Nominate a Nurse for 2019

Nominations are accepted until noon on January 31, 2019.

Eligibility

Nominees must be a Registered Nurse (RN) or Licensed Practical Nurse (LPN), must hold an unrestricted license, and must practice in Northern Nevada.

Instructions

Please fill out this form as completely and accurately as possible, as this information will be used to contact the person you have nominated. If you plan to submit a nomination for more than one person, please complete a separate form for each person; do not include more than one person on a single form.

Questions

If you have questions regarding the nomination process, please e-mail Shelby Hunt at Shelby.Hunt@NursesOfAchievement.com.

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

Nominee Information
 
* nurse's first name:
* nurse's last name:
* nurse's employer:
nursing department
or unit (if known):
 
Nomination Category
Please refer to the descriptions of award categories carefully. It is important to select the most appropriate category for your nominee.

Hold your mouse over each option in the drop-down list to see a description of each category and its requirements.
* award category:
 
Nomination Justification
Provide specific nursing-related examples why this person is being nominated for the award specified above. Your explanation must be at least 100 words but no more than 500 words. A counter is provided at the bottom of the box for your reference. Please be specific but concise! The information provided here is included in the judging process.
 
Nominator Information
We ask for your name and contact information in case we have questions about your nomination. Your name and nomination essay will be presented to the nominee at the awards event. Access to your phone number and e-mail is restricted to internal use only and is securely encrypted before being stored.
* your name:
* your phone
(nnn-nnn-nnnn):
* your e-mail:
 
at least one required field is empty or has invalid contents