National Certification Champion Award Nominations Form

Submit your nomination for the National Certification Champion Awards below.

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*
How does your organization encourage and support BCEN board certification for its nurses?*
Briefly describe practices and programs the organization has implemented to promote certification and support nurses seeking to earn and maintain certification. Please include examples of exam preparation resources you provide/support and funding or accommodations (e.g., time off) for exam prep, exam fees and continuing education.
Please describe (a) how your organization recognizes nurses who earn and maintain BCEN board certification (both internally and externally), and (b) how your organization rewards nurses who earn and/or maintain certification (e.g., special projects and opportunities, advancement/promotion, financial rewards).*
Please include the number of board certified nurses, certification rates and plans to grow the number of certified nurses in your organization.*
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
Letters of Recommendation: Please upload two (2) letters of recommendation from individuals with relevant professional positions or qualifications.*
Drop files here or
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.

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