Nurses' Alumni Association Awards Nomination Form

Each year, the Nurses’ Alumni Association (NAA) honors alumni and friends who are committed to the key values and missions of the Nell Hodgson Woodruff School of Nursing (NHWSN) and NAA: 

  • NHWSN’s mission is to educate nurse leaders and scholars, generate new knowledge, and improve health and health care, all in service to the global community. 
  • NAA’s mission is to advance the school’s mission by promoting lifelong relationships among alumni and strengthening their connection to the school through social, professional and philanthropic opportunities.

The awards are presented during Homecoming weekend. Please review the criteria below and nominate a classmate, colleague or friend who has meant much to the profession and to the Nell Hodgson Woodruff School of Nursing (NHWSN). 

Nomination Criteria:

  1. Complete the following fields with information as it relates to the specific award.
  2. In addition to your response to the fields, please also submit a statement of 500 words or less describing how the nominee meets the award criteria to alumni@nursing.emory.edu.
  3. A copy of the nominee’s most recent resume/CV, articles, videos, or other supporting materials that highlight the nominee’s contributions to the nursing profession is also encouraged, if needed the School’s alumni office can request the resume/CV.

General Guidelines:

  1. All nominations are considered for three years, unless otherwise indicated by the nominator.
  2. The Awards Committee will not conduct independent research on a nominee and the committee will only consider information that is part of a submitted nomination.
  3. The Awards Committee will not consider nominations consisting solely of a nominee’s resume – the nomination form and qualifications statement must also be included.
  4. Active NAA board members are ineligible to receive awards.
  5. Award recipients must attend the awards celebration to receive their award.
  6. Nominations will not be accepted after the deadline of March 31, 2017.

*Required Fields

Nominator Information

Nominee Information

Alumnus/a:

Nurses’ Alumni Association Awards
(select one from the six choices below)

Alumni Awards

Non-Alumni Awards

Professional Achievement

Please describe the nominee’s work and professional achievements as they relate to nursing and healthcare.  Questions to consider: What is the scope of the nominee’s work? What key activities is the nominee responsible for? What is the impact (and future impact) of the nominee on the profession locally, nationally and/or internationally?

Dedication to Nursing & Healthcare:

Please describe how the nominee’s work (volunteer and paid) has contributed to advancing and improving nursing and healthcare.  Questions to consider: what significant contributions has the nominee made?  What is the impact (and potential impact) of contributions? What is the likelihood of their work impacting the future of nursing and healthcare?

Service & Support to Emory, Nell Hodgson Woodruff School of Nursing & Nurses’ Alumni Association:

Please describe how the nominee has represented the missions of the school and alumni association (missions listed at top of page).  Questions to consider: what service and contributions has the nominee made to Emory?  To the School of Nursing?  How has the nominee been involved with the Nurses’ Alumni Association?  What impact has the nominee’s involvement, service and contributions made?

Awards & Recognition:

Please share any awards or recognition the nominee has received for their contributions to nursing and healthcare.  Questions to consider: What previous awards, verbal accolades and/or media attention has the nominee received?  Has the nominee been recognized by their employer and/or in their community? In what ways?

Nominee Resume/CV

Please attach the nominee’s resume/CV or if you do not have access to it, please select one of the options below to have the School of Nursing request it.

Included a copy of the nominee’s resume/CV

Statement of Support 
Please submit your statement of support of 500 words or less describing how the nominee meets the award criteria.

Please submit this nomination form along with a statement of 500 words or less describing how the nominee meets the award criteria, and any additional supporting materials. These should be submitted to Kate Balconi by March 31, 2017.

Kate Balconi
Emory University | Nell Hodgson Woodruff School of Nursing
1520 Clifton Road, NE, Suite 446
Atlanta, GA 30322
kate.balconi@emory.edu
Phone:  404.727.3348