Do you know or work with an outstanding Certified Registered Nurse Anesthetist (CRNA)? Nominate him/her below for Somnia’s seventh annual CRNA of the Year Award! This year’s award recipient will receive an Amazon Echo. 

CRNAs who submit nominations will receive a $10 Amazon gift card as a Thank You! Deadline for submissions is midnight, Friday, February 9, 2018. The winner will be announced on Monday, February 19, 2018.

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* 1. Your Name

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* 2. Your Email Address

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* 3. Your Phone Number

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* 4. Your Employer & Job Title

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* 5. May we let the nominee know you nominated him/her?

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* 6. Nominee's Name

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* 7. Name of facility at which nominee practices anesthesia

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* 8. Nominee's Email Address

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* 9. Nominee's Phone Number

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* 10. Do you work with the nominee?

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* 11. If you answered yes, for how long you have worked with the nominee?

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* 12. What qualities, characteristics, or actions make the nominee an outstanding CRNA? How does s/he exemplify high quality anesthesia care?

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* 13. Please add any additional comments.

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