WFNSA Nursing Student of the Month Nomination Form (2019-2020)

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Nursing Student of the Month is an opportunity to recognize hardworking and exceptional nursing students who are involved in the school and/or the community!

A student from each year will have the chance to be nominated by a peer depending on the month. For the month of MARCH, any nursing student can nominate a CTF NURSING STUDENT! There will be ONE winner this month.

Winners will be decided by the WFNSA council and will be announced at the end of the month.

Winners will receive a HOSPITALITY GIFT CARD!

* SELF NOMINATIONS ARE NOT ALLOWED. WFNSA COUNCIL MEMBERS CANNOT NOMINATE OR BE NOMINATED FOR NURSING STUDENT OF THE MONTH.

Please contact Julia Park (VP Administration) at jpark746@uwo.ca for any questions.

Nominator's Full Name *

Nominator's Email *

I understand that I MAY be contacted with the email provided with questions, concerns, and/or clarification about the nomination submission. *

I understand

Required

Nominee's Full Name *

Nominee's Email *

Why should this student be nominated for nursing student of the month? (I.e. How does this student make a difference in the Western, local, and/or nursing community? What makes them a unique nursing student?). [Max. 250 words] *

I understand that any false information from the response above will result in an automatic disqualification. *

I understand

Required

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