NYSASN School Nurse Recognition Form
Do you know a school nurse who is an "Everyday Hero” who goes above and beyond? If so, complete this form below and submit to NYSASN for consideration. We will post their picture along with the reason they are being recognized on our website and Facebook page.

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Name and Credentials of School Nurse *
School Nurse's home address (street, town, and zip code required) *
School Name and Address (street, town, and zip code required) *
Principal's  or Supervisor's Name and email address *
Your name, email address, and phone number (should we need to contact you) *
Describe in detail when and what the school nurse did: *
Reasons he/she should be recognized: *
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