Nursing Award Online Nomination Form

Outstanding Nursing Alumni Award Online Nomination Form

Ball State University nursing alumni who have made significant and exceptional contributions to the nursing profession, through education, service, and community involvement are eligible.

Anyone may nominate a candidate for the award. When the nomination is received, the nominee will be notified of the nomination and requested to complete a personal information form.

To nominate a candidate for the Outstanding Nursing Alumni Award, please complete the information below.

Items with an * indicate a required field.

Nominee Info
First Name *
Middle Initial
Last Name *
Ball State University Nursing Degree(s) Received and Year(s) Obtained *

Address Line 1 *
Address Line 2
City *
State *
Zip *
Phone
Email
Company *
Position *
Briefly describe the nominee’s activities, achievements, or contributions which you believe qualify him or her for the award: *


Nominated by
Submitted by *
Phone *
Email address *

Thank you for submitting this nomination.

Applications are accepted throughout the year and will remain in consideration for three years. To be considered for the spring awards, applications should be received by the first day in December.