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Saving a Life Award Nomination

For over 100 years, Chesapeake Region Safety Council has served our community by educating and influencing people to prevent accidental injury and death. In 2023 we added a new award to our Annual Awards Ceremony, the “Saving a Life Award”. This award was created as a thank you to individuals who have applied their safety and health training in a life threating emergency to save a life.

Nominations Closed

Thank you to our 2026 Nominators!

Register as an attendee and join us on June 12, 2026

2027 Nominations Will Open Soon!

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Candidate Information – Step 1 of 2

Section 1

Candidate Information
Please provide the candidate’s full name & ensure spelling is accurate for printed plaque
Address
If additional space is needed, please attach a separate document below (PDF or Word format preferred).
If additional space is needed, please attach a separate document below (PDF or Word format preferred).
Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.
If you have any supportive documents, please attach them to this application. This includes: summary description of the event and the action of the nominee, any additional supportive documents, and witness statements, if accessible.
Save and Resume Later

Download a PDF Copy of the Nomination Form

Email the completed nomination form and supportive
documentation to safety@chesapeakesc.org.

Download PDF