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2025 Navigator of the Year Award
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1.
Please provide your contact information
(Required.)
Full Name
*
Email Address
Phone Number
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Relationship to nominee (e.g., supervisor, peer, patient, ect...)
*
*
2.
Please provide contact information for who you are nominating
(Required.)
Full Name
*
Email Address
Phone Number
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Primary Practice area (e.g., breast, multi-site oncology, etc.)
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3.
Have they been Navigating for at least 2 years?
Yes
No
4.
Are they an Active NCBC Member?
Yes
No
Unknown
5.
Do they have other Professional Memberships outside of NCBC?
No
Unknown
Yes, Please Specify...
6.
If they are required to earn additional CEUs for an additional credential, how do they obtain this education?
Attending in-person Conferences
Virtual Education
Local Educational Events
Unknown
Other, Please specify...
Instruction: Rate the extent to which the statements describe the nominee.
Section II – Compassion and Empathy
7.
Demonstrates genuine concern for patients’ well-being.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
8.
Provides emotional support and comfort to patients and caregivers.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
9.
Shows patience and sound judgment in challenging situations.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Section III: Advocacy and Person-Centered Care
10.
Honors patients’ needs, preferences, and cultural values.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
11.
Effectively facilitates communication between patients and providers.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
12.
Empowers informed decision-making (education, options, consent).
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
13.
Delivers unbiased, equitable, person-centered care.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Section IV: Professionalism
14.
Upholds high standards of professional behavior
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
15.
Stays current with developments in oncology navigation and care.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
16.
Collaborates effectively within the multidisciplinary team and fosters an environment that improves quality and safety
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
17.
Shares knowledge, best practices, and mentors other team members.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Observed
18.
Impact Statement:
Describe a situation where the nominee empowered a patient to make an informed decision about their breast cancer care journey.
19.
Prior awards and/or recognitions:
Has the nominee received any prior awards, honors, or recognitions that highlight their excellence in patient navigation or related fields? Please describe how these accolades support their selection as Navigator of the Year. (Required: proof of awards, email to
aerial@breastcare.org
)
20.
Short Bio:
Please provide a brief bio of the nominee, including their professional background, personal interests, and any details that help us understand who they are beyond their role as a navigator.
21.
Final Thoughts:
Please share any additional insights on why this nominee should be recognized as the Navigator of the Year.
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22.
Attestation:
I affirm that the information provided is accurate to the best of my knowledge and I consent to being contacted about this nomination.
(Required.)
Yes
No