WSNA Hall of Fame 2026 Nomination Form

The Washington State Nurses Association (WSNA) continually seeks ways to encourage all registered nurses to strive for excellence in nursing. The Washington Nursing Hall of Fame is only one of many projects developed by WSNA to support nurses who demonstrate the highest standards of their profession.

Criteria: Each nominee must have demonstrated excellence in the areas of patient care, leadership, education, public service, nurse advocacy, heroism, patient advocacy, or clinical practice and for achievements that have affected the health and/or social history of Washington State through sustained, lifelong contributions. The nominees must have been or currently hold membership in WSNA. The nominee may be living or deceased.

To be considered, nominations must include all required documentation to support the award criteria and a photograph of the nominee. The deadline for nominations is January 4, 2026. Nominees will be notified in January 2026. The award winner(s) will be recognized by the Association, family, friends and nursing colleagues at the Hall of Fame Awards event to be held on March 19, 2026 at the Hilton Seattle Airport & Conference Center, 17620 International Blvd., Seattle, WA 98188.

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* 1. Hall of Fame Nominee

First Name:

Preferred Name if Different:

Last Name:

Credentials:

Address (Street/City/Zip):

Phone:

Email Address:

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* 2. Nominee’s photo (if available):

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* 3. Describe how this nominee has demonstrated excellence in the areas of patient care, leadership, education, public service, nurse advocacy, heroism, patient advocacy, or clinical practice.

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* 4. Describe how this nominee has demonstrated achievements that have shaped health care and society through sustained, lifelong contributions.

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* 5. As applicable, summarize this nominee’s WSNA membership background including membership dates (if known), offices held at the regional, WSNA, or ANA levels, and specific contributions to their regional association, WSNA, ANA, or other organizations.

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* 6. Nominee's Employment (or most recent employment if retired):

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* 7. Nominee's Employment:

Current Position or Title:

Employer:

Employer's location (city/state):

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* 8. Please provide a CV or resume for the nominee if available

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* 9. If the nominee is deceased, are there any known living relatives?

Yes

Not applicable

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* 10. Nominee's Relative (if answer to question 11 is yes):

Name of Closest Relative:

Address of Relative (Street/City/Zip):

Relationship to Nominee:

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* 11. Nominator:

Person Submitting Nomination:

Address (Street/City/Zip):

Home Phone:

Work Phone:

Email Address:

Relationship to Nominee: