Nomination Form Award of Excellence Nomination Section Name of Nominator * First Last Name * Last Telephone * Email * Section Name of Seconder * First Last Name * Last Telephone * Email * Section Name of Nominee * First Last Name * Last Address * Address Street Address Street Address Address Line 2 Address Line 2 City City Province Province Postal Code Postal Code Telephone * Email * Section We are nominating this person for: * Award of Excellence in Psychiatric Nursing Practice - Education Award of Excellence in Psychiatric Nursing Practice - Clinical Award of Excellence in Psychiatric Nursing Practice - Leadership Award of Excellence in Psychiatric Nursing Practice - Research Please address all criteria noted and provide examples of how your nominee meets said criteria. * You may wish to use the criteria on the attached page to assist you. reCAPTCHA If you are human, leave this field blank. Submit Nomination Awards of ExcellenceCriteria Nomination Form Award Recipients