Thursday, March 25th at BOCES, Holbrook.
Elections of Officers will be held at the general membership meeting by writtne ballot only.
Your role within the organization is very important; you are encouraged to take an active role within Zone 2.
New York State Association of School Nurses
Award for Excellence in School Nursing
Nomination Form
Name
NYSASN Zone Zone Representative
Address (Street)
(City, Town, Zip)
Phone (home)
Phone (work)
Phone (cell)
Email
School District
School Building Grade level:
Number of years
in School Nursing
Number of years
as a member in NYSASN
Other professional
affiliations:
Name, Title and
Address of School
Administrator:
Nominated by: Date:
Please state your reasons for nominating the candidate below:
(Nominator must provide a statement regarding the nominee’s qualifications for this award.)
The completed form and candidate biography should be returned to your
Zone Representative by March 15th
Mary Alvar