Request edit access
NMSNA Community Service Award Nomination

Criteria for the COMMUNITY SERVICE AWARD:

Recognizes an individual or organization that promotes the health of school children in New Mexico and/or has supported the New Mexico School Nurses Association.

Deadline to submit nominations: February 13, 2026


Email *
Name of Nominee
School District
School/Job Site
Home Address of Nominee
Phone Number of Nominee
Work Phone Number of Nominee
Personal Email of Nominee
Work Email of Nominee
Description of outstanding service or unique contributions of nominee based on description of award. Include data to substantiate contributions.
Name of Person Submitting Nomination
Position/Job
Work Address
Work Phone Number
Work Email Address
For questions about this nomination or award, please contact NMSNA Awards Committee Chair: Mandy Ross, BSN, RN, P.O. Box 198 Cloudcroft, NM 88317 or email: mandy.ross@cmsbears.org    
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cloudcroft Municipal Schools.

Does this form look suspicious? Report