Project Plasma Registration Form
Please complete this form to register your Project Plasma campaign
College / University Type
College / University:
Please indicate which describes you best:
Please estimate a date when you would like to start this campaign?
Please estimate a date when you would like to end this campaign?
Do you have any specific goals you would like to accomplish at the end of your campaign?
Which office or department do you work in?
What is your title?
Do you interact with students looking for community service or volunteer opportunities?
Have you donated plasma before?
Please describe your experience:
Have you had personal experience with GBS, CIDP, or any of the other conditions we advocate for?
What is your relationship to the condition?
Family or Friend
Condition of Interest
How did you hear about us?
GBS-CIDP Foundation Website
Would you like to receive more information about the foundation and receive the Foundation e-newsletter?