III. OUTSTANDING SAFETY INSTRUCTOR

This award is given to a safety instructor, or organization, who has taught a significant number of courses or students for the North Dakota Safety Council, as an employee, volunteer, contracted instructor, or sub-agent, using a National Safety Council course or Operation Lifesaver materials. This person, or organization, has shown true dedication to improving safety in North Dakot, as well as received high marks for their training style.

CRITERIA

A. Organizations or Individuals must have taught 10 NSC or OL courses, or made 10 presentations in 2024

- OR -

B. Organizations or Individuals must have taught an NSC course or made an OL presentation to 150 students in 2024. This information can be obtained from the North Dakota Safety Council, if needed.

C. Submit copies of 5 evaluations. Once the award is submitted, the NDSC will review the applications or evaluations to determine the impact the instructor has had on their students. This section is not required for OL presenters.

Outstanding Safety Instructor reporting as*

Company

Individual

NDSC Member Company Name (as it will appear on award)*

Name of Oustanding Safety Instructor being nominated

Instructor First Name*

Instructor Last Name*

Street address*

Street address 2

City*

State/Province*

Postal code*

Phone number*

Email*

Number of courses taught in 2024

Number of students taught in 2024

Name of person making the nomination

First Name*

Last Name*

Street address*

address 2

City*

State/Region*

Postal code*

Phone Number*

Email Address*

Please upload 5 copies of evaluations and provide a brief description, or examples, of how the nominee is an outstanding safety instructor.

File upload

Upload the file in .pdf, Word or Excel format only

If not already stated in the uploaded attachment, provide a brief description, or examples, of how the nominee is an outstanding safety instructor

Outstanding Safety Instructor Notes

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