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2008 Nursing Excellence Awards Nomination Form
Your Name
Your Email
Your Telephone

Nominee's Category		Advancing and Leading the Profession: RNs who have led, advanced, and/or strengthened nursing, either as a profession or in the delivery of patient care.
		Clinical Care: RNs who demonstrate excellence in direct-care delivery in any clinical setting.
		Community Service: RNs who have made significant professional or voluntary contributions that have improved patient care.
		Management: RNs who have demonstrated exceptional management of nursing or patient care services in any setting.
		Mentoring: RNs who provide a positive professional influence, guidance and support of other nurses in any setting
		Teaching: RNs who have made significant contributions in education, professional development, and/or long term learning of nursing professionals.

Nominee's First Name
Nominee's Last Name & Credentials	,
Nominee's Job Title
Nominee's Home Address
	,
Nominee's Home Phone
Nominee's Work Phone
Nominee's Fax
Nominee's Email

Nominee's Employer
Employer's Address
	,

What is your nominee's professional role?	Please do not refer to the nominee or their employer by name in this portion of the nomination.

How do you know the nominee?	Please do not refer to the nominee or their employer by name in this portion of the nomination.

Why should this nominee be selected as a winner? What sets this nominee apart from other nurses? Specific information and examples must be included that describe how the nominee demonstrates excellence in the chosen category.	Please do not refer to the nominee or their employer by name in this portion of the nomination.

How has the nominee contributed to the nursing profession in general?	Please do not refer to the nominee or their employer by name in this portion of the nomination.

What else should the judges know about your nominee?	Please do not refer to the nominee or their employer by name in this portion of the nomination.

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2008 Nursing Excellence Awards Nomination Form