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Nurses' Day Celebration 2014

 
 Nomination Criteria:
  • Currently Licensed LPN or RN in North Carolina.
  • Individual has not been honored at "Nurses Day Celebration" since 2009. Previous recipients listed at
  • Positive role model for the nursing profession: provide a description in 25 words or less, and attach to this form.
  • Email digital photo of nominee taken in the workplace (not an employee ID picture). Write the nominee's name as you would like it to appear on the certificate. Email digital picture and description of nurse honoree directly to Debra Simpson.
  • Self-nominations will not be accepted.
  

Nominations accepted until April 22, 2014


Personal Information  *Indicates Required Information

     


Registration Information 
Payment Information 
  $35.00
Amount:

Address, City, State and Zip must be entered when submitting a credit card.

If paying by check complete this form, print and mail check made out to UNCW to: UNCW Conference Services, 601 South College Road, Box 5614, Wilmington, NC 28403-5614. Questions about registration call 910-962-3195.