2026 Oncology Nurse Champion Award Nomination Form

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* 1. Your name:

First

Last

Credentials

E-mail

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* 2. Name of the person you are nominating:

First

Last

Credentials:

E-mail

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* 3. Why are you nominating this person for the award?

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* 4. Share a story demonstrating how this person is an Oncology Nurse Champion.

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* 5. Describe this person in 3 words.

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* 6. Do you anticipate that the person you are nominating could attend the Fall Education Fair?

Yes

No

Other (please specify)