* 1. Please choose one of the following award categories.

* 2. Please enter the Nominee's Full Name

* 3. Nominee's Credentials

* 4. Nominee's Full Address

* 5. Nominee's Phone Number

* 6. Nominee's Email Address

* 7. Nominee's Employer's Name, Phone Number and Address

* 8. Nominee's Title/Position

* 9. Nomination Submitted by:

* 10. Mailing address & Phone number

* 11. Email address

Thank you for your submission. Please email or mail the following items:

Narrative Statement (detail contributions)
Curriculum Vita (Except for Friend of Nursing Award)
Two letters supporting the nomination

Email attachments to: ona.ed@oklahomanurses.org
OR
Mail to:
Oklahoma Nurses Association
1111 N Lee, Ste. 243
Oklahoma City, OK 73103

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