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WomenHeart Champions Event Request Form
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Thank you for your interest in utilizing the services of WomenHeart: The National Coalition for Women with Heart Disease. Our organization operates on the strength of over 600 women living with heart disease, our WomenHeart Champions. WomenHeart Champions demonstrate their commitment to educating women on heart health by volunteering to participate in events like yours!

We have several WomenHeart Champions in your area and we would love to assist you in finding one of our trained volunteers to participate in your event. As volunteers, WomenHeart Champions are not compensated for their work and offer their services at no cost to you. These services include public speaking, one-on-one consultation with attendees, and the provision of educational materials and resources. As such, it is customary for hosts to provide an honorarium to ensure that our WomenHeart Champions can continue to provide these services and educate the masses on women's heart health.

If possible, please provide additional information using this application. It is important that you fill out this form thoroughly, as it ensures that we have all the necessary information to select the best WomenHeart Champion for this wonderful opportunity.

As soon as your application is received, we will begin to work on finding a volunteer for your event. Please keep in mind, participation in this event is soley based on the availability of volunteers in your area.

Thank you and we look forward to working with you on this event!
Event requests must be submitted at least four weeks before the event date. We can not guarantee that a WomenHeart Champion will be available to staff your event.
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WomenHeart: The National Coalition for Women with Heart Disease is a nonprofit, 501(c)(3) patient advocacy organization with thousands of members nationwide, including women heart patients and their families, health care providers, advocates and consumers committed to helping women live longer, healthier lives. WomenHeart supports, educates and advocates on behalf of the 42 million American women living with or at risk of heart disease. Our programs are made possible by donations, grants and corporate partnerships.

2013 Copyright - WomenHeart: The National Coalition for Women with Heart Disease
WomenHeart: The National Coalition for Women with Heart Disease is a founding partner of The Heart Truth Red Dress campaign. The Heart Truth and Red Dress are trademarks of HHS.