Distinguished Service Award

Distinguished Service Award: This award recognizes a Voting Licensed Nurse, Associate or Life member of SGNA who has demonstrated outstanding contributions to the Society.

Eligibility Criteria

· Must be a current member of SGNA, with membership for at least five years and actively participates in regional and national activities.

· Is currently or has previously been employed in gastroenterology/endoscopy, full or part-time, in supervisory, teaching, clinical or administrative capacities.

· Is currently serving or has served on an SGNA national committee.

· Must consent to SGNA publishing name and title, if selected for the award, in our membership communication materials.

Performance Criteria

· The candidate has made important contributions in any or all of the following areas:

· Demonstrates continued service and leadership to the Society at both the national and regional levels.

· Contributes to the growth of the organization.

· Contributes to the educational programs and publications of the society.

· Actively promotes the Society and the specialty through significant contributions in the areas of public service, legislation and other community involvement.

· Supports certification in the specialty.

· During service on SGNA national committee – completed tasks, met deadlines and actively participated on committee.

Question Title

* 1. Nominator

Name/Credentials

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Question Title

* 2. Nominee

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone Number

Question Title

* 3. Please write a statement that tells us why you feel this candidate deserves this award. As you are writing this narrative, please keep in mind the above performance criteria. Add any additional items not covered that would support your nomination (this statement will be used as a scoring tool when choosing the recipient of this award).