ANA\C AWARD NOMINATIONS FORM
CALL FOR AWARD NOMINATIONS

2020 ANA\California - Increasing Nursing Presence in Policy and Politics Conference
April 21, 2020
Sacramento Grand Sheraton

Honor a nursing colleague! Nominate a Registered Nurse for an ANA\C award.

• Nominees must be ANA\C members
• Awards will be presented at the ANA\C Awards Luncheon on Tuesday, April 21st
• Self-nominations are accepted and require a letter of support for the nomination
• Nominations of a single individual for multiple awards are strongly discouraged
• ANA\C Board members and Award Task Force members are ineligible for an award
• Only fully completed applications will be accepted

** NOMINATION EXTENDED DEADLINE: February 28, 2020 **

To nominate a colleague for an ANA\C award, complete the following Award Nomination Form, include the nurse’s name, contact information, a brief bio or CV, and your rationale for the nomination as it pertains to the award criteria.

The following awards are open for nomination:

ANA\C Public Service Award
Recognized an individual for dedication to nursing and public service.

Florence Nightingale Award
Recognizes the delivery of outstanding direct patient care by a Registered Nurse.

Ray Cox Award
Recognizes the lifelong commitment of an individual Registered Nurse in the field of nursing and their impact and dedication to the advancement of Nursing as a profession in the state of California.

Elizabeth “Betty” Curtis Award
Awarded to a Registered Nurse who is an advocate on behalf of nursing and health care in the legislature, regulatory boards, or other public policy arenas.

JoAnne Powell Award
Presented to an emerging nurse leader who has been in practice as a professional nurse for less than 5 years.

President’s Award
Awarded by ANA\C President to a Registered Nurse for outstanding contributions to nursing.


Nomination Submitted by *
First and last name
Your answer
Nominator Email *
Your answer
Nominator Phone number *
Your answer
Nominator Street Address *
Your answer
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