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125 th Anniversary UC College of Nursing Alumni Legacy Award Nomination Celebrating a Legacy of 125 Years. Celebrating a Legacy of 125 Leaders. In commemoration of the University of Cincinnati College of Nursing’s 125 th Anniversary, we are celebrating 125 alumni and honorary alumni who have contributed to our 125 year legacy. These awards are designed to honor and acknowledge graduates who have demonstrated leadership and/or philanthropy in practice, research, education and/or service in the community and health care. The Legacy Award recipients will be recognized at Alumni Weekend on April 10- 11, 2015. UC College of Nursing Mission Develop nurse leaders who are empowered to generate, to explore, and to apply nursing knowledge for evolving health care environments. UC College of Nursing Vision Through creative leveraging of technology, UC College of Nursing will lead the transformation of health care in partnership informed by the people we serve. Award Criteria The College of Nursing Legacy award recipients will have gone above and beyond in their role as a nurse, health care provider and community member. Award recipients will be selected based on demonstration of one or more of the following criteria: o Accomplishments that contribute to UC College of Nursing’s mission and vision. o Leadership in practice, research, education, and/or service. o Innovation – Demonstrating or implementing creative, novel or visionary approaches to practice, research, education and/or service. o Commitment to the profession of nursing – Advancements to the contribution of nursing to local, national and/or global health and well-being. o Contributed to the growth of UC College of Nursing through generous donations and financial support. Deadline for Submission

UC College of Nursing | University Of Cincinnati · Web viewCincinnati, OH 45221-0038 [email protected] Office: 513.558.5101 Nominator Information Please provide complete information

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Page 1: UC College of Nursing | University Of Cincinnati · Web viewCincinnati, OH 45221-0038 denise.gormley@uc.edu Office: 513.558.5101 Nominator Information Please provide complete information

125th Anniversary UC College of Nursing Alumni Legacy Award Nomination

Celebrating a Legacy of 125 Years. Celebrating a Legacy of 125 Leaders.

In commemoration of the University of Cincinnati College of Nursing’s 125th Anniversary, we are celebrating 125 alumni and honorary alumni who have contributed to our 125 year legacy. These awards are designed to honor and acknowledge graduates who have demonstrated leadership and/or philanthropy in practice, research, education and/or service in the community and health care. The Legacy Award recipients will be recognized at Alumni Weekend on April 10-11, 2015.

UC College of Nursing MissionDevelop nurse leaders who are empowered to generate, to explore, and to apply nursing knowledge for evolving health care environments.

UC College of Nursing VisionThrough creative leveraging of technology, UC College of Nursing will lead the transformation of health care in partnership informed by the people we serve.

Award CriteriaThe College of Nursing Legacy award recipients will have gone above and beyond in their role as a nurse, health care provider and community member. Award recipients will be selected based on demonstration of one or more of the following criteria:

o Accomplishments that contribute to UC College of Nursing’s mission and vision.o Leadership in practice, research, education, and/or service.o Innovation – Demonstrating or implementing creative, novel or visionary approaches to practice,

research, education and/or service.o Commitment to the profession of nursing – Advancements to the contribution of nursing to local, national

and/or global health and well-being.o Contributed to the growth of UC College of Nursing through generous donations and financial support.

Deadline for SubmissionThe deadline to submit the nomination form is November 15, 2014. The awards will be presented at the College of Nursing Alumni Weekend on April 10 – 11, 2015.

Selection ProcessSelections will be determined by a panel of nurses from the Nursing Alumni Board.

Page 2: UC College of Nursing | University Of Cincinnati · Web viewCincinnati, OH 45221-0038 denise.gormley@uc.edu Office: 513.558.5101 Nominator Information Please provide complete information

125th Anniversary College of Nursing Alumni Legacy Awards Nomination Form(Completed form is required)

Nomination ProcessTo nominate an individual for consideration, complete the nomination form and all information, including your name and contact information. Cite specific examples that match one or more of the criteria; and how the individual demonstrated these criteria. Nomination Deadline: November 15, 2014

Please complete this form and send to:

Denise K. Gormley, PhD, RNAssociate Professor and Executive Director, Graduate ProgramsP.O. Box 210038Cincinnati, OH [email protected] Office: 513.558.5101

Nominator InformationPlease provide complete information below so that awards committee may contact you for more information or clarification.

Nominator name

Nominator email address

Nominator daytime phone

Nominator preferred mailing address

Page 3: UC College of Nursing | University Of Cincinnati · Web viewCincinnati, OH 45221-0038 denise.gormley@uc.edu Office: 513.558.5101 Nominator Information Please provide complete information

125th Anniversary College of Nursing Alumni Legacy Awards Nomination Form(Completed form is required)

Name of Nominee

Address

Phone

Email

UC Degree

Area of Practice

Employer

Based on the award criteria please indicate in the space provided why you are nominating this alumna(us) for one of the 125th Anniversary College of Nursing Alumni Legacy Awards. Please include honors, accomplishments, community service and any other efforts that speak to the nominee’s impact to the nursing community.