Sign Up to be a Flip the Switch Champion

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Watch the brief video below for information on the Flip the Switch Challenge.

Please correct the fields below:

Please correct the field(s) marked in red below:

Thank you for volunteering to serve as a Flip the Switch Champion. Please enter your contact information below.

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Thank you for volunteering to serve as a Flip the Switch Champion. Please enter your contact information below.

First Name

Last Name

Email Address

Office Address

Phone Number

Comments or questions

Please tell us in which building you will serve as a Champion?

On which floor will you serve as a Champion?

Please tell us how many workstations or offices are in the area where you will serve as a Champion?

As a Flip the Switch Champion, you commit to the following:

Monitoring your area once before April 13^th to set a baseline (morning, noon, and end of day)

Distributing Flip Your Switch! Stickers and flyers starting April 18^th.
Advocating for the challenge starting April 18^th.
Monitoring your area during and after the Challenge.

* Week of April 25^th (noon, and end of day)
* Week of May 2^nd (noon, and end of day)
* Week of May 9, no later than May 18th (noon, and end of day)
* Week of June 20^th. (morning, noon, and end of day)

4. Reporting results to Matthew Ferrer, maferrer@fortlauderdale.gov

As a Flip the Switch Champion, you commit to the following: Monitoring your area once before April 13th to set a baseline (morning, noon, and end of day) Distributing Flip Your Switch! Stickers and flyers starting April 18th. Advocating for the challenge starting April 18th. Monitoring your area during and after the Challenge. * Week of April 25th (noon, and end of day) * Week of May 2nd (noon, and end of day) * Week of May 9, no later than May 18th (noon, and end of day) * Week of June 20th. (morning, noon, and end of day) 4. Reporting results to Matthew Ferrer, maferrer@fortlauderdale.gov

I am clear on what I need to do.

I have some questions before I get started.

Any questions? Reach out to Matthew Ferrer at maferrer@fortlauderdale.gov or 954-828-5712.

To receive a copy of your submission, please fill out your email address below and submit.
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