Please make sure your nominee is not a previous Great 100 recipient as this award is a one time only award.

 

NOMINATION CRITERIA:

Current unrestricted RN license actively practicing nursing in North Carolina at time of nomination.
Current members of Great 100 Board and Selections Committee may not nominate others for the Great 100.
Previous Great 100 recipients may not be nominated.

 

EACH FIELD ON THIS NOMINATION FORM IS CONSIDERED MANDATORY AND YOU WILL NOT BE ABLE TO SUBMIT THIS NOMINATION IF ANY FIELDS ARE INCOMPLETE.

If unsure of work experience or work involvement, please consult with the applicant for the information. If you are unsure of any portion of this Nomination Form you will be able to save the information you have completed and return to the Nomination Form at a later time.

No curriculum vitae/resumes will be accepted and can not be attached to this nomination form.

Upon completion of the Nomination Form you will have the option to print out the final Nomination.

 

Nomination deadline is Midnight April 15
Nominator Info (Your Info)
First Name:
Last Name:
Email:
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Address:
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