TAPAN Star Award Nomination Form

The TAPAN Star Award is presented at the Annual State Conference to members who best exemplify the Mission of TAPAN through their contributions and service to professional perianesthesia nursing during the preceeding year (August 1 - July 31).

Applications must be submitted by August 1 (midnight).
(Applications submitted after August 1, 2018 will be considered for the award in 2019)

Applications may be submitted any time during the year! Don't wait till the last minute!

* Indicates required field

Name of person submitting nomination (your name) *

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Email of person submitting nomination (your email) *

Name of Nominee *

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In 200 words or less, describe the individual you are nominating. Include specific examples of perianesthesia scholarship, leadership, and advocacy as well professional certifications, which you believe make this member a TAPAN Star. *

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