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* 1. Please provide the name of your nominee for the 2023 Lifelong Contribution to Nursing award.

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* 2. Please provide a brief description of why you feel this person is the most exemplary nominee in the state of West Virginia for the Lifelong Contribution to Nursing award.

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* 3. Please provide the name of your nominee for the 2023 Mentorship Award.

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* 4. Please provide a brief description of why you feel this person is the best nominee in the state of West Virginia for the 2023 Mentorship Award.

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* 5. Please provide the name of your nominee for the 2023 Excellence in Direct Patient Care (staff nurse) award.

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* 6. Please provide a brief description of why you feel this person is the best nominee in the state of West Virginia for the Excellence in Direct Patient Care award.

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* 7. Please provide the name of your nominee for the 2023 Politically Active nurse of the year award.

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* 8. Please provide the name of your nominee for the 2024 AANP State Award for Excellence (announced later).

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* 9. Please provide a brief description of why you feel this person is the best nominee in the state of West Virginia for the AANP State Award for Excellence.

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* 10. Please provide the name of your nominee for the 2024 AANP Advocate State Award for Excellence.

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* 11. Please provide a brief description of why you feel this person is the best nominee in the state of West Virginia for the AANP Advocate State Award for Excellence.

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* 12. Please provide a brief description of why you feel this person is the best nominee in the state of West Virginia for the Politically Active nurse of the year award .

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* 13. Please provide the name of your nominee for the 2023 Beacon Award, the best facility for nurses to work in the state of West Virginia. 

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* 14. Please provide a brief description of why you feel this organization is the best facility for nurses to work in the state of West Virginia.

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* 15. Please share your name (to assist us in gathering information if needed).

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* 16. Your email.

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* 17. Your phone number.

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