Apply to Be a Road Safety Champion

Please complete the application below for the Road Safety Champions Network program.

After you submit your application, we will review and get back to you shortly. Please email us with any questions at luke.telander@globalwavedigital.com

Champion Application

Name
First Last
Email*
Password*
Enter Password Confirm Password
Address*
Country
Organization (If Applicable)
Job Type/Title (If Applicable)
What is your Facebook page?
What is your Twitter Handle?
What is your Instagram Handle?
Which channels are you most active on?
Please share information on any other social media channels you use regularly
Which person and/or organization reached out to you to recruit you for this program, if any?
Why are you interested in becoming a Road Safety Champion?
What’s one strength/asset that you would bring to this program?
Have you used your social media to support advocacy campaigns in the past? If yes, how?
Have you had any paid promotional connections with any brands?
What kind of activities would you be most interested in participating in through this program
- Select All
- Participating in a Twitter Chat
- Show up for an in-person event
- Contacting legislators via social media/email
- Create your own photos/videos supporting campaigns
- Organize network through WhatsApp/Facebook Groups
Do you have any additional questions?
Do you know any other advocates that you would like to nominate for this program? Please share their name, affiliated profession/organization, and email address.

Champion Application

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Champion Application

About us

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Recently Active Members

CONTACT US

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