Nursing Alumni of Distinction Nomination Form

Notes for Nominators:

All letters of support are confidential and will be viewed only by members of the Selection Committee.
It is recommended that the nomination remain confidential and not shared with the nominee.
Posthumous nominations will not be accepted.
Bullet points are preferred.
We look forward to receiving your nomination.

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Email

This field is for validation purposes and should be left unchanged.

Name of Nominee*

Degree and Year of Graduation

(if known)

Address*

City*

Country*

Postal Code*

Email*

Current Telephone Number*

This Nominee is being submitted for:*

Nursing Alumni of Distinction Award

Rising Star Award

Name*

Address*

City*

Country*

Postal Code*

Email*

Current Telephone Number*

Relationship to Nominee*

1. Your reasons for nominating the candidate, as related to the award criteria.*

2. A description of the candidate’s accomplishments, successes and contributions pertaining to the award.*

3. Any other information about the candidate that might assist the Nursing Alumni Chapter.*

4. Please attach letters of support. (2 maximum)

Drop files here or

Max. file size: 10 MB, Max. files: 2.

5. Optional - Please attach a current C.V. if available.

Please submit the full nomination package by April 25th, 2025.
Direct any questions about the awards to Sarah Tiller, Alumni Engagement Coordinator.

Max. file size: 10 MB.

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