Please fill out this form to nominate for the OCSNO Halo Award.
1. Choose the Award
Choose the Award
*
Administrator Halo Award
Community Halo Award
2. Nominee Information
Nominee's Name/Group
*
Nominee's E-mail Address
Nominee's Phone Number
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Area Code
Phone Number
Nominee's Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please describe the candidate’s contributions to school nursing practice, school health services and/or community services
*
Reason for Nomination
3. Your Information
Your Name
First Name
Last Name
Your E-mail Address
Send Nomination
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