Award Nomination Form 2016 Question Title * 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 Question Title * 2. Please enter the Nominee's Full Name Question Title * 3. Nominee's Credentials Question Title * 4. Nominee's Full Address Question Title * 5. Nominee's Phone Number Question Title * 6. Nominee's Email Address Question Title * 7. Nominee's Employer's Name, Phone Number and Address Question Title * 8. Nominee's Title/Position Question Title * 9. Nomination Submitted by: Question Title * 10. Mailing address & Phone number Question Title * 11. Email address Thank you for your submission. Please email or mail the following items:Narrative Statement (detail contributions)Curriculum Vita (Except for Friend of Nursing Award)Two letters supporting the nominationEmail attachments to: ona.ed@oklahomanurses.orgORMail to:Oklahoma Nurses Association1111 N Lee, Ste. 243Oklahoma City, OK 73103 Done