PACE UNIVERSITY LIENHARD SCHOOL OF NURSING DEAN’S ALUMNI AWARD FOR OUTSTANDING PROFESSIONAL CONTRIBUTION The Dean’s Alumni Award for Outstanding Professional Contribution was established in 2007 to recognize a graduate of the Lienhard School of Nursing who has demonstrated outstanding contributions to the profession of nursing that reflect the core values of Pace University College of Health Professions: Collaboration, Integrity, Innovation, Cultural Competence, and Scholarship. Candidates can self-nominate or be nominated by someone else. The awardee will be recognized at the Annual Lienhard School of Nursing Recognition Ceremony on Monday May 18th, 2015. Eligibility Requirements: 1. Be a graduate of any Lienhard School of Nursing Program 2. Demonstrate evidence of significant contributions to the profession of nursing reflecting the core values of Pace University College of Health Professions 3. Provide statements of support from two others Please complete your application below and submit with your CV or resume by April 13, 2015 to Center of Excellence – ALPS Office (LH 314, 861 Bedford Road, Pleasantville, NY 10570 or by fax to: 914-773-3339 or by e-mail to: ldavisford@pace.edu). Application: Name: ___________________________ Title: ___________________________ Organization: ___________________________ Address: ___________________________ ___________________________ E-Mail: ___________________________ Phone #: ___________________________ Which LSN program did you graduate from? ____________ Which year did you graduate? ____________ 1. Describe evidence of significant contributions to the profession of nursing (in 100 words maximum): 2. How does this reflect the core values of Pace University College of Health Professions? (in 200 words maximum): Signature: _______________________________ Date:________________