Member Spotlight Nomination Form

Your Email (required)

Your Name (required)

Job Title / Company (required)

Years as an ASSP member (required)

Years in the safety industry (required)

3 key responsibilities of your job (required)

What or Who inspires you (required)

Most meaningful professional achievement (required)

Future career goal or aspiration (required)

Go-to comfort food (required)

Hobbies/Enjoy doing outside of work (required)

Recommended TV series to watch or book to read (required)

Grew up in (city, state) (required)

College attended / degree major (required)

Upload Your Photo (required)