RCN Forum Committee member of the Year nomination form

Your details

First name* Last name* Email* Phone number* Address* You are* an RCN member an RCN staff member other Relationship to nominee*

Nominee's details

First name* Last name* Forum* RCN membership number (if known)

Supporting statement

Use this section to outline why the nominee should be considered for the Forum Committee Member of the Year award. The word limit for each question is 100 words.

How did the nominee make a difference within their forum?

Give examples including outcomes. This could be:

how did they demonstrate high levels of communication and team building?
how widely did they disseminate forum work undertaken?
how did they contribute to the professional/strategic priorities of the RCN?
what impact did they have on members or the profession more widely?
did they increase the visibility and membership of the forum?
how did they make a difference on a UK-wide basis?

How did the nominee contribute to the effectiveness of the committee?

Give examples including outcomes which identify their individual contribution and leadership role. This could include:

how they engaged with the wider forum committee and/or associated project teams
how they used their knowledge and effort to support the committee
how they represented the committee and the forum internally and externally

In what way did the nominee go above and beyond what might be expected in their committee work? Did the nominee deliver a specific piece of work undertaken on behalf of the steering committee? If so, describe what it was and what the benefits were and to whom? How did the nominee engage the wider membership in the work of the forum? How did they do it and what was the impact? What personal qualities did the nominee exhibit and how did they inspire others they worked with? How has the nominee demonstrated an active commitment to equity, diversity and inclusion?

Declaration

I certify that, to the best of my knowledge, the nominee is of such professional and personal standing as to uphold the dignity of the Royal College of Nursing and that the information in this nomination is correct* Where did you hear about this award? (Select all that apply) RCN website RCN email RCN magazine RCN event or conference From a Forum Chair From a RCN representative From a RCN staff member Facebook X (Twitter) LinkedIn Other If you selected 'other', please add details

Use of your nomination

I consent to the contents of my nomination being shared with the nominee if the nomination is successful I consent to the contents of my nomination being used in communications about the RCN Awards if the nomination is successful

By submitting this form, you're giving us permission to contact you about your nomination. You can withdraw your nomination at any time by contacting awards@rcn.org.uk.

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RCN Forum Committee member of the Year nomination form

Your details

Nominee's details

Supporting statement

Declaration

Use of your nomination

Your Spaces

RCN Sites

Work & Venue

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