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Road Safety Champion of The Year Award Application Form
PART 1. Nominee details
Nominee Name:
Affiliation: (If applicable)
Award Category
Part 2. Advocacy
1. Briefly describe your/nominees professional or volunteer work related to Road Safety Advocacy & initiatives
2. What communication channels do you/they utilize for advocacy?
(Include links)
3. How has your/their work been promoted and disseminated to the public and relevant stakeholders?
Part 3. Impact and Scale
1. Provide specific examples of how your/their advocacy has demonstrably improved road safety awareness or behavior.
2.In what ways have you/they inspired or influenced others to become involved in road safety initiatives?
3. Have you/they received recognition for your/their road safety efforts from other organizations or media outlets?
(kindly provide details)
PART 4. Applicant's Details
Title:
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Mr.
Miss
Mrs.
Dr.
Prof.
Eng.
Full Name:
Role/Position in Organization:
Mobile Number:
Contact Email:
Road Safety Champion of the year Award
About This Award:
Road safety is a critical concern that affects every one of us. However, there are those in the society that understand that road safety is not just about following regulations;
it’s about creating a culture of vigilance, respect, and responsibility.
Their efforts save lives, prevent injuries, and make our communities safer and more livable. Whether through groundbreaking safety programs, impactful advocacy, educational campaigns, or technological innovations, they have gone above and beyond to identify risks, develop solutions, and engage the community in their efforts to create safer roads for everyone. This honorary award recognizes an individual who has made a significant and lasting impact on road safety through exceptional dedication, leadership, and advocacy.
You can nominate yourself or a candidate.
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