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The 2023 Kathryn J.R. Swanson Public Service Award Nomination Form

This honor is presented to an individual who, like the award's namesake, has made notable improvements in the management or implementation of a highway safety program or policy, or provided outstanding service to GHSA, federal safety agencies and/or state and national highway safety organizations.

Past Public Service Award Winners

IMPORTANT: Please read before beginning your nomination!

Partial Form Completion — If you would like to begin a nomination and return to complete it later, you may use the Save & Return button below.
Form Submission — Your nomination is NOT complete until you press the Submit button. Once you submit your nomination, a confirmation screen will appear, and you will receive a confirmation email with a copy of your submission.
Deadline — The deadline for nominations is March 6. The winner will be selected and notified in April. The award will be presented at GHSA's 2023 Annual Meeting in New York City, August 12-16.
Travel Expenses — GHSA has limited funding for travel reimbursement. Requests will be handled on a case-by-case basis.

Questions? Contact Adrian Nicholas at anicholas@ghsa.org or 202-580-7934.

Save & Return

Save your progress and complete this form later. (optional)

Contact Information for the Person Being Nominated

First Name *

Last Name *

Title *

Organization *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Questions

Describe the nominee's service to highway safety and/or GHSA. *

What sets this individual apart from others in state highway safety offices, federal agencies or other national highway safety organizations? *

What achievements did the nominee accomplish in highway safety management or program implementation? *

How did the nominee serve GHSA, federal highway safety agencies or other national highway safety organizations? This can include service on various boards or committees. *

Contact Information for the Person Completing this Nomination