Life with Type 1 Diabetes

Mentor Program

JDRF Mentor ProgramThe JDRF Mentor Program matches newly diagnosed families, teens, or adults with type 1 diabetes (T1D) with others that have lived with diabetes for years. Our JDRF mentors are the voices of experience and hope for those facing an unfamiliar lifestyle after diagnosis or dealing with any life stage changes.

Request a Mentor by downloading the FAMILY REQUEST FORM or ADULT REQUEST FORM and return to Shasta Broyles via e-mail at sbroyles@jdrf.org or fax (602) 224-1801. Alternatively, you can use our online forms… choose the form below.

Mentor Request (Family with T1D Child)

Click here for the Phoenix Family online request form.
Click here for the Southern Arizona Family online request form.
Click here for the New Mexico Family online request form.

Mentor Request (Adult with T1D)

Click here for the Phoenix Adult online request form.
Click here for the Southern Arizona Adult online request form.
Click here for the New Mexico Adult online request form.