Join the HPV Free COmmunity Advocate Group!

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Thank you for your interest in joining the HPV Free COmmunity Advocate Group! This group is part of efforts by the Alliance for HPV Free Colorado, a 15-county collaborative between local public health partners, to improve HPV vaccination rates in our state and protect communities from HPV-associated cancer. As a member of the HPV Free COmmunity Advocate Group, you can choose to participate in HPV advocacy in whichever ways work best for you. We will provide information, training, and a lot of support to all of our parents that participate in advocacy activities--we’re with you each step of the way. Welcome!

First Name *

Last Name *

City *

County *

Phone Number

What is your personal relationship to HPV or the HPV vaccine (if any)?

Which community groups or organizations involved in cancer prevention, HPV, or vaccines are you part of (if any)?

Tell us about yourself and why you're interested in advocating for the HPV vaccine in your community. *

I am a parent of (select all that apply): *

Infant(s) - 0-1 years

Toddlers(s) - 1-4 years

Young child(ren) - 5-10 years

Adolescent(s) - 11-13 years

Teen(s) - 14-18 years

I am not a parent

I might be interested in (select all that apply): *

Sending a letter to the editor of my local newspaper

Contributing an op-ed to my local newspaper

Speaking at a small community event

Participating in a local advocacy event / community event

Recruiting other parents to participate in this group

Participating in an interview with a reporter about the importance of HPV vaccination

Talking to other parents or survivors in my community about the HPV vaccine

Sharing information about the HPV vaccine with my friends on social media

Contributing a blog post to the Team Vaccine blog or other Alliance partner blog

Required

What other groups or activities (not related to vaccines or HPV) do you and/or your family participate in in your community? Please specify which groups in particular in the "other" section. *

Boy Scouts/Girl Scouts

PTO (Parent Teach Organization)

Religious organization (church, temple, etc.)

None

Other:

Required

What is the best way to contact you?

Phone

Other:

Clear selection

Do we have your permission to add you to our email list? (This list allows us to let advocates know when there are upcoming advocacy opportunities.)

Yes

Clear selection

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