Safety Connection - Contact Us

Please note:

The information you provide in this contact form is considered confidential and will not be shared outside of National Safety Council with anyone other than the submitter.

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Which of the following Safety Connection resources are you contacting us about today?

Other

What section of the Safety Connection Virtual Resource Center are you wanting to discuss?

What are you providing comment or questions on?

Other

Name of organization that distributes car seats to the public,

Address of distribution organization (minimum of city is required)

Phone Number for program contact

Please enter a valid phone number.Format: (000) 000-0000.

Email for distribution contact (if no email available, enter n/a)

example@example.com

Please provide details of distribution requirements (income based, scheduling, educational requirements, etc. - If none, enter "n/a". If unknown, enter "unknown")

Safety Connection On the GO! is a traveling CPST/OPS instructor team that can assist local and state programs by providing course instructors, instructor candidate mentoring and program development support when those resources are not available.

On the GO! strives to be transparent by including state leadership when appropriate and works to help local programs be sustainable in their work once we are no longer involved.

On the GO! can assist with:

providing instructors for courses
providing a lead instructor or lead instructor mentorship
providing mentors for Instructor Candidates
ongoing course provision in areas without child passenger safety resources to help build capacity
strategic planning support for areas that have no child passenger safety resources
other assistance as needed

Please Note:

On the GO! is not intended to support one-off courses for organizations wanting a class for their staff. If this is your need, please contact your state, regional or county coordinator for assistance. You can find your contact by visiting one of these websites:

Safe Kids Worldwide Local Coalition Locator

NHTSA Child Passenger Safety Training Contact Locator

Organization Name

Best Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Are you and/or your organization the lead agency for child passenger safety/occupant protection in your STATE?

If you are not the lead agency for child passenger safety in your state, please describe why you have not been successful with courses/program development up to now. Please include any work you have done (or tried to do) with your state coordinator's assistance and why this was not successful.

Please provide what assistance you feel you need from Safety Connection On the GO!. You can choose more than one option. We will discuss your needs further in a one-on-one conversation.

Other

Please use this space to provide your feedback, service needs and/or questions. Please be as detailed as possible.