Google Badging

"*" indicates required fields

Thanks for your interest in working Google flu vaccination events. Google requires all providers to have a Google badge to work their events. Please complete this process as soon as possible. If you’ve worked Google events previously, you still need to complete the process to work events this fall.

 

We’ve broken down the process into 2 steps.

Step 1: Google Access Request Form

Step 2: Badge Pick Up (on the morning of your event, using a Photo ID) 

 

Fill out the form below to complete Step 1.

Name as it appears on your Driver's License/Photo ID*
Date of Birth*
This field is for validation purposes and should be left unchanged.