Utah Driver Of The Month/year Nomination Form printable pdf download

NOMINATION

UTAH DRIVER OF THE MONTH/ YEAR

Date_____________________

Drivers Name________________________________________________________________________

Employer____________________________________________________________________________

Basis for Nomination: It is the intent of the Utah Trucking Association and the Utah Safety Management

Council to select a Driver who will, by past and future record, exemplify the type of career driver whose high

standards of conduct and ability are both an asset to themselves and a credit to the Motor Transport Industry

in the State of Utah. Outstanding deeds of heroism will be given due consideration. The major terms to

be considered in selecting the driver to be so honored will be:

1. Past safety record.

2. Loyalty and exceptional attitude toward employer and fellow employees.

3. Personal appearance.

4. Respect for and care of employer=s property and equipment.

5. Letters of commendation from the general public or from law enforcement agencies.

6. Good citizenship.

7. Community service.

DRIVER CERTIFICATION AND AGREEMENT

In consideration of being allowed to participate in the Utah Trucking Association=s Driver of the Month/

Year Program and to be eligible for the award as the winner, I hereby certify and agree to the following:

All of the statements contained in the material in support of my nomination for the Utah

Trucking Driver of the Month/ Year are true and correct.

I will always conduct myself in such a way as to protect and maintain the high status of the

title ADriver of the Month/ Year@ and I agree that the title may not be used in any advertising

promotion or exhibition except those sanctioned in writing by the Utah Trucking

Association, Inc.

_______________________________________

(Signature of Nominee)

CERTIFICATION BY EMPLOYER

(Must include current DMV record and Photo)

Please give a short narrative of the nominee=s qualifications and any recommendations that would assist in

the consideration of this nominee. (Attach separate narrative report if necessary)

____________________________________________________________________________________

__________________________________

(Authorized Signature / Title)

Utah Driver Of The Month/year Nomination Form