The Five Moms All-Stars

Are you an all-star when it comes to working to raise awareness about cough medicine abuse? Do you know someone who is? If so, please take five minutes to fill out the application form below. We’re naming five Five Moms All-Stars in total, one a month through May 2008, honoring them here on FiveMoms.com. And did we mention each of our five Five Moms All-Stars gets an iPod Touch as a special thank you?

It’s easy to enter yourself or to nominate a friend. Fill in your contact details and tell us how you or your friend is using FiveMoms.com to help spread awareness about teen cough medicine abuse. We want to hear how you’re using what you’ve learned or downloaded from our web site out in the real world to help kids. Tell us, and you or your nominee just might be our next Five Moms All-Star.

Here is how to enter:

First, enter your contact information (all fields are required):

Name:

Age:

E-mail:

Mailing Address:

City:

State:

Zip Code:

Daytime Phone:

Please make sure we can reach you at this number during regular business hours. A Five Moms representative will be contacting finalists for each month’s contest.

How would you best describe how you are spreading the word about cough medicine abuse?

Speaking at Events

Sharing Five Moms Materials Downloaded from the Web

E-mailing friends with info from Five Moms

Other

Tell us a little bit about yourself or the person you are nominating: (500 characters or less)

Example: I’m a full-time mom of two teens and a pre-teen, and have a full-time job outside the home, as well. I have a busy life, but I also do my best to stay active in my community and attend school meetings as often as I can. And I try to make every soccer game and piano recital I can.

Tell us how you found out about the Five Moms campaign: (500 characters or less)

Example: I got an e-mail. It’s as simple as that. One of my friends—she’s active in the kids’ school’s PTA—found out about the Five Moms and sent me a note. Her kids are the same ages as mine, so we look out for each other and share whatever information we have.

Tell us how the Five Moms campaign has inspired you or your nominee to take action: (500 characters or less)

Example: I know kids face a lot of pressures, but I was shocked to hear about cough medicine abuse. I read the stuff you have online and checked out some of the resources you have on FiveMoms.com. I realize that my own kids could have been doing it, but now I am aware. Now I know what to look out for and can help them steer clear of this abuse.

Tell us what you or your nominee have done to help stop cough medicine abuse and the effect it has had on your community: (1000 characters or less)

Example: I’m active in my kids’ lives, but not all parents are. Some are working two jobs or just don’t know what dangers are out there. So, my friend (who told me about FiveMoms.com in the first place) and I decided to give a presentation at our last PTA meeting. We downloaded materials so parents could take them home, and even downloaded some of the fun ones, like the stickers. We explained to the parents what the problem is; what the warning signs are; and, importantly, what they can do to stop abuse, like know what medicines are in your medicine cabinet. We also gathered e-mail addresses, so we could send Five Moms tell-a-friend messages later in the evening. About 25 people were at the meeting, and 25 people shared their e-mail addresses with us, so I think they all realized how important this campaign is. They also all promised to send on the information to other people they know. It was so successful that my friend and I are going to bring Five Moms materials with us to every school event we volunteer at, like the concessions stand at soccer games. Three other parents also volunteered to do the same.

Please enter the string shown above in the image in the field below.
 

Please check here to indicate that you agree to the contest rules and will be available during regular business hours so a Five Moms representative can contact you by phone if you are being considered as a finalist. A winner will be selected after we interview finalists.

 

You will be notified by e-mail if you are selected. If you nominated someone else, both of you will be contacted. Each award winner will receive a Five Moms All-Star kit with a new iPod Touch, a Five Moms tote and a Five Moms sweatshirt. In addition, they will be featured on the Five Moms home page, on Five Moms on Gather, and in a special e-mail sharing their story.

We are excited to recognize parents who’ve made a difference in their community with regard to cough medicine abuse. We hope it will be you! Entries for our May contest must be received by May 25th. You can only submit your story once a month, but if you are not chosen, you can submit your entry again. Please submit your story again if you entered in previous months! For the full contest rules, please click here.