EPB Award Candidate Application

Excellence in EBP Award Nomination Form

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Nominator Information

Name*
Are you self-nominating for this award?
If you are self-nominating for this award, you may skip the next section. If you are nominating another APHON member, please complete the Nominee Information section below.

Nominee Information

Name

Nominee Impact Summary

Please complete the following section as thoroughly as possible, providing responses to the questions to support your nomination for this award. If nominating a colleague, we encourage you to work with them to develop these essays.
Please describe the nominee’s independent, evidence-based practice project and how it advanced the care of children, adolescents, and young adults with cancer or hematological disorders and their families.
Summarize how the candidate demonstrates an overall commitment to evidence-based practice through their professional body of work.
Drop files here or
Accepted file types: pdf, Max. file size: 128 MB.
    Drop files here or
    Accepted file types: pdf, Max. file size: 128 MB.
      Drop files here or
      Accepted file types: pdf, Max. file size: 128 MB.