Health Messenger Activation Tracker

After completing the "Becoming a Health Messenger" training, Health Messengers must be activated within 1 year of training to remain active in the SOI Health Messenger database. Please fill in this Health Messenger Activation Tracker form to record your activation activity. Kindly attach pictures and videos of your activation event.

Health Messenger Name

Program Name

Please tell us the name of the Special Olympics Program you belong to. Mention the country or the state name, example Special Olympics Malawi or Special Olympics Texas.

Region

Please select the Region where your Program operates.

Health Messenger Training Date

When did you complete the "Becoming a Health Messenger" training?

mm/dd/yyyy

Activation details

Activation Date

When did you complete the activation activity?

mm/dd/yyyy

Activation Activity Description

Please tell us more about the activation activity. Mention the name of the activity, the type of actions you did, the people you worked with, the challenges you had, and the lessons learned.

File Upload

Please upload a maximum of 5 photos or a short video of your activation activity.

Drop your files here

Send me a copy of my responses

Report Abuse