Please choose one of the following award categories.

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

Please enter the Nominee's Full Name

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* 2. Please enter the Nominee's Full Name

Nominee's Credentials

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* 3. Nominee's Credentials

Nominee's Full Address

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* 4. Nominee's Full Address

Nominee's Phone Number

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* 5. Nominee's Phone Number

Nominee's Email Address

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* 6. Nominee's Email Address

Nominee's Employer's Name, Phone Number and Address

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

Nominee's Title/Position

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* 8. Nominee's Title/Position

Nomination Submitted by:

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* 9. Nomination Submitted by:

Mailing address & Phone number

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* 10. Mailing address & Phone number

Email address

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* 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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