· Web viewSchool of Nursing (UoA) Trophy for Clinical and Academic Leadership. This is awarded to...
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NOMINATION FORM School of Nursing (UoA) Trophy for Clinical and Academic Leadership. This is awarded to a Registered or Enrolled Nurse who is recognised by their peers as an exemplary nurse that goes above and beyond every day; and demonstrates the directorates values by working in partnership, enabling self-management and promoting independence. Please complete ALL sections of the nomination form. Nomination forms must be submitted on or before Thursday 24 March 2016 Completed nominations should be emailed to [email protected] NOMINEE DETAILS (Their details) Full name: Current role: Service area: Email address:
Transcript of · Web viewSchool of Nursing (UoA) Trophy for Clinical and Academic Leadership. This is awarded to...
NOMINATION FORMSchool of Nursing (UoA) Trophy for Clinical and Academic Leadership.This is awarded to a Registered or Enrolled Nurse who is recognised by their peers as an exemplary nurse that goes above and beyond every day; and demonstrates the directorates values by working in partnership, enabling self-management and promoting independence.
Please complete ALL sections of the nomination form.
Nomination forms must be submitted on or before Thursday 24 March 2016
Completed nominations should be emailed to [email protected]
NOMINEE DETAILS (Their details)
Full name:
Current role:
Service area:
Email address:
NOMINATOR DETAILS (Your details)
Full name:
Service area:
Contact phone number:
Tell us why you are nominating the nurse, please include something in each of the appropriate sections.
Acknowledged by peers and patients as an outstanding nurse
Takes the lead in new initiatives and activities
Lives the values of the directorate and organisation
Fosters partnerships and working relationships with all disciplines across the directorate
Stands proud, raises the profile and voice of nursing within the directorate and organisation
Any other comments
(Maximum word count 200 per section)
