IANANT Advance Practice Provider of the year award nomination form Nomination Criteria Eligibility: 1. Current IANANT membership. 2. Current role as Nurse Practitioner, Clinical Nurse Mid-Wife, Clinical Nurse Specialist and Certified Registered Nurse Anesthetist.Nominee's Name(Required) First Last Nominee's Credentials(Required)Nominee's Email(Required) Nominee's Phone(Required)Nominee's Title/Position(Required)Nominee's Area of specialization(Required)Nominee's Current IANANT Membership status(Required)Select oneACTIVEINACTIVEDON'T KNOWNominee's Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Nominator's Name(Required) First Last Nominator's Credentials(Required)Nominator's Email(Required) Nominator's Phone(Required)Nominator's Title/Position(Required)Nominator's Area of specialization(Required)Nominator's Current IANANT membership status(Required)Select oneACTIVEINACTIVEDON'T KNOWNominator's Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 1. Detail the nominee's substantial contributions to nursing practice and community engagement, specifically highlighting how these contributions have expanded clinical knowledge, addressed challenges, or influenced nursing practices. (max 350 words)(Required)2. Illustrate the nominee's sustained commitment to fostering collaboration among nurses, researchers, nursing educators, providers, and other healthcare professionals. Highlight specific instances that showcase this commitment. (max 350 words)(Required)3. Outline the nominee's impact on integrating scientific findings into innovative approaches to nursing practice or facilitating the development of policies. Additionally, emphasize how the nominee's evidence-based research has contributed to the advancement of nursing practice, ultimately improving the quality of healthcare and enhancing patient outcomes. (max 350 words)(Required)Any other comments. If you have any questions, email @ ianantscholarship@gmail.comPhoneThis field is for validation purposes and should be left unchanged.
