• LifeSaver Award Application

    LifeSaver Award Application

  • The LifeSaver Award recognizes the extraordinary humanitarian efforts of an individual while at work or away from work. At the time of his/her act, the individual must have been employed by a member or subscriber company of the Northwest Indiana Business RoundTable.

    To qualify, the individual must have demonstrated exemplary assistance to a fellow employee or private citizen in an effort to prevent injury and/or save a life over and above the call of duty.

    2027 Application Dates: Applications open January 16, 2027. Submit before midnight February 16, 2027.

    Awards Banquet: Thursday, May 6, 2027 at Avalon Manor Banquet Center.

  • Format: (000) 000-0000.
  • Date of Incident:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: