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Rho Theta- The Northern Kentucky Civic Engagement Award
This award recognizes individuals who demonstrate the qualities of leadership, initiative, collaboration, and creativity in a manner that directly and favorably benefits the surrounding community, Northern Kentucky University, and the Profession of Nursing.  
Eligible applicants must be Rho Theta members (or membership eligible individuals) and 
hold a minimum of a BSN degree. 
Please submit your nomination by Friday, October 1st
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Name of the person being nominated *
Credentials/Title of Nominee:
*
Complete Address for Nominee- can be home or work
*
Email address for Nominee *
Phone number for Nominee
Place of Employment for Nominee *
Please write a brief summary as to why this person should receive the award and give specific examples of how this person demonstrates:  
“the qualities of leadership, initiative, collaboration, and creativity in a manner that directly and favorably benefits the surrounding community, Northern Kentucky University, and the Profession of Nursing.”  
*
Name/Title  of the person submitting this nomination? *
Contact information for the person submitting the nomination (email & phone) *
Place of employment  for the person submitting the nomination  *
Thank you!   Your nomination has been received! Have a wonderful day! 
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