Award Nominations

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* 1. Please choose one of the following award categories.

Excellence in Nursing

Nursing Research

Nursing Impact on Public Policy

Nightingale Award of Excellence

Friend of Nursing

Excellence in the Workplace Environment

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* 2. Please enter the Nominee's Full Name

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* 3. Nominee's Credentials

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* 4. Nominee's Full Address

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* 5. Nominee's Phone Number

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* 6. Nominee's Email Address

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* 7. Nominee's Employer's Name, Phone Number and Address

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* 8. Nominee's Title/Position

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* 9. Nomination Submitted by:

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* 10. Mailing address & Phone number

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* 11. Email address

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* 12. Narrative Statement to include detail contribuitons

PDF, DOC, DOCX file types only.

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* 13. Curriculum Vita or Resume (not required for Friend of Nursing

PDF, DOC, DOCX file types only.

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* 14. Letters of Support

PDF, DOC, DOCX file types only.

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* 15. Letters of Support

PDF, DOC, DOCX file types only.