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2017 Excellence in Leadership Award
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Nomination Form

Thank you for nominating!

Please complete and submit by 5:00 PM Friday, November 17, 2017.  


SUBMITTER INFORMATION:
The nominee provides a mechanism for the interchange of ideas and dissemination of information relative to nursing administration / management:
The nominee promotes education and other professional activities dealing with nursing administration and current health care issues: 
Please include contact information for the nominees' CEO, supervisor or anyone that should be notified of the nomination: