Hall of Fame Award Nominations

Hall of Fame Award

Nurses of Missouri have pioneered in many aspects of nursing care in communities and acute care of people throughout the state. Professional nursing standards were promoted and maintained by outstanding nurse leaders in this state often overcoming major obstacles. The continued progress of professional nursing in Missouri is a direct result of nurses who have made extraordinary contributions to MONA and to the profession in general. In addition, nurses in Missouri have made national and international contributions to the enhancement and progress of professional nursing.

The purpose of the prestigious Hall of Fame award is to recognize outstanding nurse leaders of the state of Missouri, whose lifelong commitment to the nursing profession has advanced the goals of this association and the improvement of health care in Missouri.

Eligibility Criteria

The nominee must be or have been a Registered Professional Nurse licensed in the state of Missouri.
The nominee must live in or have lived in the state of Missouri during some period of his/her career.
The nominee must be a current, past, or honorary member of the Missouri Nurses Association.
The achievements of the nominee must have enduring value to nursing beyond the nominee’s lifetime. (Note: Nominees for the award can be living or deceased.)
The nominee must have made significant contributions to the nursing profession in clinical practice, education, administration, organizational work involving health care or innovation in health care delivery systems, or to the Missouri Nurses Association enterprise.
The nominee shall have demonstrated leadership in two or more of the following areas:
- Advanced the practice of nursing as a profession;
- Worked to improve the quality of health care in Missouri;
- Adhered to professional nursing standards;
- Supported professional nursing education in the state of Missouri;
- Influenced health care policy;
- Contributed to the enhancement and progress of professional nursing on a state, national and/or international level.

Supporting Documentation

Nominations may be submitted by individual Missouri Nurses Association members, or groups/committees of members.
1. If only one individual Missouri Nurses Association member is submitting the nomination, two additional Association members must sign the nomination form.
2. Two letters of support are required for all nominees.
3. Nominations and accompanying materials will be treated in a confidential manner.

Optional Supporting Documentation

Curriculum vitae or biographical data, detailing educational background, work experience, publications, community contributions, honors and awards.
A photo of the nominee; 5×7 preferred (please contact MONA office for guidelines) may be submitted but is not required.

Evaluation Process

Applications will be reviewed by members of the Missouri Nurses Association Hall of Fame Committee and recommendations forwarded to the Missouri Nurses Association Board of Directors for their approval.

Award winners will be announced during the MONA Membership Assembly.

Hall of Fame Online Nomination Form:

NOMINATOR INFORMATION:

Nominator First Name: *

Nominator Last Name: *

Nominator Type: *

Individual MONA Member

MONA Board of Directors

MONA Committee

MONA Group

Nominator Street Address: *

Nominator City: *

Nominator State: *

Nominator Zip: *

Nominator Preferred Phone: *

Nominator Email: *

Individual Member Nomination Supported By: (2 signatures required for nominations submitted by individual MONA Members)

Supporting MONA Member Name 1:

Supporting MONA Member Name 2:

Two short letters of support for the nominee describing how the criteria is met; these should not exceed 100 words:

Letter of Support 1: *

.pdf, .doc or .docx formats are accepted.

Letter of Support 2: *

.pdf, .doc or .docx formats are accepted.

By Submitting This Form, You Agree: *

I HEREBY CERTIFY THAT THE INFORMATION CONTAINED IN THIS NOMINATION PACKET IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.

NOMINEE ELIGIBILITY REQUIREMENTS:

The nominee is a Registered Professional Nurse: *

Yes

No

The nominee is a Registered Nurse licensed in the state of Missouri: *

Yes

No

The nominee lived or worked in the state of Missouri during some period of his/her career: *

Yes

No

The nominee is or has been a member of the Missouri Nurses Association: *

Yes

No

The achievements of the nominee have enduring value to nursing beyond the nominee’s lifetime: *

Yes

No

The nominee made significant contributions to the nursing profession in clinical practice, education, administration, organizational work involving health care or innovation in health care delivery systems, or to the Missouri Nurses Association enterprise *

Yes

No

The nominee demonstrated leadership in two or more of the following areas: *

a. Advanced the practice of nursing as a profession;
b. Improved the quality of health care;
c. Adhered to professional nursing standards;
d. Supported professional nursing education in the state of Missouri;
e. Influenced health care policy;
f. Contributed to the enhancement and progress of the nursing profession on a state, national and/or international level

Yes

No

NOMINEE INFORMATION:

Nominee First Name: *

Nominee Last Name: *

Nominee Street Address: *

Nominee City: *

Nominee State: *

Nominee Zip: *

Nominee Preferred Phone: *

Nominee Email: *

Nominee Present Employer:

Nominee is/was a member of the Missouri Nurses Association: *

Yes

No

If Yes, for how many years? *

Education: (begin with the highest degree earned)

NARRATIVE STATEMENT:

Once a nominee is selected and has accepted their induction to the hall of fame, a MONA committee member will conduct an interview with the nominee. The committee member will then write a narrative based on the interview, and will then submit the narrative to the nominee for final approval.

The following elements will be considered when preparing the narrative statement:

Contributions in health-related areas with global impact
Significant impact throughout her/his career that influenced healthcare in Missouri
Change agent in the delivery of care and influence on nursing practice
Held leadership position(s) in healthcare and/or education that influenced the nursing profession
Contributions as an elected officer in nursing professional organizations, service, and influence on nursing practice
Research & Development involving programs that improve patient care
Innovation affecting healthcare and/or practice with a state or global impact
Held or currently holding statewide office
Years practiced as a Registered Nurse
Years actively engaged in healthcare
Published articles, chapters and/or books that influenced education, administration or practice
Speaker at state or national conferences
Consultant on state or national issues impacting the nursing profession
Received prior recognition for nursing excellence

OPTIONAL SUPPORTING DOCUMENTS:

The following is additional information about the nominee that may assist the awards committee during the selection process:

CV/Biographical Data:

Detailing the nominee’s educational background, work experience, publications, community contributions, honors and awards.

A Photo of the Nominee:

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Deadline

Nominations and supporting documentation must be submitted by September 1st of each year for nominee to be considered. Otherwise, they will be eligible the following year.

Missouri Nurses Association
Attn: Hall of Fame Committee
3340 American Ave. Suite F
Jefferson City, MO 65109

Voice: (573) 636-4623
Fax: (573) 636-9576