The Leukemia & Lymphoma Society's National Capital Area Chapter is proud of this very special award.

Purpose
To award a professional oncology nurse for exemplary practice and experience in caring for patients with blood cancers.

Award
The Society's Oncology Nurse of the Year 2008 will receive

• Two tickets to the 2008 Leukemia Ball with limo service provided by Fleet Transportation
• Recognition at a professional association event
• A celebration office lunch
• Award presentation at a Light the Night Walk
• A spa package from the Sugar House Day Spa in Alexandria, VA

Nomination Guidelines
Patients, family members, professional colleagues, physicians or nurses may nominate any registered nurse who meets the criteria for this award; nurses may also nominate themselves. To nominate a nurse, complete the nomination form below.

Qualifications for Nurse of the Year

• Currently employed as a registered nurse with experience caring for people with blood cancers, or in the position of nurse manager, nurse practitioner, clinical nurse specialist, nurse educator, transplant coordinator or case manager.
• Two or more years in oncology nursing (prior to application due date) with experience caring for patients with blood cancers.
• Live or work within the boundaries of the National Capital Area Chapter of The Leukemia & Lymphoma Society. The area served by this chapter includes Montgomery and Prince George's Counties, Maryland; the District of Columbia, and the Northern Virginia cities / counties of Alexandria, Arlington, Falls Church, Fairfax, Loudoun and Prince William.
• Is not a staff, board or committee member of The Leukemia & Lymphoma Society or any of the award sponsors and does not have references or a nominator from any of the above parties.

NOTE: An individual nominated in a previous year may be nominated again unless he or she has previously won this award.

Deadline
Nominations must be received by November 9, 2009. Nominations may be submitted online using the form below. Alternatively, you can mail, fax or email your nomination to Nancy Day, Patient Services Manager, 5845 Richmond Hwy #800, Alexandria, VA 22303, Fax: 703-399-2901, or Email: Nancy.Day@LLS.org.

Notification
The award recipient and their nominators will be notified in December.

Sponsors
Fleet Transportation and the Sugar House Day Spa and Salon.

Questions
Call 703-399-2959 or email Nancy.Day@LLS.org.

*required fields

Your contact information

First Name*
Last Name*
Address*
City*
State*	Choose a State/Province Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland And Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon
Zip/Postal Code*
Day Phone*
Email*

Nominee's contact information

First Name*

Last Name*

Nominee's mailing address*

Nominee's Day Phone*
Nominee's Email*

Privacy Option

The Nominee will be contacted for additional information upon receipt of your nomination.
	Check this box to keep your identity undisclosed to the nominee.

Please answer the following questions to complete your nomination.

What is your specific relationship to the nominee?*

How long have you known or worked with the nominee?*

How does this nurse stand out among other nurses? How has s/he made a difference in patient outcomes, contributed to superior patient care and/or high-quality nursing practice? *

Provide specific examples of how the nominee has made a difference in the life of a hematology / oncology patient or caregiver.*

Is there anything else you would like us to know about the nominee?

Two recommendations make the strongest nomination. If you are a patient, consider asking another patient, the nurse's manager, the oncologist, or another colleague of the nurse for the second nomination. Thank you!