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This cleftAdvocate page was last updated 3/25/2014
We subscribe to the HONcode principles of The Health On Net Foundation
Pathfinder Outreach Network
Participation Agreement

I agree to conduct my Pathfinder Outreach Network outreach activities in accordance with the Pathfinder program outline, its Mission and the cleftAdvocate Code of Ethics.

Please provide the following information:

Name:

Address:

City, State, Zip:

Phone:

E-mail:

Check all that apply:












Condition:

How did you hear about cleftAdvocate/Pathfinders?




By participating in the Pathfinder Outreach Network, I acknowledge that my actions are fully independent of the organization, and that as a Pathfinder, I am not an employee, officer or director of the non-profit corporation, and will not represent myself as such.

I agree to submit periodic reports outlining my outreach activities.

By clicking the Agree button, you are submitting your electronic signature on this agreement.

Outreach is the key!  There are many types of outreach opportunities.  Whether you're interested in one-to-one family referrals, distributing educational materials to area birthing hospitals, educating medical and other professionals and/or working with other Pathfinders to develop a local/regional network, we need you!  Contact Debbie Oliver with questions or comments.
Pathfinder Outreach Network Participation Agreement
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I agree to be listed in the national network database as a Pathfinder contact.
I agree to have the following information published on the appropriate organizational websites (check all that apply):
Name
City and State
Phone
E-mail
I would prefer not to publish my information on the websites, but may be contacted to assist families as needed.
I am a:
Person with a facial difference
Parent or caregiver of a child with a facial difference