Become a member

Organizations that wish to become a member of the Safety Leader program can apply by using the form below, or by contacting our Membership Coordinator at

Membership fees are paid annually, and will be invoiced to your organization once your request has been processed.


membership application

Name *
Leave your name, or the name of your workplace safety manager or director.
Phone *
Organization Size *
Select the overall size of your organization - include regular members both full-time and part-time.
Let us know what industry your organization operates in.
Business Address
Business Address