Nevada Nurses Foundation

Join us in honoring all nurses who served on governing or
advisory boards during the previous year!

Purpose:

To recognize and honor nurses who represent the nursing occupation or healthcare issues by serving on boards and public service committees. Let us support our valued nurses for their commitment towards representing the nursing occupation and healthcare issues and concerns during 2017 and 2018.

Celebration:

Nurses nominated will be recognized during the Shining Stars of Nursing Awards Dinner in Sparks, Nevada, on October 6, 2018, at the The Celebrity Showroom at the Nugget Casino Resort.

Important Dates:

Please complete the nomination form to nominate a nurse for a Nurses on Boards Award by midnight on September 21, 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 nominee must have served on a board or public service committee during 2017 or 2018 calendar years.

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

You are welcome to submit your own name if you meet the criteria!

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

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:
* your phone (nnn-nnn-nnnn):	okay to text: yes   no
* your e-mail:
About the Nominee
* nominee's first name:
* nominee's last name:
home street address:
city:
state:	ZIP:
* nominee phone (nnn-nnn-nnnn):	secondary phone:
nominee e-mail:
* place of employment/organization:
* work phone (nnn-nnn-nnnn):
* name of board or public service committee:
* position(s) held (chair, member, etc.):
* how long served:
submit at least one required field is empty or has invalid contents