IANANT Nurse Leader of the year award nomination form 2025 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, Managers and Charge Nurses ).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 KNOWRN License Number(Required)RN Years in nursing role(Required)Nominee'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. Leadership & Impact in Nursing: Describe how the nominee’s leadership in nursing practice, Advanced Practice, education, administration, or research has positively impacted the community and provided enduring value to nursing. Implementation of evidence-based practices that improve nursing outcomes (Max: 500 words).(Required)2. Mentorship & Professional Development: Explain the nominee’s commitment to mentoring and professional development. Provide examples of how they have guided, supported, and promoted the growth of other nurses, including students and early-career professionals (Max: 400 words).(Required)4. Innovation & Future-Oriented Leadership: Detail how the nominee has contributed to innovation in nursing through the adoption of technology, research, interdisciplinary collaborations, or new care models. Describe their vision for the future of nursing and healthcare (Max: 400 words).(Required)3. Advocacy & Contributions to the Nursing Profession: Describe the nominee’s advocacy efforts for the nursing profession and their involvement in professional organizations at the local, state, national, or global level. Include any contributions to policy changes, community outreach, or organizational leadership (Max: 400 words).(Required)4. Innovation & Future-Oriented Leadership : Detail how the nominee has contributed to innovation in nursing through the adoption of technology, research, interdisciplinary collaborations, or new care models. Describe their vision for the future of nursing and healthcare (Max: 400 words).(Required)5. Ethical & Professional Excellence: Provide examples of how the nominee demonstrates high ethical standards, integrity, and professionalism in nursing leadership. How do they serve as a role model for others in the field? Innovation & Future-Oriented Leadership : Detail how the nominee has contributed to innovation in nursing through the adoption of technology, research, interdisciplinary collaborations, or new care models. Describe their vision for the future of nursing and healthcare (Max: 400 words).(Required)Supporting Documents (Optional) ☐ Resume/CV of Nominee ☐ Letters of Support (Maximum of 2) ☐ Additional Supporting Materials (Awards, Publications, Media Mentions, etc.)FileMax. file size: 128 MB.Certification & Submission : By submitting this nomination, I certify that all the information provided is accurate to the best of my knowledge. Nominator’s Signature.If you have any questions, email @ ianantscholarship@gmail.comPhoneThis field is for validation purposes and should be left unchanged.
