Teen to Teen Safe Driving Campaign: 2020-2021 School Year Entry Form

Teen to Teen Safe Driving Campaign: 2020-2021 School Year Entry Form

Purpose of the Contest: To engage youth in leading and participating in a student-led campaign promoting distracted driving awareness that produces measurable results by using positive messages to help teens make safe driving decisions.
Eligibility: Open to all high schools in California who submit this form by January 13, 2021.

Campaign Kick-off Date: January 20, 2021.
Name of person filling out this form (Please include yourself in the correct sections below as well)*

First NameLast Name
Email of person filling out this form*
example@example.com
Name of Student Leader(s) (Please include yourself *
Email of Student Leader(s)*
Name of Faculty Advisor*

First NameLast Name
Name of Faculty Advisor (if more than one)

First NameLast Name
Email of Faculty Advisor*
example@example.com
Email of Faculty Advisor (if more than one)
example@example.com
Name

First NameLast Name
School Name*
School Phone Number*
Please enter a valid phone number.
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School County*
Number of Students in your School*
Should be Empty: