CWD's Journey Award

Children with Diabetes Journey Awards

CWD Journey Award Request

Living with type 1 diabetes can be incredibly challenging and the work required for daily life deserves special recognition. The CWD Journey Awards provide that recognition of the work required to thrive with type 1 diabetes. Medals marking 10, 25, 50, and 75 years of daily life with diabetes will serve as an inspiration to everyone in the type 1 community.

All CWD Journey Awards are solid bronze coins. 25 Year medals are silver plated. 50 Year medals are gold plated. 75 Year medals are plated in both silver and gold.

If you received a CWD Journey Award from your health care provider or someone else, you can share your story online here. You do not need to request an award using the form below.

Note: CWD Journey Awards are shipped at no cost to US addresses. To learn about the cost of shipping to addresses outside the US, please email [email protected].

The CWD Journey Award Program is supported by

Lilly

CWD Journey Award Request

CWD Journey Awards are shipped at no cost to US addresses. To learn about the cost of shipping to addresses outside the US, please email [email protected]. Please DO NOT submit a request using this form for addresses outside the United States. Those requests will not be fulfilled.

Your Name(Required)

Please let us know your name. ("Suffix" is for things like Jr., III, and the like.)

Prefix First Last Suffix

For Whom are You Requesting a CWD Journey Award?(Required)

You may request a CWD Journey Award on behalf of someone else.

Name of Person to Receive the CWD Journey Award(Required)

Please let us know the name of the Journey Award recipient.

Prefix First Last Suffix

Your Relation to the CWD Journey Award Recipient(Required)

CWD can send health care professionals bulk quantities of CWD Journey Awards to provide to their patients. If you are interested, please visit cwd.is/HCPJourneyAwardRequest.

What is your relationship to the person for whom you are requesting a CWD Journey Award?(Required)

Your Clinic or Hospital(Required)

Please let us know where you take care of people with diabetes

To whom should we ship the CWD Journey Award?(Required)

If you are requesting a CWD Journey Award for someone else, please let us know to whom we should address the shipping label.

Note: CWD Journey Awards are shipped at no cost to US addresses. To learn about the cost of shipping to addresses outside the US, please email [email protected].

Address(Required)

We need your address to be able to send you your CWD Journey Award. Start typing your address -- it will automatically find your address. If you live in an apartment, be sure to include your apartment number. If you do not include your apartment number, we will need to email you for that information and it will delay delivery of your award.

Street Address City State ZIP Code

Your Email(Required)

We need your email to be able to address any questions we have about your request.

Enter Email Confirm Email

Your Phone(Required)

We will only contact you via telephone if there are questions about your request that cannot be addressed via email.

Year the CWD Journey Award Recipient Was Born(Required)

Please let us know the year in which the CWD Journey Award recipient was born.

Year the CWD Journey Award Recipient was Diagnosed with Type 1 Diabetes(Required)

We need to know when the CWD Journey Award recipient was diagnosed with type 1 diabetes in order to determine the award for which they are eligible.

This field is hidden when viewing the form

Current Year

This field is hidden when viewing the form

Current Year Minus Year Diagnosed

This field is hidden when viewing the form

Journey Award Earned

You are not yet eligible for a CWD Journey Award. Please reach back to us after you have lived with type 1 diabetes for ten years.

You are eligible for a 10 Year CWD Journey Award

You are eligible for a 25 Year CWD Journey Award

You are eligible for a 50 Year CWD Journey Award

You are eligible for a 75 Year CWD Journey Award

Journey Award Recipient Story

Please share the story and photo of the CWD Journey Award recipient. Tell us why receiving a CWD Journey Award is important to you. We will include CWD Journey Award recipients on our web site as inspiration to families living with type 1 diabetes.

Story

While optional, we would be grateful if you can share your thoughts on your own diabetes journey.

Photo

Please share a photo of yourself to accompany your story. While optional, we really appreciate you sharing your photo and your story. We accept photos in JPG, JPEG, and PNG only.

Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.

Permission to Publish Story and Photo

If you have shared your story and photo, please let us know if we can publish it within the Journey Award section of our web site.

Would you like to be added to our Weekly Diabetes mailing list?

The Weekly Diabetes is sent each Wednesday and includes important news about CWD, our Friends for Life conferences, and the broader type 1 diabetes community. If you don't already subscribe, please sign up. You can unsubscribe easily with just one click if you don't find the newsletter to be of interest.

How did you learn about the CWD Journey Award program?

Please let us know how you learned about the CWD Journey Award program.

Facebook Group or Page

Please share the Facebook Group or Page where you learned about the CWD Journey Award.

Please let us know how you learned about the CWD Journey Award program.

I certify that the information submitted in this form is true and accurate. I understand that knowingly providing false information regarding my diabetes status on this form may require me to return the Journey Award to Children with Diabetes at my own expense.

I agree to the Terms of Service

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Children with Diabetes Journey Awards

CWD Journey Award Request

CWD Journey Award Request

Journey Award Recipient Story

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Children with Diabetes Journey Awards

CWD Journey Award Request

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