2026 Outstanding Staff Nurse Nomination

Please complete the form below to nominate a colleague for the Outstanding Staff Nurse award. Please note that nominees must be a member of the Professional Nurses Association of Western New York to be considered. If your nominee is not a member, please register them here.

Unsure if your nominee is a member? Please email RN@wnypna.org or call 716-839-4075 to confirm.

Please address the following criteria, which exemplify the ideals of the profession of nursing:
- Provides exceptional nursing care within accepted nursing standards.
- Excels in patient and family education as an integral part of nursing care.
- Interacts in a caring, supportive manner with their peers.
- Acts as a role model for their peers.
- Demonstrates continuing interest in professional growth and development.

The strength of the nomination is critical – please be concise and address all criteria, including specific examples/outcomes, to assure your nominee the best chance for selection.

Nominee

Full Name*

First NameLast Name

Title *

Organization/Employer*

Credentials*

Nominee is a PNAWNY member*

YesNo

If your nominee is not a member, please register them here.

Address*

Street Address

PO Box/Apt

CityState

Postal / Zip Code

Nominee's email address*

example@example.com

Nominator

Full Name*

First NameLast Name

Organization/Employer*

Credentials*

Address*

Street Address

PO Box/Apt

CityState

Postal / Zip Code

Your email address*

example@example.com

Nomination

* The strength of the narrative is critical. Please be concise and address all criteria including specific examples/outcomes to assure your nominee the best chance for selection.

Please address your nominee's outstanding contribution to the nursing profession and to the field of nursing, specifically:

Please describe why this nurse deserves to be honored, individually addressing the following criteria:

Provides exceptional nursing care within accepted nursing standards: (Please include specific patient examples/outcomes.)*

Excels in patient and family education as an integral part of nursing care: (Please include specific patient examples/outcomes.)*

Interacts in a caring, supportive manner with their peers: (Please include specific patient examples/outcomes.)*

Acts as a role model for their peers: (Please include specific patient examples/outcomes.)*

Demonstrates continuing interest in professional growth and development: (Please include specific patient examples/outcomes.)*