Excellence in Nursing 2017: Submit Nominations Here

In a region known for world-class care, a career devoted to nursing in western Pennsylvania has never been more rewarding, challenging or packed with new opportunities. Nominations are now being accepted for Pittsburgh Magazine's 2017 “Excellence in Nursing.”





 

Deadline for nominations is Thursday, Aug. 31, 2017. Winners will be notified in October, 2017.
 

Nomination Categories (Check all that apply)

Advanced Practitioner

Leadership / Executive

Academic

Researcher

Community

 Clinician

 Other 
 

Education (Check all that Apply)

Registered Nurse
Where did this nominee obtain his/her certification?* 

Bachelor's Degree
Where did this nominee obtain his/her certification?* 

Masters Degree
Where did this nominee obtain his/her certification?*  

Doctoral Degree
Where did this nominee obtain his/her certification?* 

 

Nominee Information

Nominee First Name*

Nominee Last Name*

Nominee Age*:   

Nominee Gender:   Male      Female       Other  

Nominee Work Address: 

City:      

State:       Zip:  

Nominee Home Address: 

City:      

State:       Zip:  

Does the nominee currently live in Western Pennsylvania?*: Yes   No  

Nominee Phone Number*:     

Nominee E-Mail*:  

Nominee Place of employment*:  

Nominee Current title*

Nominator Information  

This is a self-nomination: 
 

Nominator First Name      

Nominator Last Name      

Nominator E-mail      

Describe the nominee's impact on his/her work environment.

Describe the nominee's greatest professional accomplishment.

Provide an example showing how the nominee demonstrates excellence through the effective management of patient care:

Provide an example showing how the nominee demonstrates nursing skill and knowledge through creativity, problem-solving and on-going educational activities:

Additional comments/notes:

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