Excellence Awards - Adminstrative and Clinical Applications

The Nomination is for:

  

NOMINATOR CONTACT INFO
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NOMINEE CONTACT INFO
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ABOUT THE NOMINEE

  

  

ATTACHMENTS

Please provide two letters of recommendation. These letters must document how the candidate meets the following nominating criteria.

Recognized as a positive role model in ambulatory care nursing as characterized but not limited to:

  • Mentoring peers and colleagues and willingness to share expertise.
  • Promoting interprofessional collegial working relationships.
  • Effectively demonstrates management of rapidly changing situations, and/or clinical nursing practice.
  • Demonstrating improvement of patient care outcomes with effective implementation into practice.
  • Being recognized as a nursing expert by nursing colleagues.
  • Promoting and encouraging active participation in a professional organization.
One file only.
20 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx.
One file only.
20 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx.

  

NOMINEE'S CURRICULUM VITAE (CV) OR RESUME
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20 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, .

  

SIGNATURE & DATE
The information provided in this application is accurate and complete. I understand that acceptance of an AAACN award, scholarship or research grant obligates me to use the funds awarded for the intent described in this application. I further understand that misuse of a AAACN award, scholarship or research grant may result in permanent revocation of my AAACN membership and a requirement that I refund any misused funds to AAACN. All information contained in this application will be considered confidential and will only be reviewed by members of the Nominating Committee of AAACN and staff. All applications are blinded by staff before they are seen by the AAACN Nominating Committee.