IANANT Nurse Leader of the year award nomination form Nomination Criteria Eligibility:1. Current IANANT membership. 2. Licensed as a Registered Nurse 3. Serving in a Leadership role for at least 3 years including formal and informal roles (Supervisors, Coordinators).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. Ilustrate how the nominee's remarkable leadership in nursing practice, nursing education, nursing administration, or nursing research has positively influenced the community, providing enduring value to nursing. Highlight how the nominee utilized technology, promoted innovation, formed partnerships, and fostered collaboration across disciplines and settings. (max 350 words)(Required)2. Elaborate on the nominee's exceptional contributions and dedication to mentoring, along with their extensive engagement in advocacy for the nursing profession. Explain how these efforts have advanced the nursing profession both domestically and globally. (max 350 words)(Required)3. Detail the nominee's professional achievements in nursing research, policy, and/or practice. Discuss their involvement in local, state, national, and/or international nursing organizations, as well as other health-related organizations. Clarify the significance of these accomplishments. (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.
