Nurse Leader Nomination Form

Do you know a nurse leader, who is a registered nurse, legally recognized to practice in his/her country with a minimum of a baccalaureate degree or the equivalent in any field, and who has demonstrated achievement in nursing?

Nominee's Address


- Copy of current licensure will be required.
- Curriculum Vitae / Resume will be required.
- Additional information may be requested, if needed, from the nominee.
- Nominees will be reviewed biannually in February & October.

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