SPECIAL
AWARDS NATIONAL
ASSOCIATION OF HISPANIC NURSES 2008-2009 Recognizing Education,
Community Service, and Leadership
The NAHN established the
Ildaura Murillo-Rohde Award for Education Excellence, the Henrietta Villaescusa
Community Service Award, Sarah
Gomez Erlach Humanitarian Award and the Janie Menchaca Wilson Leadership Award
to honor Hispanic nurses through the country and provide them with special
recognition. This is also an opportunity for NAHN to be recognized and for NAHN
membersÕ recognition of NAHN. Hispanic nurses will be honored for their work in
the community as well as for their spirit and dedication to serving the
Hispanic community.
National awards are an
excellent opportunity for all members to celebrate their activities and to
recognize their accomplishments as they see what a great profession they have
chosen. NAHN awards are a chance for members to show off their creativity and
have some fun depicting what a Hispanic nurse means. The annual celebration of
awards recognizes accomplishments and current endeavors of members of the NAHN.
ILDAURA MURILLO-ROHDE AWARD FOR EDUCATION
EXCELLENCE
This
award is presented to honor NAHN members who have distinguished themselves in
any scholarship area and/or nursing education. Qualifications for the award are
any one or all of the following categories:
ø
Outstanding
contributions in nursing education, research, and practice
ø
Recognized commitment
to excellence in nursing
ø
Distinguished clinical
expertise
HENRIETTA VILLAESCUSA COMMUNITY SERVICE AWARD
This award
is presented by to honor NAHN members who have contributed to the improvement
of health in the Hispanic community. Qualifications for the award are any or
all of the following categories:
ø
Outstanding
contributions as demonstrated by policy or program involvement of
ø
Regional
or national significance
ø
Distinguished
community health practice
ø
Publicly
recognized commitment to improving the health of the Hispanic Community
JANIE MENCHACA WILSON LEADERSHIP AWARD
This award
is presented to honor NAHN members who have distinguished themselves as nursing
leaders.
AWARD
CRITERIA:
ø Outstanding leadership contributions at the
community, state or national level
ø Leadership reflected in the areas of planning,
practice, or implementation of a program that has impacted the Hispanic
community
SARAH GOMEZ ERLACH HUMANITARIAN AWARD
This award honors NAHN
members who seek to improve health delivery to the rural poor and migrant farm
workers and their families.
Qualifications for the award are any or all of the following categories:
ø Initiating or implementing health program(s) for the
economically disadvantaged and/or migrant farm workers and their families.
ø Publicly recognized statewide or national rural
health program(s).
ø Advocacy and commitment to public health services to
the economically disadvantaged and/or migrant farm workers and their families.
Awards will be presented at the 34th
Annual NAHN Conference Awards Ceremony on July 24th, 2009 in San Antonio, TX.
INSTRUCTIONS FOR
NOMINATION (For Education Excellence, Community Service Humanitarian & Leadership Awards)
v The Nominations Forms may be photocopied for multiple
nominations
v All nominations must be type using 12 font new times
roman and double space.
v All nominations submitted become property of the
National Association of Hispanic Nurses (NAHN)
v In addition to nominations form colleagues, clients,
administrators, or co-workers, NAHN members are encourage to nominate
themselves
v 300 words or less description of the nomineeÕs
qualifications/accomplishments
Please submit the complete package postmarked by
March 14th , 2009 to:
Juan F. Perez, R.N. B.S.N
CHAIR, AWARDS/SCHOLARSHIP COMMITTEE
NATIONAL ASSOCIATION OF HISPANIC NURSES
1050 17th Street NW, Suite 510
Washington, DC 20036
NATIONAL
ASSOCIATION OF HISPANIC NURSES (NAHN)
ILDAURA MURILLO-ROHDE AWARD FOR EDUCATION
EXCELLENCE
2008-2009
NOMINATION FORM
Name of Nominee:
____________________________________________________________
Address of Nominee:
___________________________________________________________
Telephone of Nominee:
___________________ Fax:
__________________
Email: ______________________________________________________________________
NomineeÕs Employer:
__________________________________________________________
NomineeÕs Employer Address:
___________________________________________________
____________________________________________________________________________
NomineeÕs Employer Telephone
Number: ___________________________________________
Signature of Nominator:
________________________________________________________
NominatorÕs Address: __________________________________________________________
____________________________________________________________________________
NominatorÕs Telephone:
____________________ Fax:
__________________
NominatorÕs Email:
____________________________________________________________
Please
attach a brief description of the nomineeÕs qualifications/accomplishments in
300 words or less. All materials submitted must be typed or clearly printed.
