HealthImpact DAISY Nurse Leader in Policy Award

Nomination Form

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Eligibility:

Licensed nurses who are employed by DAISY Partner organizations or schools of nursing including students and faculty in the United States.

Nominee may or may not have policy development or oversight as a part of their job description.

Nominee’s policy change must have taken place in the last two years prior to the first day of the application opening for this award.

Individual nurses or nurse-led teams are eligible to apply.


Nomination Due Date and Time:
August 30, 2020 (8pm EST/5pm PST)



Please complete the nomination form addressing all elements in the Nomination Criteria.

About You











About The Nominee










Where Does The Nominee Work?





Your Nomination
Please provide detailed information in each section of the nomination below. We recommend 300-500 words per section.







For questions about this Award please contact Mary Dickow at Mary@healthimpact.org

If you have technical issues with this form, please contact Christina Johnson at ChristinaJohnson@DAISYFoundation.org