J. STANNARD BAKER LIFETIME ACHIEVEMENT IN HIGHWAY SAFETY AWARD Introduction The IACP J. Stannard Baker Lifetime Achievement in Highway Safety Award honors the late J. Stannard Baker, who made significant contributions to highway safety. Mr. Baker served as Director of Research and Development at the Northwestern University Traffic Institute (now the Center for Public Safety) for over thirty years. During that time, he focused on the causes of traffic crashes and the techniques of collision investigation and reconstruction. He was known throughout the world as the father of accident investigation. Mr. Baker s groundbreaking textbook, Traffic Accident Investigation Manual, is the worldwide standard. The IACP J. Stannard Baker Lifetime Achievement in Highway Safety Award recognizes individual law enforcement officers, active or retired, and others in the field who have made outstanding lifetime contributions to highway safety. Eligible individuals have worked in highway safety for a significant amount of time and have made significant contributions to the field throughout their career. Nominee Category Check the box that applies. State Agency (active or retired) Local Department (active or retired) Not in Law Enforcement (e.g., Non-Profit or Private Sector) Contact Information Please complete the contact information fields below. We will first ask for the nominee s information. We will then ask for your (nominator s) information. INDIVIDUAL NOMINEE First Name: Last Name: Title: Agency/Organization: Email: Phone: Address:
NOMINEE AGENCY/ORGANIZATION (if applicable): Head of Agency First Name: Head of Agency Last Name: Head of Agency Title: Agency: Head of Agency Email: Head of Agency Phone: Agency Address: NOMINATOR (if different from nominee): First Name: Last Name: Title: Organization: Email: Phone: Address: Directions Please fill out the above general information and answer the questions below on the subsequent pages. Completed applications must be submitted to awards@theiacp.org by June 1, 2018. Please do not send supplemental materials such as departmental citations, letters of recommendation, newspaper clippings, videotapes, DVDs/CDs, or photos as they will not be reviewed. If sent, they will not be returned. By submitting this application, you are giving the IACP permission to use your partnership program s story, along with your agency/organization identity, in training, and information sharing efforts, including publication of the information on the IACP website, and in future IACP publications. Questions 1. Describe the nominee's lifetime and career spanning jobs, assignments, volunteer efforts, etc. that relate to traffic safety. 2. What specific programs or issues has the nominee created, promoted, implemented, or supported during their career? 3. How has the nominee collaborated with other agencies, groups, and the community to promote traffic safety? 4. Describe the impact that the nominee's efforts have had in his/her specific community as well as any larger impact that the work has achieved. 5. How has the nominee shared their expertise through training, education, community outreach, etc? Please complete these questions in the subsequent pages
Question 1: Describe the nominee's lifetime and career spanning jobs, assignments, volunteer efforts, etc. that relate to traffic safety.
Question 2: What specific programs or issues has the nominee created, promoted, implemented, or supported during their career?
Question 3: How has the nominee collaborated with other agencies, groups, and the community to promote traffic safety?
Question 4: Describe the impact that the nominee's efforts have had in his/her specific community as well as any larger impact that the work has achieved.
Question 5: How has the nominee shared their expertise through training, education, community outreach, etc?