RCN Forum 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 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:

a specific piece of work or the nominee's contribution to the professional/ strategic priorities of the RCN
the impact they made to members or the profession more widely
increasing visibility of the forum and making a difference on a UK-wide basis

In what way did the nominee go above and beyond what might be expected? What was special about the way they did this? What personal qualities did they exhibit and how did they go about it? In what way were others able to learn from what the nominee did? What will be the lasting benefits or legacy of their work? 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 member of the Year nomination form

Your details

Nominee's details

Supporting statement

Declaration

Use of your nomination

Your Spaces

RCN Sites

Work & Venue

Further Info

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