Returning Users: CLICK HERE to return to your nomination in progress.

2024 Peter K. O'Rourke Special Achievement Award Nomination Form

This award recognizes notable achievements in the field of highway safety by individuals, coalitions, organizations, nonprofits, businesses, government agencies, universities and/or the media. Up to three awards will be presented in 2024.

Submissions may include an impactful highway safety program, plan or legislation addressing, but not limited to, the following: occupant protection; impaired or distracted driving; speeding or aggressive driving; traffic enforcement; traffic records; emergency medical services; and bicycle, micromobility, motorcycle and/or pedestrian safety.
Past Special Achievement Award Winners

IMPORTANT: Please read before beginning your nomination! 
Winners are expected to submit relevant images, photos and/or b-roll that GHSA will use to produce a short video. GHSA will work with the winners to record a brief interview for inclusion in the videos. In lieu of a formal awards presentation, the videos will be shown at the GHSA Annual Meeting in Indianapolis, September 7-11. Winners may be invited to speak about their award-winning initiative during an Annual Meeting workshop.
  • Partial Form Completion — If you want to begin a nomination and complete it later, 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 nomination.
  • Deadline — The deadline for nominations is Friday, March 22. Winners will be selected and notified in April. 
  • Travel Expenses — GHSA has limited funding for travel reimbursement. Requests will be handled on a case-by-case basis.
Questions? Contact Adam Snider at

Save & Return

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

Contact Information for the Person/Organization Being Nominated
Contact Information for the Person Completing this Nomination