A SEARCH FOR THE DFW GREAT 100 NURSES
"DO YOU KNOW A REGISTERED NURSE WHO HAS MADE A DIFFERENCE?"
Each Year the "Great 100 Nurses Celebration" is held to honor one hundred Registered Nurses
who have made a significant difference to the profession of nursing and in the lives of patients, peers, and the
community-at-large.
Any individual, client/patient, or group may nominate a Professional Registered Nurse. To nominate a Registered
Nurse, you must:
1. Complete the attached Demographic Data Form. PLEASE PRINT. Identify yourself and the Registered Nurse nominee on the Demographic Data Form only.
2. Attach a one page letter of recommendation which provides supportive documentation about your nominee. Resumes and curriculum vitae will not be accepted. Letters must be submitted on 8 1/2 X 11 paper, no letterhead, and one-sided printing. Letters which do not conform to this criteria will be disqualified. The nomination letter should not include the nominee's name nor specific identification about the Registered Nurse (e.g., place of employment). The letter of recommendation MUST address each of the following categories:
ROLE MODEL
LEADERSHIP QUALITIES
SERVICE TO THE COMMUNITY
COMPASSIONATE CAREGIVER
SIGNIFICANT CONTRIBUTIONS
3. Nomination documents will not be accepted by fax transmission.
Return all documents postmarked no later than January 10th each calendar year to:
THE DFW GREAT 100 NURSES Inc. 9090 Skillman #182A, PMB 303, DALLAS, TEXAS 75243-8262
ADDITIONAL INFORMATION:
*Previous Great 100 Nurse recipients are ineligible.
*Duplicate the Demographic Data Form as needed.
*Nomination letters will be reviewed by a panel of judges who will not have access to the demographic data.
*Questions concerning the nomination process and the Great 100 Nurses Celebration may be directed to Sandi McDermott, 817.472.4939.
The Deadline For Nominations Postmarked Receipt is: January 10th each calendar year. There will be no exceptions. Fax Transmittals WILL NOT be accepted. Over-night mail, i.e., FedEx, UPS, WILL NOT be accepted
The Great 100 Nurses program is sponsored by joint effort of the Texas
Nurses Association, Districts 3 and 4, the North Texas Organization of Nurse Executives, and the North Central Organization of Nurse Executives.
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GREAT 100 NURSES CELEBRATION
DEMOGRAPHIC DATA FORM
This form must be submitted with a one page letter of recommendation for the Registered Nurse nominee. Letters must be submitted on 8 1/2 X 11 paper, no letterhead, and one-side printing. No exceptions. Letters which do not conform to these criteria will be disqualified. Please complete the following information. (Please type or print)
Nominee:__________________________________________________________________________________________
Place of Employment:_______________________________________________________________________________
Title:____________________________________________________ Email:____________________________________
Home Address:___________________________________________________ Home Phone: ( ) ___ -_________
City: _____________________County:_____________ State: TX Zip:___________
RN License #______________
Nominee's Primary Occupational Role (Mark [X] one category only)
[ ] Administration/Management/Leadership: Specify Setting: ___________________________________________
[ ] Community Health (Occupational Health, Home Health/Hospice, School, Clinic, or Physician's Office
Nursing)
[ ] Advanced Practice Nurse (Consultant, Practitioner, CRNA, CMW, Clinical Specialist)
[ ] Clinical
[ ] Educator (Acute Care, Community/Agency, Higher Education, Clinic)
[ ] Other (Retired, Entrepreneur:
Specify Role:_______________________________________________________
Nominator:________________________________________________________________________________________ Title:_____________________________________________________________________________________________ Place of Employment:_______________________________________________________________________________ Home Address:_____________________________________________________________________________________ City:_______________________________________County:_________________State:_________Zip:______________ Telephone: (H) Area Code: ( ) __ -______________ (W) Area Code: ( ) _ -_______________
The Deadline For Nominations Postmarked Receipt is: January 10th each calendar year. There will be no exceptions. Fax Transmittals WILL NOT be accepted. Over-night mail, i.e., FedEx, UPS, WILL NOT be accepted