Rules and Procedures
  • You may nominate as many people as you like, but you may only nominate each person once.
  • Nomination forms must be complete and received by the dates specified.
  • To enter, complete the nomination form and click "Submit form" at the bottom of the page.
  • We will submit all nomination forms to a panel of registered nurse judges.
  • All finalists will be our guests at an awards ceremony, where one winner in each category will be announced.
  • Winners will be profiled in NurseWeek and NurseWeek.com.
   
Step 1: Choose a region
   
California
   
South Central (Texas, Louisiana)
   
Mountain West (Alaska, Arizona, Colorado, Idaho, Nevada, New Mexico, Montana, Oregon, Utah, Washington, Wyoming)
   
Midwest (Arkansas, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, Oklahoma, South Dakota, Wisconsin)
 
Step 2: Choose ONE category for your candidate
We cannot accept nomination forms with more than one category chosen
 
Advancing the Profession: Contributions that have advanced and strengthened nursing as a profession.
 
Clinical Care: Excellence in direct-care delivery in any clinical setting.
 
Community Service: Significant professional or voluntary contributions that have improved patient care.
 
Innovation/Creativity: Innovative and creative contributions that have improved patient care.
 
Leadership: Exceptional leadership of nursing or patient care services in any setting.
 
Mentoring: Providing a positive professional influence, guidance and support of other nurses in any setting.
 
Patient Advocacy: Going beyond the call of duty to advocate for patients.
 
Teaching: Significant contributions in education, professional development, and/or long term learning of nursing professionals.
 
Step 3: Candidate and nominator contact information
All information below must be provided for the nomination to be considered.
 
Candidate

  
Name:
Job Title:
Employer:
Employer Address:
Home Phone:
Work Phone:
Cell Phone/Pager:
Email:
Address:
City:
State:
Zip:
 
Nominator
Name:
Work Phone:
Home Phone:
Cell Phone/Pager:
Email:
 
Step 4: Candidate Information
All questions must be answered. Please provide detailed descriptions with examples. Please do not refer to the candidate or their employer by name in this portion of the nomination. If you need more space, please attach additional pages.
 
What is your candidate's professional role?

 

 

 

 
 
How do you know the candidate?

 

 

 

 
 
Why do you think your candidate should win? Specific information and examples must be included that describe how the candidate meets the definition for the category as listed in Step 1 above.

 

 

 

 
 
How has the candidate contributed to the nursing profession in general?

 

 

 

 
 
What else should the judges know about your candidate?