Nomination Form for Clinical Researcher Award

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The purpose of the Mid-Career Award is to recognize the contribution of an individual (with greater than 50 percent of their appointment working as a researcher in a clinical setting) whose established program of research has enhanced the science and practice of nursing in the Southern region.

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* 1. Full Name of Nominee and Credentials:

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* 2. Current Position:

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* 3. Current Employer:

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* 4. Employer Address:

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* 5. Nominated by:

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* 6. SNRS Membership Number:

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* 7. Address:

The Nomination Packet should include the following:

1. One letter of nomination (self-nominations accepted) which outlines how the nominee meets the award criteria.

2. Two (2) additional letters of recommendation, both from active SNRS members, which address the evaluation criteria. Each statement should be less than 500 words.

3. The nominee's full Curriculum Vitae.

4. Electronic copies of two (2) published or in-press research articles.

5. Nominee Consent Form to attend the Annual Conference to receive the award and to deliver the conference research presentation (for the previously accepted abstract).

Once you click "Done" you will be returned to the SNRS website; click the link there to submit the information above.