Return
Nomination Forms postmarked by March 14TH, 2009 to:
Juan
F. Perez, R.N. B.S.N.
CHAIR, AWARDS/SCHOLARSHIP COMMITTEE
NATIONAL ASSOCIATION OF HISPANIC NURSES
1050 17th Street NW, Suite 510
Washington, DC 20036
Incomplete
applications will not be processed.
NATIONAL
ASSOCIATION OF HISPANIC NURSES (NAHN)
HENRIETTA VILLAESCUSA COMMUNITY SERVICE AWARD
2008-2009
NOMINATION FORM
Name of Nominee:
____________________________________________________________
Address of Nominee:
___________________________________________________________
Telephone of Nominee:
___________________ Fax:
__________________
Email:
______________________________________________________________________
NomineeÕs Employer:
__________________________________________________________
NomineeÕs Employer Address:
___________________________________________________
____________________________________________________________________________
NomineeÕs Employer Telephone
Number: ___________________________________________
Signature of Nominator:
________________________________________________________
NominatorÕs Address: __________________________________________________________
____________________________________________________________________________
NominatorÕs Telephone:
____________________ Fax:
__________________
NominatorÕs Email:
____________________________________________________________
Please
attach a brief description of the nomineeÕs qualifications/accomplishments in
300 words or less. All materials submitted must be typed or clearly printed.
Return
Nomination Forms postmarked by March 14, 2009 to:
Juan F. Perez, R.N. B.S.N.
CHAIR, AWARDS/SCHOLARSHIP COMMITTEE
NATIONAL ASSOCIATION OF HISPANIC NURSES
1050 17th Street NW, Suite 510
Washington, DC 20036
Incomplete applications will not be processed.
NATIONAL ASSOCIATION OF HISPANIC NURSES
(NAHN)
JANIE MENCHACA WILSON LEADERSHIP AWARD
2008-2009
NOMINATION FORM
Name of Nominee:
____________________________________________________________
Address of Nominee:
___________________________________________________________
Telephone of Nominee: ___________________ Fax:
__________________
Email:
______________________________________________________________________
NomineeÕs Employer:
__________________________________________________________
NomineeÕs Employer Address:
___________________________________________________
____________________________________________________________________________
NomineeÕs Employer Telephone
Number: ___________________________________________
Signature of Nominator:
________________________________________________________
NominatorÕs Address: __________________________________________________________
____________________________________________________________________________
NominatorÕs Telephone:
____________________ Fax:
__________________
NominatorÕs Email:
____________________________________________________________
Please
attach a brief description of the nomineeÕs qualifications/accomplishments in
300 words or less. All materials submitted must be typed or clearly printed.
Return
Nomination Forms postmarked by March 14, 2009 to:
Juan
F. Perez, R.N. B.S.N.
AWARDS/SCHOLARSHIP COMMITTEE CHAIR
NATIONAL ASSOCIATION OF HISPANIC NURSES
1050 17th Street NW, Suite 510
Washington, DC 20036
Incomplete
applications will not be processed.
