Nomination Form for LPN Awards of Excellence 2019

Nominations open until February 15, 2019

BEFORE YOU BEGIN:

IMPORTANT: This online Nomination Form must be completed in a single session. You will not be able to partially fill it out and return at a later time. Therefore, please complete the following before you begin this Nomination Form:

1)     Read the Award’s Eligibility Criteria located on the Foundation's website.
2)     One nominator per nominee per award.
3)     Decide which one of the four Awards best describes the person you want to nominate.
4)     Ask two additional people to be Sponsors for this nomination. Get their contact information to complete this Nomination Form.
5)     Write the Nomination Letter for the Nominee. Save it in Microsoft Word (.DOC or .DOCX) or Adobe Acrobat (.PDF) formats. You will upload it below. Make sure the Letter gives examples of how the Nominee’s contribution at work, on committees, and in the community meets or exceeds that Award’s Eligibility Criteria.

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* 1. Upload your Awards Nomination Letter

PDF, DOCX, DOC file types only.
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* 2. NOMINATOR INFORMATION: (The Nominator is the primary sponsor and contact person, must be over 18 years).

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* 3. AWARDS CATEGORY (Please select one only)

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* 4. NOMINEE INFORMATION: (The LPN/Non-LPN you would like to nominate/recognize for an Award).

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* 5. SPONSOR #1 INFORMATION: Two (2) sponsors are required, (must be over 18 years and not related to the nominee). Nominator or one Sponsor should be an Employer, past or present.

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* 6. SPONSOR # 2 INFORMATION: Two (2) sponsors are required, (must be over 18 years and not related to the nominee). Nominator or one Sponsor should be an Employer, past or present.

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* 7. I understand:

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* 8. I certify that the information submitted on this Award Nomination and Awards Nomination Letter is true and complete.

Award Nomination Forms and Nomination Letters will be reviewed by the Selections Committee of the Fredrickson-McGregor Education Foundation for LPNs.

The Award Winners will be announced during the 2019 CLPNA AGM & Conference's Awards Dinner on the evening of May 6, 2019 at the DoubleTree Hotel West, Edmonton, Alberta.
 
The Nominator and Sponsors of the Award Nominees may be notified in advance in order to ensure the Award Nominees attends the Ceremony.

Questions? Contact Marjorie Malenfant, Foundation Assistant at (780) 484-8886, or by email at mmalenfant@clpna.com.

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