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Note: If you are nominating a team, provide all names and credentials of each individual on the team. If you are part of the team you are nominating, you cannot nominate yourself; therefore you will be excluded from the award.
Phone (work):
Phone (home):
Name of CHS Director or Clinical Manager:
Nominators name:
Phone (work):
Phone (home):
CATEGORIES (Choose one)
Grace Evelyn Simpson Reeves Award for:

Write supporting evidence to show the excellence of your candidate below. Be clear and specific as candidate selection will be based on only your comments. Be sure to address the criteria listed for the specific award and let us know why you are nominating this individual or team by using examples to demonstrate their exceptional contribution to nursing.
Use this template to a maximum of 750 words.
How does this individual/team meet the criteria for the award?(use specific examples)
Address each point outlined in the Award's Nomination Criteria.

Note: No additional materials (e.g. letters of support) will be reviewed.
I agree to allow the nomination I have submitted to be shared publicly should this candidate be accepted as a recipient for the award.
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DEADLINE: Nominations must be submitted by 4:00 pm on March 28, 2018.