2020-2021 IMWCA Safety Innovation Award
Use this form to apply for an FY 2020-2021 Safety Innovation Award. The application window opens on July 1, 2020. All applications must be received by April 29, 2021.

Questions? Contact Dean Schade at deanschade@iowaleague.org or (515) 974- 5343.
Sign in to Google to save your progress. Learn more
Date *
MM
/
DD
/
YYYY
Contact Information *
Summarize the project in a few sentences. How does this project improve safety in the workplace? *
Total costs of the project including time to assemble. *
Number of employees involved in the project *
Do you consent to share information on the design and specifications with other interested members of IMWCA at no costs and consent to being featured in IMWCA materials that highlights how award-winning project enhances workplace safety for local governments? *
Please email supporting documents showcasing your application. Email: imwcagrants@iowaleague.org. Contact Dean Schade at (515) 974-5343 or deanschade@iowaleague.org if you have any additional questions.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Iowa League of Cities. Report Abuse