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CPCNA Awards Nomination Form
To nominate a nurse for either the CPCNA Leadership Award or the CPCNA Lifetime Achievement Award:
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Seek the nominee’s permission to nominate him or her (Self-nominations are ineligible).
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The nominee must give permission for the CPCNA to use his or her photo and the reference letters for publicity purposes.
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The nominee must sign the nomination form (or nominator checks box confirming consent obtained in online form).
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Procure two letters of support.
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Letters can be from a fellow nurse, a member of the CPCNA, another profession or a member of the public.
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Each letter should be approximately 500 words.
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Please provide specific examples of how the nominee has made significant contributions to palliative care nursing and the CPCNA.
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Complete the online nomination form.
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Click 'Submit"
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Email the following documents to cpcnamembers@gmail.com:
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One copy of the nominee’s current CV.
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Two Letters of Support
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An electronic photo of the nominee which may be used for publicity purposes.
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