V. STAR DRIVER AWARD - DIVISION 1 & 2

V. STAR DRIVER AWARD - DIVISION 1 & 2 (multiple awards per company)

The NDSC’s driving award program recognizes drivers of MEMBER companies with admirable safety records. The criteria indicate what is expected of each driver regarding safety performance and their skills to avoid traffic crashes while at work. Eligibility of drivers is based on the National Safety Council’s guidelines for reporting individual driving records as well as motor vehicle crashes. Nominees’ can be CDL or non-CDL drivers whose responsibilities include a significant amount of time operating a company motor vehicle.

To qualify, the company must have a seatbelt policy in place that requires the use of seatbelts when driving or riding in a vehicle. Company must also have a cell phone use policy in place that restricts the use of cell phones (hand-held or hands-free) while driving, for all employees, including texting, internet use, and phone calls.

DIVISION 1
A. Individual must have a minimum of 10 years experience operating company vehicle.
B. Individual must have driven a minimum of 250,000 miles incident free.
C. Provide documentation showing current cell phone and seatbelt policies.

DIVISION 2
A. Individual must have a minimum of 10 years experience operating company vehicle.
B. Individual must have driven a minimum of 1,000,000 miles incident free.
C. Provide documentation showing current cell phone and seatbelt policies.

Division Applying For*

Division 1 Division 2

NDSC Member Company Name (as it will appear on award)*

Name of person making the nomination*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email*

Confirm Email *

How many people would you like to nominate?*

Driver One Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Two Information

Name

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Three Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Four Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Five Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving professionally*

Total miles driven incident free*

Number of years of employment*

Driver Six Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Seven Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Eight Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Nine Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Ten Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Eleven Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Twelve Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Thirteen Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Fourteen Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Fifteen Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Sixteen Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Seventeen Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Eighteen Information

Name

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Ninteen Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Twenty Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving professionally*

Total miles driven incident free*

Number of years of employment*

Driver Twenty One Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Twenty Two Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Twenty Three Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Twenty Four Information

Name

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Twenty Five Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Twenty Six Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Twenty Seven Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Twenty Eight Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Twenty Nine Information

Name

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Thirty Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Thirty One Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Thirty Two Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Thirty Three Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Thirty Four Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

Driver Thirty Five Information

Name*

First Name

Last Name

Driver's License Number

Number of years experience driving company vehicle*

Total miles driven incident free*

Number of years of employment*

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