Nomination Form for Distinguished Researcher Award

 
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The purpose of the Distinguished Researcher Award is to recognize the contribution of an individual whose established program of research has enhanced the science and practice of nursing in the Southern region.

NOTE: The nominator must be a member of SNRS.

Full Name of Nominee and Credentials:

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* 1. Full Name of Nominee and Credentials:

SNRS Membership Number:

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* 2. SNRS Membership Number:

Current Position:

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* 3. Current Position:

Current Employer:

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* 4. Current Employer:

Employer Address:

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* 5. Employer Address:

Nominated by:

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* 6. Nominated by:

SNRS Membership Number:

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* 7. SNRS Membership Number:

Address:

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* 8. Address:

The Nomination Packet must include the following:

1. Letter of nomination which outlines how the nominee meets the award criteria.

2. Two letters of support.

3. Completed Nomination form.

4. A brief statement (150 words or less) by the nominee summarizing how their program of research has impacted the science and practice of nursing in the Southern region, including a brief account of service involvement with SNRS or other research-related professional organizations.

5. Signed Nominee Consent Form to attend the Annual Conference to receive the award and deliver a research presentation.

6. The nominee's full Curriculum Vitae.

7. Electronic copies of two published or in-press research articles.

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

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