Nomination: 2021 CPS Instructor of the Year
The National Child Passenger Safety Board (NCPSB) encourages Child Passenger Safety (CPS) Instructors to self-submit or help with the online nomination submission. Doing so, allows specifics to be shared contributing to a stronger submission.

-National Child Passenger Safety Board
Nominator Name (your name) *
Nominator: Daytime Phone Number *
Nominator: Email Address *
CPS Instructor: Name *
CPS Instructor: Organization *
CPS Instructor: Email Address *
CPS Instructor: Daytime Phone Number *
CPS Instructor: Instructor Number: I#######
State you are affiliated with? *
ALL SUBMISSIONS: Please complete the following questions. Provide detailed information on why you believe the nominee’s work in Child Passenger Safety is deserving of being recognized as National CPS Instructor of the Year. Keep in mind that NCPSB members who will be reviewing the nominations will only know what you provide regarding the nominee's contributions and performance. Use the CPS Code of Conduct to help guide your answers. (
Please be detailed (provide specific examples when applicable) and avoid using last names, titles and organization names in your responses.
1. Describe how the nominee’s work in Child Passenger Safety has impacted their organization or local CPS programs and/or made a difference in their community? Please provide specific examples as reviewers will only have the information you provide to score this nominee. Consider some of the following: • How does this nominee use their influence as an instructor to mentor current Technicians, work with and help to develop new Technicians? • How does this nominee support CPS programs, work to increase CPS awareness or activate efforts to influence local, state or national CPS policy? • How does this nominee use innovative approaches to educate caregivers, make technical information accessible or use “tricks of the trade” to explain how safety systems work? • How does this nominee stay technically current on CPS standards and best practices and share this information with others?(6000 character limit) *
2. Provide one specific example that will differentiate this nominee from all other CPS Instructors. (3000 character limit) *
Thank you!
We appreciate you taking the time to recognize the CPS Instructor who goes above and beyond to better the safe travel of families.

- National Child Passenger Safety Board
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