DNA DAISY Nurse Leader Award Nomination Form Question Title * 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. Name Company Email address Question Title * 2. Has your DNA DAISY Nurse Leader nominee been an active member for more than two years? Yes No Question Title * 3. Has your nominee been practicing in the Dermatology field for over five years? Yes No Question Title * 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. Question Title * 5. How has your nominee promoted continuous professional development? (Check all that apply). Workshops Conventions/Conferences DNA's Journal: the JDNA Mentoring Others Committees Chapter Events Webinars Obtaining Certifications Engaging in Research Other (please specify) Question Title * 6. Share specific situations where your nominee personifies compassionate nursing care, empathy, and caring in action. Question Title * 7. Describe how your nominee is accessible, available, and responsive to the needs of DNA staff, volunteers, and those we serve. Question Title * 8. Provide examples as to how your nominee has served as a mentor to DNA staff and/or volunteers. Question Title * 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). Question Title * 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. Done