Outstanding Contribution by an Individual

2025 Excellence Awards Nomination Form

Outstanding Contribution by an Individual
Purpose: Honors an individual: staff member, leader, advocate, or volunteer whose work has had a lasting and exceptional impact on community transportation in Virginia.

Description: This award celebrates dedication, leadership, and a personal commitment to advancing safe, reliable, and inclusive human service and/or public transportation. It may also be used to recognize a lifetime of work or a transformative recent contribution.
Name of Nominee

First NameLast Name
Nominee's Title
Nominee's Organization
Nominees Email
example@example.com
Is this a self nomination?
Name of individual submitting Nomination

First NameLast Name
Nominators Email
example@example.com (if this is a self nomination, please enter the same email address as above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's Phone Number

Area CodePhone Number
CTAV Member ID Number:
Summary of Contribution: What has the nominee done to support community transportation in an outstanding way?

0/250
Achievements & Recognition: Please list any awards, unique successes, or notable outcomes driven by this individual..

0/250
Impact: Describe the significance of their efforts for their organization or the field.

0/250
Supporting Documentation (optional): Provide press clippings, letters of support, or media coverage.
Short Essay Questions
How has this individual gone above and beyond in their role or personal service?

0/500
(Optional) What is their legacy or lasting impact on community transportation?

0/500
How do they embody the mission and purpose of CTAV?

CTAV's PURPOSE is: Transportation Solutions for Everyone Our MISSION is: To expand and enhance community transportation through representation, education, and effective use of resources.0/500
Is there anything else you'd like to tell us about this individual?
Should be Empty:

2025 Excellence Awards Nomination Form

Short Essay Questions