2025 Research and Teaching Safety Innovation Award

Application form for University Laboratory Safety Innovation Award
Deadline: October 1st at 5:00 PM

Application type

Select one:(Required)
Application submitted by:
Nominator(Required)
Applicant(Required)
Applicants may nominate themselves.

Step #1: Your information (Applicant)

Name(Required)

Step #2: Team information

Step #3: Background

Do you receive routine EHS safety communication?(Required)
Are you/will you be responsible for the design and implementation of the proposed innovation?(Required)

Step #4: Brief title of the innovation

Step #5: Description of the innovation proposed innovation (attach MS Word or PDF).

No specific minimum length is required. In general, the package of application materials should not exceed 10 pages.
Accepted file types: doc, docx, pdf, Max. file size: 24 MB.
In addition to the full description above, provide a brief description of your innovation for public release. (Approximately 50 to 100 words max)

Step #6: Biographical data of applicant

Please upload a MS Word or PDF. (Maximum length is 3 pages.)
Accepted file types: doc, docx, pdf, Max. file size: 24 MB.

Step #7: Notice of support from unit director, compliance safety officer or others who can confirm the project.

(Applicants without at least two reference statements will not be considered.)

Include at least two and no more than five written reference statements from individuals who can corroborate that the innovation is the laboratory or teaching setting (must be signed with contact information).

The statement should comment on the innovation’s applicability and effectiveness in managing safety. Appropriate references include supervisors, colleagues or other individuals with knowledge of the innovation and the unit compliance officer. Reference statements should be no more than two pages in length. Reference statements should contain the signature of the individual making the statement and his/her contact information (telephone number and e-mail addresses).

Max. file size: 24 MB.
Agreement terms(Required)
The information contained in this application, including the supporting documents, is accurate and true to the best of my knowledge. Further, this innovation represents my own work except as how I have specifically cited a reference of source. Where I have used another source, the application of the source was my own. Should my application be selected as the winner of or receive an honorable mention, I agree to the public release of my name, my innovation title and a brief description of it. Please be sure to click on the submit button below.
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