Student Name:                ID#: 

Applications for Fall
December 1	Application deadline (No applications will be accepted after that time)
January 31	Award Notification to the selected candidate
April (Honors Convocation)	Award Publication - Award winner’s name will be printed in the Spring Honors Convocation program
May (Xi Theta Induction)	Award Presentation by the Director of the School of Nursing

 

Applications for Spring
February 15	Application deadline (No applications will be accepted after that time)
March 1	Award Notification to the selected candidate
April (Honors Convocation)	Award Publication - Award winner’s name will be printed in the Spring Honors Convocation program
May (Xi Theta Induction)	Award Presentation by the Director of the School of Nursing

 

Check the box for which you are nominating this student
	Outstanding Undergraduate (BSN) Fall Student Award
	Outstanding Graduate (MSN) Fall Student Award
	Outstanding Undergraduate (BSN) Spring Student Award
	Outstanding Graduate (MSN) Spring Student Award

 

Please evaluate the candidate using the scale provided.  Please place an “X” in the box indicating your selection
	strongly agree	agree	disagree	strongly disagree
Student Exhibits Superior Scholarship
Student demonstrates Creativity
Student demonstrates excellent Class Participation
Student’s Work shows Originality
Other reasons you feel this student has demonstrated outstanding achievement. Please specify in the space provided to the right.
I have taught this student in the following courses

 

Faculty Member Name:         Date:

Thank you for your nomination.