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Application Instructions

Purpose

This award is given in memory of Donna Tomky, an ADCES Past President and Nurse Practitioner (NP), who advocated for the integration of self-management behaviors with clinical management, to a NP who continues to advance this integration through practice, health plan or health system innovation.
Award

Recipient will be recognized at the ADCES Annual Meeting, will receive complimentary registration to the Annual Meeting and up to $1,000 in travel expenses.
Eligibility

Applicant/nominee must be a Nurse Practitioner and an active member of ADCES as defined by the Association's Bylaws, including at the time of submission and at the time of receipt of the award.
Criteria
  • Must focus on the integration of self-management with clinical management
  • Incorporates AADE7 Self-care behaviors
  • Optimizes clinical management/treatment
  • Uses technology to impact care
  • Patient-centered
  • Addresses health care delivery
  • Can be a tool, a technique, a practice intervention
Application Process

The nominator/applicant must address how the nominee meets the criteria stated above in 500 words or less (essay). The nominator/applicant must submit:
  • Two letters of support, of not more than 1,000 words, from a professional colleague other than the nominator.
  • CV or Resume
Applications and supporting materials must be submitted by March 1, 2021. All applications must be complete to be considered.  Please provide as much detail as possible in your answers. Applications demonstrating thoughtful, detailed responses tend to yield more favorable results. If selected, what would be your topic or platform.

If a confirmation has not been received by March 22, it is the applicant's responsibility to contact ADCES at awards@adces.org.

If you would like to preview the questions before starting, please download (link)
Important

If you exit or "time out" of the application, you may resume completing the form on the same computer used to begin the application. However, you MUST click "SAVE/Next" for your responses on that page to be saved.

If you enter information on a page without clicking "SAVE/Next", your information will be lost. To resume your application, simply click on the "SAVE/Resume" button on the Award Application web page.

NOTE:  Once you click "Submit" on the final page of this application, you will not be able to access your application form or make any additional edits.
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