Transcultural Nursing Clinical Recognition Award

Transcultural Nursing Clinical Recognition Award

Honoring Excellence in Culturally Congruent Clinical Practice
Nominee's Name

First NameLast Name
Nominee's Email
example@example.com
Nominee's Transcultural Nursing Membership Number
Found on your membership letter
Nominee's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current Employer
Is this a self-nomination or a nomination submitted on behalf of someone else?
Full Name of Nominator:

First NameLast Name
Nominator Email Address:
example@example.com
Nominator Phone Number:

Country CodeArea CodePhone Number
Relationship to Nominee(e.g., colleague, supervisor, friend)
Please list
As the nominator, are you a current member of the Transcultural Nursing Society?
Is the nominee a current a member of the Transcultural Nursing Society, and has maintained an active membership for at least one year before applying?
Statement of Clinical Practice: Please upload a 1–2 page, double-spaced document that includes the following: Two examples of culturally congruent patient care. If applicable, describe any frameworks or models used. A reflection on the experiences and the knowledge gained through these practices.

Accepted file formats: PDF or Word (.doc/.docx)
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Two letters of support from colleagues in the nominee’s current clinical setting which highlight how they demonstrate transcultural nursing values, publicly or professionally, to deliver patient centered care.

Accepted file formats: PDF or Word (.doc/.docx)
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You may upload up to two additional pages of supporting materials that directly relate to your transcultural nursing practice. These may include: examples of application of transcultural nursing , project descriptions, community outreach efforts and other relevant documentation that demonstrates your commitment to culturally congruent care.

Accepted file formats: PDF or Word (.doc/.docx)
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