International Nurses & Midwives Day Award Evening
6th May 2017
Nomination Form
Director of Nursing New Graduate Award
This will be awarded to a new graduate nurse who is recognised for high achievement in their first year of
practice.

Please complete ALL sections of the nomination form.

Nomination forms must be submitted on or before Friday 17th March 2017

Completed nominations should be emailed to [email protected]
NOMINEE DETAILS (Their details)
Full name:
Current role:
Service area:
Email address:
NOMINATOR DETAILS (Your details)
Full name:
Service area:
Contact phone number:
Email address:
Subject
date
Tell us why you are nominating the nurse, please include something in each of the appropriate sections.
Demonstrated initiative
Has gone the extra mile
Is professional and proud to be a nurse
Has undertaken a project that makes a positive difference to patient care
Any other comments
2