Nomination deadline: January 31, 2021

Nominee

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* 1. Nominee contact information:

Award
Please select the award category/categories for which you are nominating this person.
Read full details on each award, including criteria.

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* 2. WSNA Awards

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* 3. Professional Nursing and Health Care Council Awards:

Why this person should win

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* 4. Please describe how the nominee meets the award criteria in 300 words or less, listing the nominee's credentials and achievements.

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* 5. Provide a copy of the nominee's curriculum vitae/resume

PDF, DOC, DOCX file types only.
Choose File

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* 6. Is this person a WSNA member?

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* 7. Nominated by:

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* 8. Relationship to nominee:

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