*1.Nominations will be accepted until October 1st to be considered for review for the following year convention awards. You need to be a DNA member to nominate a candidate, and your nominee must also be a current member.

Please provide the contact information for your DNA DAISY Nurse Leader nominee.(Required.)

Name

Company

Email address

*2.Has your DNA DAISY Nurse Leader nominee been an active member for more than two years?(Required.)

Yes

No

*3.Has your nominee been practicing in the Dermatology field for over five years?(Required.)

Yes

No

*4.Describe how your nominee promotes a shared vision and enthusiam to achieve better patient outcomes through exemplary dermatology nursing practices. Please include specific actions in daily work, interactions, and outreach efforts.(Required.)

*5.How has your nominee promoted continuous professional development? (Check all that apply).(Required.)

Workshops

Conventions/Conferences

DNA's Journal: the JDNA

Mentoring Others

Committees

Chapter Events

Webinars

Obtaining Certifications

Engaging in Research

Other (please specify)

*6.Share specific situations where your nominee personifies compassionate nursing care, empathy, and caring in action.(Required.)

*7.Describe how your nominee is accessible, available, and responsive to the needs of DNA staff, volunteers, and those we serve.(Required.)

*8.Provide examples as to how your nominee has served as a mentor to DNA staff and/or volunteers.(Required.)

*9.Describe how your nominee encourages critical thinking and problem solving for individuals and teams to promote DNA's vision. (DNA vision: DNA will be the global authority for knowledge and expertise in dermatology care).(Required.)

*10.Describe how your nominee acts as a role model for attributes of trust, mutual respect, and ethical behavior to DNA staff and volunteers. Please include examples of how they promote the image of nursing within DNA, the community, and professional affiliations, through behavior, influence, and actions.(Required.)