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Kelley R. Kiesler MSN ARNP I truly appreciate the benefit that KCNPNM offers in terms of networking!

Ellen Bailey Share the Light Nomination Form

The Ellen Bailey Share the Light Award

An outstanding advanced practice nurse will be recognized each year in memory of Ellen Bailey. Ellen was a true leader in advanced practice in Kentucky and one of the original founders of the KCNPNM. She demonstrated a lifelong dedication to clinical practice, service and teaching. The recipient of this award should emulate Ellen's style of quiet leadership, clinical excellence, service to the profession, and quality patient care.

Criteria for Consideration:

1. Engaged in active advanced clinical practice in Kentucky
2. Evidence of service to the profession
3. Evidence of strong clinical competence
4. Evidence of quiet leadership
5. Evidence of community involvement

We welcome you to submit your nominee via the following form. You will find the capability to submit a personal letter of recommendation at the end by way of file upload. Contact the office if you need assistance.

Nominations accepted until 3:00 PM April 9, 2010.

NOMINATION FORM
Each of the following areas are examples of areas in which Ellen Bailey, FNP excelled. Please describe how your candidate displays the following attributes. Use examples whenever possible.
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