• Award Nomination Form

    Please fill the form below accurately and ensure you fill in all of the nominees details.
  • Nomination Guidelines

    Applicants are required to submit a statement of up to 300 words in support of their nominee.

    Nominations should clearly describe how the individual’s work demonstrates excellence, inspires change, and contributes to the ongoing development of PICU services, in keeping with the conference theme, “30 Years On: Shaping the Future of PICU.”

    Closing date for nominations is Monday 25th May 2026

    Shortlisted nominees will be contacted by Monday 8th June 2026.

    Important information to note:

    1. It is the nominator’s responsibility to ensure that the staff member being nominated is aware of their nomination.
    2. Shortlisted nominee's ideally will attend the conference and gala dinner to accept the award in person. However, should the nominee be unable to attend, a designated representative must be present on their behalf.
    3. While we appreciate that colleagues may want to provide multiple nominations, each nominee will be considered once by the NAPICU Executive Committee. All testimonies submitted will be compiled and reviewed collectively, but only one nomination per individual will count toward the decision-making process.
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  • Nominator:

    Person submitting the nomination
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  • Nominee Information

    Please indicate details about your nomination
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  • The deadline for submission of entries is Monday 25th May 2026

    Please note: It is the nominee’s responsibility to ensure that the staff member being nominated is aware of their nomination.

    Shortlisted nominees ideally will attend the conference and gala dinner to accept the award in person. However, Should the nominee be unable to attend, a designated representative must be present on their behalf.

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