Apply to Become an MTCP Telehealth Champion

I understand that, if selected and appointed as a Mobihealth Champion, I am agreeing and consenting to actively represent Mobihealth on my campus, including participating in outreach activities, campus events and campaigns associated with the MTCP Telehealth Champions programme. *

I confirm that the information provided in this application is accurate to the best of my knowledge. I understand that submitting this application does not guarantee selection as a Mobihealth Campus Champion.

I consent to Mobihealth using the information provided for the purpose of reviewing my application and contacting me regarding the Campus Champions programme.