BCEN National Certification Champion Award Nominations Form

Submit your nomination for the National Certification Champion Awards below.

Please use this easy-to-complete form to nominate your hospital, ED, trauma center, transport base/program, freestanding ED, or health system for BCEN’s 2023 National Certification Champion Award. To determine which category to select and learn more, click here.
Which award category are you applying for?*
Nominator's First Name*
Nominator's Last Name*
Nominator's Title*
Nominator's Organization*
Nominator's Work Phone*
Nominator's Work Email*
Name of organization you are nominating*
Organization's website URL*
What resources does your organization offer to encourage and support nurses earning and maintaining BCEN certification?*
This may include exam preparation resources you provide/support and funding or accommodations (e.g., time off) for exam prep, exam fees and continuing education.
Please describe how your organization recognizes and rewards nurses who earn and maintain BCEN board certification.*
For example, internal and external recognition, special projects, leadership opportunities, advancement/promotion, financial rewards.
Describe your organization's plans to grow the number of BCEN certified emergency, transport, and/or trauma nurses.*
Please include the current number of BCEN board certified nurses and certification rates.
Please describe positive outcomes linked to the organization’s commitment to advocating for and supporting BCEN board certification.*
This might include impacts on nurse, patient, healthcare team, unit/department and/or organizational outcomes.
Supporting Documents: Please upload up to 3 documents and images that support or help describe the above responses.*
Drop files here or

Max. file size: 2 MB, Max. files: 3.
Letters of Recommendation: Please upload two (2) letters of recommendation from individuals with relevant professional positions or qualifications.*
Drop files here or

Max. file size: 2 MB, Max. files: 2.
Please be sure each letter includes the name, title, organization and contact information (email and phone) of the signer.
OPTIONAL: Is there anything else you’d like to tell us about your organization?
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later