DAISY Awards Nomination Form

DAISY Awards Nomination

Please fill out this form to nominate for an award.

1. Choose the Award
Choose the Award*

DAISY Award for Lifetime AchviementDAISY Award for Nurse Leader

2. Nominee Information
Nominee is a Member*

YesNoI'm not sure
Nominee's Name*

First NameLast Name
Nominee's Phone Number*

Area CodePhone Number
Nominee's E-mail Address*
Nominee Work Organization *
Nominee's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

3. Nominator Information
Your Name*

First NameLast Name
Your E-mail Address*
Your Phone Number*

Area CodePhone Number
Nominator Work Organization*
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

3. Letters of Recommendation.
🌼DAISY Lifetime Achievement Award (focus: career-long impact, legacy, mentoring)
- A distinguished career as a nurse in clinical practice, administration, education, and/or research that promotes a positive image of professional nursing
- Demonstrates and actively engages in the professional development of self and others in the nursing profession
- Serves as a role model and advocate for nursing practice and the advancement of nursing as a professional in the post-acute and long-term care continuum.
- Advocates for the improvement of patient care and serves as an exemplar for enhancing the patient experience
- Recognized by the broader nursing community as a transformational nursing leader
- Is a member or has been a member of the Wisconsin Director of Nursing Council
- 20+ years of service
🌼DAISY Lifetime Achievement Award (focus: career-long impact, legacy, mentoring) How has this nurse made a lasting difference over their career and helped shine a positive light on nursing?
🌼DAISY Lifetime Achievement Award (focus: career-long impact, legacy, mentoring) In what ways has this nurse supported or inspired other nurses to learn, grow, or succeed?
🌼DAISY Lifetime Achievement Award (focus: career-long impact, legacy, mentoring) How has this nurse stood out as a compassionate leader or advocate—whether for patients, staff, or the nursing profession as a whole?
Nurse Leader Award

(Mentors other Post-Acute & Long-Term Care Continuum Nurse Leaders or Clinical Nurses)
- Promotes the image and visibility of Post-Acute & Long-Term Care Continuum in the community and the profession
- Role models Post-Acute & Long-Term care continuum leadership attributes of being visionary and strategic
- Supports post-acute & long-term care continuum nursing professional or programmatic and policy development
- 10+ years of experience as a nurse
- Is a current member of the Wisconsin Director of Nursing Council
🌟 DAISY Nurse Leader Award (focus: leadership, team support, patient-centered culture)How does this nurse leader create a positive, compassionate work environment where staff feel supported and valued?
🌟 DAISY Nurse Leader Award (focus: leadership, team support, patient-centered culture)In what ways does this leader inspire and guide their team to provide excellent, compassionate care?
🌟 DAISY Nurse Leader Award (focus: leadership, team support, patient-centered culture) How has this nurse leader’s work improved patient care, staff well-being, or the nursing community?
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