UBC School of Nursing | Alumni Recognition Awards
Presented at the School of Nursing Gala in the Spring of 2016
Nomination Form
AWARD CATEGORY (SELECT ONE)
Award of Distinction
 Award of Distinction
Has made a significant contribution
through the advancement of nursing,
bringing honour to the nursing
profession at a provincial, national
and/or international level.
Alumni Recognition Award
Has made a sustained and meaningful
contribution to nurses and/or nursing at
a local or regional level.
 Alumni Recognition Award
 Young Alumni Award
NAME OF NOMINEE
HOME ADDRESS
NOMINEE CONTACT INFORMATION
PHONE
Young Alumni Award
Within a relatively short period after
graduation (maximum 10 years), has
demonstrated exceptional engagement
in professional, civic or community
activities.
Please fill out this form and attach a
letter explaining the aspects of the
nominee’s career that you think
qualify them for this award.
In addition to your nomination letter,
submit the candidate’s resume or
CV, and two additional letters of
support only.
EMAIL
PRESENT PROFESSIONAL POSITION AND EMPLOYER
NAME AT GRADUATION, DEGREE (S) AND YEAR OF GRADUATION (IF
KNOWN)
NAME OF NOMINATOR
NOMINATOR CONTACT INFORMATION
PHONE
EMAIL
Nomination deadline: March 1, 2016
Mail to:
Cathy Ebbehoj 604-822Contact:
__@nursing.ubc.ca,
UBC School
Nursing | T201-2211 Wesbrook Mall | Vancouver, BC V6T 2B5
Deadline:
April of
1, 2012
Ph: 604-822-7468 | Fax: 604-822-7466 | cathy.ebbehoj@nursing.ubc.ca
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