Commit To The DAISY Award for Extraordinary Nursing Students or The DAISY Award for Extraordinary Faculty

Please complete all boxes to tell us how you intend to implement The DAISY Nursing Student Award for Extraordinary Nursing Students and/or The DAISY Award for Extraordinary Nursing Faculty.









Your DAISY Student Award Plan:





Who will be your DAISY Student Award Coordinator?






To whom should we ship your DAISY Student Award gifts and materials?











Who will sign your DAISY Student Award Certificate  (e.g. Dean?)






Funding Your DAISY Student Award Program

When you commit to The DAISY In Training Award by completing this form, we will email an invoice to the person you designate below.  Please, specify an approximate date you prefer to be invoiced. Typically, it is best to be invoiced approximately 3 months prior to the date you plan to conduct your presentation ceremony.  This invoice will pay for your first year of award gifts and the materials you need to get your program underway. Payment of your invoice is our behind-the-scenes trigger to ship your award gifts.  There is no need to place a separate order for your award gifts.  You should expect to receive your award gifts within 5 to 7 business days of payment.  Thank you!

To whom should the invoice for your program be sent ($110 per Award)?





Your DAISY Faculty Award Plan





Who will be your DAISY Faculty Coordinator?













Marketing/ Public Relations Contact

Marketing/ Public Relations Support:

We recommend having someone from your marketing or public relations department work with your DAISY committee to raise awareness of your program among students and staff.  Please tell us if you would like us to contact one of your representatives to assist in this process.




To whom should we ship your DAISY Faculty Award gifts and materials?
























Who will sign your DAISY Faculty Award Certificate  (e.g. Dean?)













Funding Your DAISY Faculty Award Program

When you commit to The DAISY In Training Award by completing this form, we will email an invoice to the person you designate below.  Please, specify an approximate date you prefer to be invoiced. Typically, it is best to be invoiced approximately 3 months prior to the date you plan to conduct your presentation ceremony.  This invoice will pay for your first year of award gifts and the materials you need to get your program underway. Payment of your invoice is our behind-the-scenes trigger to ship your award gifts.  There is no need to place a separate order for your award gifts.  You should expect to receive your award gifts within 5 to 7 business days of payment.  Thank you!

To whom should the invoice for your program be sent ($135 per Award)?











Acknowledgement of Order




We will be in touch with you.  Thank you so much for partnering with DAISY to create meaningful recognition at your school of nursing. 

Contact Information