VNSA 2023 Nursing Student of the Year Nomination Form
Nominee must be an active member of the VNSA. A total of two nomination forms are required, one filled out by a faculty member and one by a student. Self nomination is acceptable. In the event you or your nominee is chosen, your essay will be read aloud at the awards meeting at the annual VNSA Convention on February 25th, 2023.
Award Amount: $300
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Your Name (First & Last) *
Your email *
Relationship to Student *
Required
Name of student you are nominating *
School of Nursing that the student is enrolled in *
Expected Graduation date of student  *
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Email and Phone Number of student you are nominating *
Mailing address of student  *

What qualities does the nominee possess that make her/him qualified to be Nursing Student of the Year?

Word Limit: 500 words

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What contributions has the nominee made to the school, community, and field of nursing?

Word Limit: 500 words

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In what manner would the nominee contribute to a professional nursing organization?

Word Limit: 500 words

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What role is seen for the nominee as a future member of the professional nursing community?

Word Limit: 500 words

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Additional Comments about Student

I hereby affirm that all information provided is true and that I have read the VNSA Conflict of Interest Policy. Falsification of any part of this application will void the award. 

Checking the box 'I agree' is equivalent to providing a signature.  

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