StaySafe Ambassador Application
Thank you for your interest in the StaySafe program! Please use this form to tell us a bit more about yourself and why you want to be a StaySafe Ambassador.
What is your name (first and last)?
What is your email address?
What is your phone number?
What is your age range?
Have you previously been involved with rapid testing?
Yes, I have previously volunteered with StaySafe
Yes, my company has implemented a rapid testing program
Yes, I have previously visited a StaySafe rapid testing location
Yes, I have previously visited a rapid testing location (not StaySafe)
How would you use the rapid tests you will receive as a StaySafe Ambassador?
How will you use your position as a StaySafe Ambassador to tell others about rapid testing?
Thank you for your application. You will receive an email with next steps within 48 hours. In the meantime, if you have any questions please reach out to firstname.lastname@example.org.
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