Mike Maddox Recognition Award


Instructions

Download the application form document template then return to this page and upload your application using the online form below.

Download Application

Objective / Criteria

OBJECTIVE: To formally recognize VPP Employees who give their time, effort, and talents to promote worker health and safety within Region VI area of VPP sites.
CRITERIA: You can have participated as a Mentor, Outreach representative, or as a SGE.  You must have completed 2 of any of the following within the calendar year 2024. 

  • Participate on a VPP On-site Evaluation Team
  • Assist the Regional VPP Manager with the review of a site’s VPP application.
  • Assist the Regional VPP Manager/OSHA VPP Coordinator with the review of VPP sites’ Annual Self-Evaluation Report.
  • Serve as an instructor/co-instructor for the SGE Course.
  • Serve as an instructor/co-instructor for the VPP Application Workshop.
  • Provide on-site mentoring to a potential or reapproving VPP site outside of your own company/organization.

Help us recognize your efforts and contribution to VPP sites. The Board appreciates your time, effort, and input in serving you as members of the VPP program.


Name(Required)
Address(Required)
Must be in a historical Region VI location to be considered for an award (AR, LA, NM, OK, TX)
Accepted file types: doc, docx, pdf, rtf, Max. file size: 32 MB.

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