2026 40 Under 40 Submission Form

Please note that self-nominations are not accepted.
To ensure a broad and unbiased perspective, we encourage nominations to come from individuals who can speak to the nominee’s contributions and impact from an external viewpoint.

40 Under 40 Qualifications
The Virginia Nurses Association and Foundation strive for equity in our academic and practice settings, as well as health equity in our communities and throughout our work.

Nominees must:

Be no older than 39 by December 31, 2026.
Hold a current valid nursing license.
Currently reside and practice in the state of Virginia.
Not be a previous 40 Under 40 award recipient. Previous nominees who did not receive the award are eligible.

Award Criteria
Nominees should have demonstrable achievements in the following areas:

Professional Practice
Significantly or uniquely contributes to leadership within the nursing profession through clinical practice, education/teaching, administrative leadership, research, writing, publishing, policy involvement, and/or healthcare innovation.

Leadership
Demonstrates leadership in the practice setting, community affairs, and/or nursing professional organizations, and in growth and development of others in these areas.

Impact
Positively promotes and advances the nursing profession beyond the practice setting, including but not limited to: presenting a positive image of nursing to their community (local/global), volunteerism/outreach efforts, and/or legislative work/policy development.

2026 nominations open February 1, 2026, and close June 1, 2026 at 11:45 PM.

Submitter First Name*

Submitter Last Name*

Submitter Email Address*

Relationship to Nominee (employer, colleague, friend, etc.)*

Nominee First Name*

Nominee Last Name*

Phonetic spelling of nominee name*

Nominee Credentials*

Nominee Title/Position *

Nominee Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

The Virginia Nurses Association and Foundation strive for equity in our academic and practice settings, as well as health equity in our communities and throughout our work.

We collect demographic information on 40 Under 40 nominees for statistical tracking only. This information is not considered when evaluating nominees for this award.

Racial/Ethnic Group

Other

Gender

Work Setting

Nominee Organization or Employer*

Nominee Email *

Direct Supervisor First Name*

Direct Supervisor Last Name*

Nominee's Direct Supervisor's Email Address*

Nominee's Direct Supervisor's Phone Number*

Area CodePhone Number

Nominee CV (.doc or .docx format only) *

Upload a File

Letter of Recommendation (.doc or .docx format only)*

Upload a File

A Letter of Recommendation from an employer or supervisor is strongly recommended. A LoR from a colleague is acceptable as well.

Narrative

Please submit your narrative (750 word maximum). You may either type or copy and paste your narrative in the box below, as this enables us to more efficiently review nominations.

Narrative

0/750

40 Under 40 Nomination Submission

Nominee Information