2024 Awards Application Form - Deadline May 16, 2024

1. Biographical Information for Nominee *This question is required.

Full Name

Credentials

Title / Position

Employing Agency / Institution

Street Address

Room / Floor / Suite

City

State

Zip

Country

Email Address

Work Phone

Home or Mobile Phone

URL

3. Evidence of Award Criteria:

Review the criteria for the award and provide specific evidence/examples to indicate the ways in which the nominee meets each criterion. Provide information about the achievements for which recognition should be given. Nominees will be judged only on the basis of the data supplied by the nominators. Please do not copy and paste sections of your nominee's CV when providing evidence of award criterion. Personal words of support are highly valued by the NLN Awards Committee.

Each of the criteria must reflect the NLN Core Values.

Criterion 1. *This question is required.

Criterion 2. *This question is required.

Criterion 3. *This question is required.

Criterion 4. *This question is required.

Criterion 5. *This question is required.

Criterion 6. *This question is required.

4. Please attach nominee's current abbreviated curriculum vitae (CV), no more than ten (10) pages in length substantiating primary area of contribution to nursing and emphasizing the accomplishments. Nominations with CV's longer than ten (10) pages will not be considered.

Please note: It is preferred that CV submissions are uploaded in PDF format. *This question is required.

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5. Please attach a letter of support from an individual other than the nominator, no more than two (2) pages.

Please note: It is preferred that letters are uploaded in PDF format. *This question is required.

File: {{filename}} delete

6. Please attach a nominee's personal statement or a second letter of support, no more than two (2) pages.

Please note: It is preferred that submissions are uploaded in PDF format. *This question is required.

File: {{filename}} delete

7. Nominator Information *This question is required.