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Through Organ & Tissue Donation

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Adopt-A-DMV Program Site Survey

We need you to help us maintain a positive presence in the DMVs across our region. We are looking for volunteers to visit their local DMV and make sure they have enough materials for their customers. This trip will only take 10 minutes once you arrive, but it will ensure that residents of your state have the information they need to make an informed decision. Please fill out the below form after each visit. For a printable version of this form, click here.


* Required Fields
Name*
DMV Location:*
Date of Visit:*

Organ Donation Brochures:
Are they visible and accessible to the customers?*
YesNo
Are there any Spanish brochures available?*
YesNo


If there are no English brochures: 1) restock them, 2) ask a DMV emplyee if there are more in stock that they can get, or 3) contact Taylor at Gift of Life to send more.


Posters:
Are the posters hanging on the walls visible for people waiting in line to see?*
YesNo
Are there any Spanish posters?*
YesNo
Are there any other Organ Donation Materials (such as ads for the Donate Life license plate, etc).*
YesNo
Please list, if applicable.

In DE DMVs and select PA DMVs:
Is the TV on and showing Donate Life advertising/messaging?*
YesNo
Did you speak with a DMV employee?*
YesNo
Please list any suggestions for how the organ donation materials can be better displayed or suggestions for additional promotional materials within the DMV?

Download 2017 Adopt-A-DMV Survey

2017 Adopt-A-DMV Survey - 231.8KB
If you are a volunteer visiting a DMV location, please feel free to print this form to evaluate your local DMV.

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Joe's Story

Image of joe PSA photo

Joe thought his days of playing soccer were over when he was diagnosed with heart disease and needed a life-saving heart transplant to survive. Now, at 18, he is back on the field and living up to his nickname "The Blur" all thanks to his hero, an organ donor.

Click here to read Joe's story.

 

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