The application form has been updated. Once you have started the form, you may click on “Save and Continue Later” at any time. You will be presented with a unique link that you can either save or have emailed to you. However, once you click on “Submit”, your application will no longer be available to you.
Maximum 500 characters. eg BScN, RN
Complete all the fields below concerning the nominee.
for the following fields, use a rating scale 1-5 with 5 being highest. Use the closes whole number.
1 – Poor
2 – Below Average
3 – Average
4 – Above Average
5 – Outstanding
Your letter should be no more than 500 words describing how the nominee exemplifies the qualities of a great mentor, including specific examples for the various qualities, and how this mentor has impacted you in your role as a formal or informal leader.
Please review your application to ensure it is complete. Once you have submitted, you will no longer be able to visit and make changes.