EatWell With Your Cultural Foods

12-Week Heritage for Health Nutrition and Culinary Program

Serious inquiries only! This program is offered as a scholarship valued at $1,000, provided at no cost to participants. Form should be completed in its entirety to be considered

First name

Last name

Email

Phone

Do you have a family history of diabetes?

Yes

No

Have you ever been diagnosed with one of the following:

Pre-Diabetes

Type 1 Diabetes

Type 2 Diabetes

None of these

How did you hear about this program?

Radio

In-Person Event

Email/Newsletter

Social Media Event

Would you prefer in person or virtual nutrition classes?

In-Person

Virtual

No Preference

If selected, which area would be more convenient for you to attend class over 12 weeks.

Raleigh

Durham

No preference