SAVING LIVES THROUGH EDUCATION, INVOLVEMENT AND COMMITMENT

"Drive Safe Hampton Roads"

"Get It Together Seat Belt Challenge"

CONTACT US:
 
DRIVE SAFE HAMPTON ROADS
P.O. Box 6293
Virginia Beach, VA  23456
 
(757)498-2562
John T. Hanna Award

 Nomination Form

* Entries MUST be received by November 17th.

GENERAL INFORMATION

Eligibility

Any individual, organization, business or governmental agency in the Hampton Roads and Eastern Shore area, which promotes community traffic safety, i.e. sober driving, use of safety belts, bicycle/ pedestrian safety, etc. is eligible for nomination. The 2016 JOHN T. HANNA AWARD Winners are not eligible for 2017 nomination.

 

Rules

Eligible activities, programs or materials are those that were initiated, completed, published, or produced in the period from October 1, 2016 to September 30, 2017. Entries must be postmarked no later than November 17, 2017.

 

Materials

For entry materials to be returned after judging, proper postage and a mailing label must be enclosed.

 

Selection

The awards selection committee is made up of Drive Safe Hampton Roads members.  Entries will be judged on: potential impact on the community, use of volunteers and private sector resources, creativity and imagination, quality of content, and supporting materials that enhance the project.

 

Notification

Winners will be notified by December 15, 2017.

 

Presentation

An individual award and/or an organizational award may be given in each category.  They will be presented at the Awards Event on February 21, 2018 at the Princess Anne Country Club.

AWARD CATEGORIES

(click here)

Include the following information: MAX.# of words per section is 250. (Approximately 1730 characters)

In addition to three written pages, you may include additional program documentation. Supporting materials such as testimonial letters, media coverage, photographs, audio tapes, videos or other unique features of the activity will enhance your nomination, but MUST NOT replace the information requested.  (Pictures and other items that may be transmitted electronically as a file may be sent to dshr@drivesafehr.orgBe sure to include your name, award category and the person or organization nominated on all electronically transmitted media. Please send material that can not be sent electronically to John T. Hanna Awards, C/o Drive Safe Hampton Roads, P.O. Box 6293, Virginia Beach, VA 23456.)

AWARD CATEGORIES & DESCRIPTIONS(click here)

AWARD CATEGORY:
Please fill out all information in the form below.
YOUR EMAIL ADDRESS:
ADDRESS:
CITY:
STATE:
ZIP CODE:
NOMINEE TELEPHONE NUMBER / AREA CODE::
STATE:
ZIPCODE:
NOMINEE ADDRESS:
CITY:

PROGRAM DESCRIPTION:  

Why did it occur, how was the program unique, 

what made it different?  Include any relevant 

statistics on what problems existed and your result.  

(Please limit to 250 words/Approx. 1730 characters.) 

NOMINEE EMAIL:

NOMINATION SUBMITTED BY:

YOUR PHONE NUMBER:

YOUR ORGANIZATION:

Are you sending  additional files via email?

OUTSTANDING ELEMENTS or 

accomplishments of the program: 

(Please limit to 250 words/Approx. 1730 characters.) 

ESTIMATED NUMBER OF PEOPLE 

impacted by the activity or program: 

DESCRIBE ANY PUBLIC/ PRIVATE RESOURCES 

used to implement the program:  How was 

volunteer time utilized for the program? 

(Please limit to 250 words/Approx. 1730 characters.) 

ORGANIZATION OR PERSON NOMINATED:

YES

NO