Don't Sugarcoat Diabetes Session Request

Don't Sugarcoat Diabetes is a medical-student led, interactive workshop intended to discuss Diabetes and Diabetes prevention with local high school students. There will be incentives to participation as pre/post surveys will be required of all attendees. This free workshop will be offered once a month  this Fall via in person sessions. DSD can be coupled with career exploration session or given on its own. 

DSD sessions can be delivered to local, San Antonio students visiting UT Health. DSD visits held on UT Health campus are available T,W, Th, F from 10am-Noon, though time is flexible.

If you are in the Lower Rio Grande valley, we would love to deliver the DSD presentation to you virtually. (One hour session on zoom) 3-4pm preferred, but time is flexible.

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* 1. Name

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* 2. Email

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* 3. School

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* 4. Age of Attendees

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* 5. Are you in the local San Antonio Area

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* 6. If in the San Antonio Area, please list several dates and times that work for you that fall on a T,W, Th, F from 10am-Noon, (though time is flexible), and we will do our best to accommodate you. 

Preferred Date and Time 1:

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* 7. If in the San Antonio Area, please list several dates and times that work for you that fall on a T,W, Th, F from 10am-Noon, (though time is flexible), and we will do our best to accommodate you. 

Preferred Date and Time 2:

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* 8. If in the San Antonio Area, please list several dates and times that work for you that fall on a T,W, Th, F from 10am-Noon, (though time is flexible), and we will do our best to accommodate you. 

Preferred Date and Time 3:

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* 9. If you are in the Lower Rio Grande Valley, we would love to deliver the DSD presentation to you virtually (one hour session on zoom). 3-4pm is preferred but time is flexible.

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* 10. Will your students have access to their phones for a kahoot during the session

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* 11. Teacher/Chaperone Agreements:

Per UT system, 192 Youth Protection Policy, all groups must have chaperones, one adult for every 12 high school students, and one adult for every 10 middle school students.  Chaperones must remain with the group the entire time they are on campus. Collegiate groups must have their organization sponsor present. Students should be instructed prior to arrival regarding the expectations for behavior.   Please be advised that classes are in session and while we appreciate the opportunity to share our campus, it is important to behave in a courteous and orderly fashion while on our campus. Please instruct students prior to arrival regarding the expectations for behavior. Since it is a pre-scheduled two/three-hour session, please allow your students a restroom break before departing home school, rather than upon arrival at UT Health San Antonio campus.  

As a teacher/group sponsor, please read and agree to the following: 

I understand that this is a learning opportunity, and my group will behave accordingly. The use of electronic devices or cell phones is prohibited during our campus presentations and/or guided tours unless authorized by ORSO Staff (except if you are using these items to attend the session).  All groups must conduct themselves in a courteous and respectful manner toward each other, staff, students, and university property. Any inappropriate comments or gestures will not be tolerated. Please note that session recording will not be permissible since minors will be present.  I will abide by these policies prior and during my group’s visit.  I understand that if I do not abide by these policies while in the session, my group may not be invited back the following academic year or may be asked to discontinue the current session. 

I further agree that if my group is virtual, and I will not be able to login or attend the session on time, I will contact Olga Coronado via email at coronadoo@uthscsa.edu.  I understand that if, for whatever reason, we are not able to login at the scheduled time, for virtual visits, our visit may be abbreviated.

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