NATIONAL ASSOCIATION OF HISPANIC NURSES
(NAHN)
SARA GOMEZ ERLACH HUMANITARIAN AWARD
2008-2009
NOMINATION FORM
Name of Nominee:
____________________________________________________________
Address of Nominee:
___________________________________________________________
Telephone of Nominee:
___________________ Fax:
__________________
Email:
______________________________________________________________________
NomineeÕs Employer:
__________________________________________________________
NomineeÕs Employer Address:
___________________________________________________
____________________________________________________________________________
NomineeÕs Employer Telephone
Number: ___________________________________________
Signature of Nominator:
________________________________________________________
NominatorÕs Address: __________________________________________________________
____________________________________________________________________________
NominatorÕs Telephone:
____________________ Fax:
__________________
NominatorÕs Email:
____________________________________________________________
Please
attach a brief description of the nomineeÕs qualifications/accomplishments in
300 words or less. All materials submitted must be typed or clearly printed.
Return
Nomination Forms postmarked by March 14, 2009 to:
Juan
F. Perez, R.N. B.S.N.
CHAIR, AWARDS/SCHOLARSHIP COMMITTEE
NATIONAL ASSOCIATION OF HISPANIC NURSES
1050 17th Street NW, Suite 510
Washington, DC 20036
Incomplete
applications will not be processed.
NATIONAL ASSOCIATION OF HISPANIC NURSES
(NAHN)
NURSE OF THE YEAR AWARD
This Award is for a NAHN nurse who has
developed a creative and innovative program, intervention, or strategy in one
of the following areas:
ø
Improving the quality
of health care in the Hispanic community (narrowing health care disparity).
ø
Recruitment, retention,
professional career development (increasing the number of Hispanic nurses at
all educational and professional levels).
ø
NAHN organizational
development at local, state, and/or the national level (growth, effectiveness,
and communication within NAHN organizations, and with the community it serves).
The evaluative criteria are as follows:
ø
Contribution to
improving the health care of the Hispanic community across the life span, birth
to end-of-life, in any health care environment.
ø
Innovation
ø
Creativity
ø
Leadership
ø
Advocacy
Specific Requirements:
1.
Active
member of NAHN
2.
A
typed letter by a NAHN member using 12 font Times New Roman nominating the individual or self
nomination, which includes a written description of the program, intervention,
or strategy
3.
Two
additional letters of recommendation
4.
Current
curriculum vitae, past five (5) years
Send award nominations to:
JUAN F. PEREZ, R.N. B.S.N.
CHAIRAWARDS/SCHOLARSHIP COMMITTEE
NATIONAL ASSOCIATION OF HISPANIC NURSES
1050 17th Street NW, Suite 510
Washington, DC 20036
ALL
NOMINATIONS FOR AWARDS MUST BE POSTMARKED BY MARCH 14, 2009.
NO EXCEPTIONS.
Awards will
be presented at the 34TH ANNUAL NAHN Conference Awards Ceremony on
July 24, 2009, in San Antonio,
TX and official plaque presentation
in Washington, D.C. during Hispanic month.
NATIONAL ASSOCIATION OF HISPANIC NURSES
(NAHN)
NURSE OF THE YEAR AWARD
2008-2009
NOMINATION FORM
Name of Nominee: ____________________________________________________________
Address of Nominee:
___________________________________________________________
Telephone of Nominee:
___________________ Fax:
__________________
Email:
______________________________________________________________________
NomineeÕs Employer:
__________________________________________________________
NomineeÕs Employer Address:
___________________________________________________
____________________________________________________________________________
NomineeÕs Employer Telephone
Number: ___________________________________________
Signature of Nominator:
________________________________________________________
NominatorÕs Address: __________________________________________________________
____________________________________________________________________________
NominatorÕs Telephone:
____________________ Fax:
__________________
NominatorÕs Email:
____________________________________________________________
Please
attach a brief description of the nomineeÕs qualifications/accomplishments in
300 words or less. All materials submitted must be typed or clearly printed.
Return
Nomination Forms postmarked by March 14, 2009 to:
Juan F. Perez, R.N. B.S.N.
CHAIR, AWARDS/SCHOLARSHIP COMMITTEE
NATIONAL ASSOCIATION OF HISPANIC NURSES
1050 17th Street NW, Suite 510
Washington, DC 20036
Incomplete applications will not be processed.