Recognition Award

Search Our Site

SUBMISSIONS ARE DUE BY MARCH 9TH 2018. YOU MUST BE A VPP SITE IN A REGION VI STATE TO QUALIFY FOR ANY OF THE AWARDS.

Even though awards are for a select geographic region, the conference is open to EVERYONE! All of these forms make use of javascript for error checking.  If your site blocks javascript, use your home machine, a different network, or even most phones work.

Download the application form format document.  Return to this page and upload your application using the form below.
Download Application


OBJECTIVE: To formally recognize VPP Employees who give their time, effort, and talents to promote worker health and safety within Region VI VPP.

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 2017. 

a. Participate on a VPP On-site Evaluation Team

a. Assist the Regional VPP Manager with the review of a site’s VPP application.

b. Assist the Regional VPP Manager/OSHA VPP Coordinator with the review of VPP sites’ Annual Self-Evaluation Report.

c. Serve as an instructor/co-instructor for the SGE Course.

d. Serve as an instructor/co-instructor for the VPP Application Workshop.

e. Provide on-site mentoring to a potential or reapproving VPP site outside of your own company/organization.

f. Present a VPP or related safety and health topic at a Regional or National VPPPA Conference.

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

Recognition Award Application

First Name(*)
Invalid Input

Last Name(*)
Invalid Input

Company Name(*)
Invalid Input

Street Address(*)
Invalid Input

City(*)
Invalid Input

State(*)
Invalid Input

Postal Code(*)
Invalid Input

Email Address(*)
Invalid Input

Phone Number(*)
Invalid Input

Upload Document(*)
Invalid Input

Upload your PDF, DOC, or DOCX single page document.

Don't miss out on important conference related information