NURSES WHO INSPIRE 2026
Nurse Nomination Form• Entry Deadline • September 28, 2026
Name of the person completing the form.
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First Name
Last Name
Name of the Nurse Who Inspires
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First Name
Last Name
Phone Number of the person submitting the form.
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Please enter a valid phone number.
Format: (000) 000-0000.
Email of the person submitting the form.
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example@example.com
If your nominee is chosen as a winner, what email can we use to notify them?
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example@example.com
How do you know the nurse? Tell us about this Nurse Who Inspires (if you are nominating yourself, tell us about you).
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How does the nominee embody the spirit of nursing within your community or clinical setting?
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What makes the nominee passionate about nursing? Whether it's a story, a moment that moved you, or what keeps them going on tough days, we want to see the heart behind their work!
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OR in two minutes or less, tell us a little bit about the nominee. Whether it's a story, a moment that moved you, or what keeps them going on tough days, we want to see the heart behind their work!
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OPTIONAL: Upload a picture
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How Did You Hear About the Contest?
Social Media
Advertisements
Heard From a Friend
Other
Please enter the nominee's social media profiles by pasting direct links.
SUBMIT ENTRY
by September 28, 2026
PRIZE AWARDED:
by October 31, 2026
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