Ambassadors AMR Insights

Ambassador profile form

Title

Persons Title

Name(Required)

First Last

Current position

Email(Required)

Username(Required)

Password(Required)

Enter Password Confirm Password

Profile image(Required)

Accepted file types: jpg, png, Max. file size: 200 MB.

Phone(Required)

LinkedIn URL

Twitter handle

Organisation(Required)

Address Organisation

Street Address City State / Province / Region ZIP / Postal Code Country

Website Organisation

About - Briefbiosketch (250 words limit)

Rationale to add to the curbing of AMR - How do I contribute to alleviating/mitigating AMR in my position?

Rationale to join the Ambassador network – Why did I join the Ambassador Network?

Contribution to the Ambassador network – How have I contributed to the Ambassador network to date?

Available as coach (?)

CV / Bio

Accepted file types: pdf, Max. file size: 200 MB.

List of publications

Video

Accepted file types: mp4, Max. file size: 200 MB.

Organisation(Required)

Sector(Required)

Country(Required)

Geographic Origin(Required)

Primary Expertise(Required)

Secondary Expertise(Required)

Other Expertise(Required)

Comments

This field is for validation purposes and should be left unchanged.