2026 Nancy Vance Nomination Form

2026 Nancy Vance Nomination Form

The nomination window for this 2026 award, will close June 1, 2026 at 11:45 PM. For any questions, please contact Membership Manager, MJ Gearles at mgearles@virginianurses.org.
Nominee Information
Name:*

First NameLast Name
E-mail:*
Home Phone Number:

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Cell Phone Number:*

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SheHeThem/They
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People who have not been active in nursing during the last 5 years are not eligible for nomination for this award.
In the sections below, discuss how the Nominee meets the characteristics of Nancy Vance as honored in this award. Use employment, professional association and civic engagement activities and outcomes to demonstrate meeting of each of the award criteria.
Character above reproach:*
Unusual qualities of selflessness in service:*
Courage in advocating for quality nursing and healthcare:*
Exceptional ability to work with others:*
Achievements demonstrate outstanding results in practice:*
Achievements demonstrate outstanding work with VNA/ANA:*
Briefly (2-3) sentences describe why this Nominee is the Outstanding Candidate for the Nancy Vance Award:*
CV*

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Submitter Information
Name*

First NameLast Name
Email*
Phone Number*

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Organization/Agency:*
Address*

Street Address

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Home Phone Number

Area CodePhone Number
Cell Phone Number:*

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Nominee Information