SC ENA Nominations of the Year Form

South Carolina Emergency Nurses Association Nomination Form
All entries must be received no later than August 31, 2025, for consideration by the selection panel. The form must be completed in its entirety.
Award Nomination
Nominated by

First NameLast Name
Email of Nominator
example@example.com
Phone Number of Nominator
Please enter a valid phone number.Format: (000) 000-0000.
Nominee

First NameLast Name
Credentials (select all that apply)

Other
Employer
Nominee's Email Address
example@example.com
Nominee's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Why does this nominee deserve to be recognized as the South Carolina Emergency _________ of the Year award?
Be specific
Attach any documents, if applicable

Cancelof
Is the Nominee a SC ENA Member?
Signature
Should be Empty:

South Carolina Emergency Nurses Association Nomination Form