ISNA Pillar Awards Nomination Form

2022 ISNA Pillar Awards Nomination Form

Please thoroughly fill the form below to ensure your nomination is recognized in its entirety. Nominators may share multiple nominations for consideration. Please submit one form per nomination. ISNA membership is not required to nominate or to receive a Pillar Award.
The nomination deadline is quickly approaching! All nominees and award winners will be announced at the Annual Meeting September 16th. Award winners will receive an award plaque and will be notified in advance of the meeting with an invitation to attend for free!
Nominee Information

Please share contact information for your nominee and select which award category(s) are most applicable. Multiple categories may be chosen and final placement will be determined by the ISNA Event Committee.
Name of Nominated Individual *
Nominated Individual's Credentials
Is the individual an ISNA Member?
Employer or School
Position or Study
E-mail *
example@example.com
Phone Number *
Nomination Categories: *

ADVOCACY: Exceptional contributions to the development and implementation of health related policy at the local, state, and/or national level LEADERSHIP: Distinguished excellence in leadership, mentorship, and inclusion within nursing academics and or practice PROFESSIONALISM & PRACTICE: Outstanding professional contributions and excellence in the practice of the science and art of nursing UNITY: Notable ally promoting inclusion through integrated coordination and collaboration between nursing professionals or care delivery EXEMPLARY STUDENT: A preeminent nursing student who embodies the ISNA Pillars with a focus to improve and promote the nursing profession
Why is this individual deserving of recognition? *
How has this individual contributed to inclusivity and belonging in the field of nursing? *
Nominator:

Your Information
Full Name *

First Name Last Name
ISNA Member *
Company *
Position *
E-mail *
example@example.com
Phone Number *
Should be Empty:

2022 ISNA Pillar Awards Nomination Form

Nominee Information

Nominator: