the quality of life for all persons affected
by diabetes. The job of the Alliance is to teach communities how to navigate the diabetes health system
and how to find and leverage their resources. All members agree to promote diabetes prevention,
education, and care in their community, whether they define their community as a neighborhood, county,
region, statewide network or other description.

Networking Opportunities

The Alliance’s annual general membership meeting is an Educational Forum where current topics affecting
the diabetes health system are discussed. Educational forum participants receive important information;
strengthen their existing networks; and make valuable contacts with local, state, and national experts in
diabetes prevention and control. Additionally, a member directory is being published which will improve
networking and communication among members.

Leadership Opportunities

If you would like to be even more involved, you can join one or more of the Alliance’s four standing
committees – Community Partnerships, Education, Communications, and Data/Information. Simply check
the appropriate box(es) on the enclosed membership application and you will be included in mail outs and
meeting/conference call notices for the committee(s) of your choice.

Members of the Alliance are encouraged to run for office on the Leadership Council. This is a 15-member
board that serves as the Alliance’s executive body. Members work closely with the Florida Department of
Health – Diabetes Prevention and Control Program (DPCP), the American Diabetes Association, and the
Florida Diabetes Advisory Council (DAC) to support the public health goals of the DPCP and the DAC.

How to Join

Join the Alliance today by completing this form. Achieving positive change in prevention of diabetes and
care of persons and families with diabetes will only occur if we work cooperatively and diligently through a
coordinated statewide effort. If you share our mission of improving the lives of people affected by diabetes,
now is your opportunity to become a member of this exciting partnership. Thank you for your contributions
to diabetes prevention and care in Florida.

Sincerely,

Rosa M. Carranza, CDE, Chair
Florida Alliance for Diabetes Prevention and Care
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