Sigma Theta Tau International – Zeta Gamma Chapter
University of South Alabama College of Nursing
Community Healthcare Service Award
This award recognizes a non-profit healthcare or religious organization’s demonstration
of exceptional commitment in meeting community healthcare needs. It honors the
organization’s outstanding contribution of significant community healthcare services in
the southern Gulf Coast region. (Preference will be given to the Mobile or Baldwin
county areas.)
Nominator Information (person submitting the nomination)
Nominator: ____________________________________________________________
Organization: __________________________________________________________
Address: ______________________________________________________________
City: __________________________________ State: ______ Zip: ________________
Telephone: ____________________ Email: __________________________________
Nominee Organization Information (the organization being nominated)
Nominee Organization: ___________________________________________________
Director/Manager Name: _________________________________________________
Address: ______________________________________________________________
City: _________________________________ State: ________ Zip: _______________
Telephone: _____________________________ Email: _________________________
Instructions:
1. Provide a typed summary (500 words or less) of the nominee’s healthcare
initiatives and achievements that support its positive impact on the community.
2. Attach two letters of recommendation that support the nomination.
3. Attach copies of a newspaper article, an organizational newsletter, and/or other
applicable information about the nominee (if available).
4. Submit your nomination package to Robin Lawson, USA Springhill, College of
Nursing, Mobile, AL 36688 or email rlawson@usouthal.edu no later than April 15.
5. The award will be presented during the Membership Induction Ceremony in May.