Nevada Nurses Foundation

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

       

Student Nurse Leader Award

Join us in selecting and recognizing the 2017 Student Nurse Leader


Purpose:

To recognize and honor an outstanding student nurse leader who is a role model for his or her peers and who is an active advocate for students and student programs.

Celebration:

The award 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 form below to nominate a candidate for the "Student Nurse Leader" by midnight on September 15, 2018.

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

Criteria for Selection of Award Recipient:

  • Motivates and inspires other students as a leader, including contributing to transformational projects.
  • Actively involved in student affairs, including campaigning to improve the student experience, contributing to curriculum and other program affairs, and advocating for other students.
  • Involved with community activities.
  • Actively involved with nursing organizations, such as NSNA, NVSNA, school SNA, NNA, and other progression organizations.

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:
* current student:
To your knowledge, was the nominee an active student during
calendar year 2017?     yes   no
Sorry, this person is not qualified to be nominated for this award.
home street address:
city:
state:     ZIP:  
nominee phone:       secondary phone:  
* nominee e-mail:
* school:
Nomination Justification
Why do you believe this student deserves to be recognized as a student nurse leader? Please include discussion of this individual's relationships with fellow students, impacts in student affairs, and contributions to the community. (50 points)
 
at least one required field is empty or has invalid contents
 
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