"Why I Stay Safe" Employer Pledge
Thank you for completing this form! We'll be using this information as a simple way to measure the impact of the campaign. We'll never give your contact information to any third party.
1. Company Name
2. Company Address (city & state)
Please include at least city & state so we know where your company is located.
3. Number of Employees (estimated)
This is just so we can measure the potential impact of the campaign.
7. How do you plan on using the Why I Stay Safe Campaign?
Check all that apply.
Toolbox talks with employees
Promote it on a bulltein board at your facility
Share it in internal communications, emails, intranets, etc.
Share it on your company's social media pages
Encourage employees to bring in pictures of their "why"
Share information provided in the campaign toolkit
8. Can we publicly recognize your company as an employer who took the pledge?
We only do this to encourage other employers to take the pledge & promote Why I Stay Safe at their workplaces.
9. In your own words, why is your company taking the pledge?
10. Would you like to sign-up for the "Why I Stay Safe" email list for free campaign ideas, tools & success stories?
We won't sell your info or blow your email up with needless messages. We'll only email you occasionally when new information, campaign tools or success stories become available.
Send me a copy of my responses.
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