Nomination deadline: February 24, 2023

Nominee

Question Title

* Nominee contact information:

Award
Please select the award category/categories for which you are nominating this person.

Question Title

* WSNA Award Categories

Question Title

* Professional Nursing and Health Care Council Awards:

Question Title

* Please identify how the nominee meets the award criteria in 300 words or less. Include their credentials and achievements.

Question Title

* Please identify how the nominee meets the award criteria in 300 words or less. Include their credentials and achievements.

Question Title

* A curriculum vitae/resume from each candidate is required. If available, upload a copy of the nominee's CV/resume.

PDF, DOC, DOCX file types only.
Choose File

Question Title

* Nominated by:

T