Nominate an individual

1.  

Tell us about yourself. What is your name?

2.  

What community do you live in?

3.  

What is your phone number?

4.  

And your email address?

5.  

Your personal information will not be shared with outside organizations. Your privacy is important to us. We collect your information so we may reach you for more information or to inform you that your nomination has been successful. 

Tell us about who you wish to nominate. What's their name?

6.  

What organization are they affiliated with, if any?

7.  

Their email address?

8.  

Now to the good stuff - why you want to nominate this person. Health and safety superstars tend to stand out in a few key categories. Let's start with leadership. How does the nominee lead the way in health and safety?

9.  

Health and safety superstars know that health and safety is a culture. How does the nominee foster an environment of care? How do they embed health and safety in all they do, and encourage others to do the same?

10.  

Is there anything else you like to tell us about the nominee to support their nomination for the Health and Safety Star Leader Award?

11.  

Please feel free to upload any supporting documents.

12.  

Feel feel free to provide links to video or other supporting information.