WSH Influencer Programme 2024

WSH Influencer Programme Application Form

1. Please read the Guidance Notes before submitting this form.

2. All sections must be completed, please indicate “NA” in the fields which are not applicable to your organisation.

3. All information submitted must be complete, accurate, true, correct and consistent. Failure to do so will result in delay in processing or rejection of the submission.

1. Name:

2. Designation:

3. Company name:

4. UEN (auto-populated after company name is selected):

5. Business email address:

6. Business contact number:

7. Mailing address:

8. Company website:

9. Number of employees:

10. Industry:

11. Briefly describe how the management show its commitment and support of employees’ involvement in WSH:

12. List the types of WSH training for the WSH Influencers:

13. List the types of WSH materials that are developed for internal communication:

14. List the types of events that promote employees’ involvement in WSH:

15. Briefly explain the channels where the company receive employees’ feedback or suggestions on WSH:

16. Briefly explain how the company recognise employees who participate in or contribute to WSH:

17. Name of CEO / Managing Director/ Senior management:

18. Management's Designation (CEO / Managing Director/ Senior management):

19. Management business email address:

20. How did you hear about the WSH Influencer Programme?

WSH Council website
Word of mouth
Others