Nevada Nurses Foundation

Developing Quality Health Care for Nevada Citizens by Promoting The Development of Professional Nursing

       

2017 "50 Under 50" Awards

Join us in honoring 50 Nevada Nurse Leaders under 50 Years of Age


Purpose:

To recognize and honor 50 nurses who demonstrate exemplary nursing leadership through their dedication, commitment, attitude, and behavior to the nursing profession while promoting quality health care, advancement in education and services, and growth in leadership.

Celebration:

The awards will be presented during the 2017 Future of Nursing in Nevada Awards Dinner on Wednesday, December 31, 1969, in , at the .

Important Dates:

Please complete the nomination form below to nominate a nurse for the "50 Under 50" Nursing Leadership by midnight on August 8, 2018.

After submitting an online nomination, you will receive a receipt and tracking number.

Criteria for Selection of Recognized Recipient:

  1. Nominee must possesses an unencumbered and active nursing license verified through the Nevada State Board of Nursing.
  2. The Licensed Practical Nurse (LPN), Registered Nurse (RN), or Advanced Practice Registered Nurse must be younger than 50 years of age as of May 1, 1969.
  3. The Nominee has significantly or uniquely contributed to leadership within the nursing profession through clinical practice, education and teaching, administrative leadership, research, publishing, policy involvement, healthcare innovation, and/or best practice integration.
  4. Demonstrates leadership in community affairs, nursing professional organizations, and/or nursing practice.
  5. Positively promotes and advances the nursing profession in the community (local/national/global) through volunteerism and/or outreach efforts.
  6. If the nominee was recognized as a "40 Under 40" award winner in 2016, the new nomination must be based on new activities and accomplishments in 2016.

Questions:

Questions about the nomination or award criteria or process should be directed to info@NVNursesFoundation.org or by calling 775-560-1118.

Technical issues with the nomination form should be reported to webmaster@NVNursesFoundation.org .

Instructions:

Please fill out this form as completely and accurately as possible.

Provide as detailed information as possible. However, to ensure unbiased judging, please do not include in the essay question below any specific references to people's names, places of employment, or gender.

Nominations must be submitted by the deadline above. This deadline will be strictly enforced, and late submissions will not be accepted.

Items marked with a * are required, and the form cannot be submitted if these values are missing!

Nomination Form:

Nominator Information
We ask for your name and contact information in case we have questions about your nomination. This information will remain anonymous and is securely encrypted before being stored.
* your name:
* professional credentials
(RN, LPN, etc.):
*current position/title:
* your phone
(nnn-nnn-nnnn):
      okay to text: yes   no
* your e-mail:
About the Nominee
* nominee's first name:
* nominee's last name:
* under 50: To your knowledge, will the nominee be under 50 years of age on May 1, 2018
(born after May 1, 1968)?     yes   no   unsure
Sorry, this nominee is not qualified to be nominated for this award. Please consider recognizing this nurse by means of our Honor a Nurse program.
birthdate (if known):   (mm/dd/yyyy)
home street address:
city:
state:     ZIP:  
* nominee phone:       secondary phone:  
nominee e-mail:
* place of employment/organization:
* work phone:
unit name or number:
Nomination Justification
How does this nurse represent the future of nursing and why have you chosen to nominate this person? (25 points)
 
at least one required field is empty or has invalid contents
 
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