2015 Excellence in School NursingAwards Nominations

2015 Excellence in School NursingCriteria and Guidelines

1. Nominee should have five years’ experience as a school nurse and is currently practicing as a school nurse within Highmark Foundation’s service region (western Pennsylvania, central Pennsylvania and West Virginia).

2. More than 50% of nominee’s time should be spent in direct care.

Describe a specific activity in which the nominee has actively and substantially impacted the health of children (300 words or less).

Describe an example of how the nominee’s behavior has influenced school nursing. For example:

• Demonstrating Best Practices in school nursing

• Using creative resources, both human and material, to improve school health program

• Promoting excellence in student health and wellness

Deadline for submission: Friday, April 3, 2015

Ultimately, we want to know “Why is your school nurse amazing? What is your school nurse doing or has done recently that significantly impacts the health of the children in your school?”

For many children, school nurses play a vital role in keeping kids healthy while maintaining a strong well-being for academic success. Increased attention has focused on the schools as a site where prevention, early intervention, and primary care can occur. School nurses are in a position to be important leaders when it comes to adolescent health and wellness. They often have a huge impact on wellness priorities and policies and exhibit leadership by creating a culture of health and wellness.

The Highmark Foundation Excellence in School Nursing Awards honors the unsung heroes who exhibit leadership and work tirelessly to keep our children healthy. We are honored to recognize those who are working every day to advance good health within our schools.

The Highmark Foundation is seeking nominations for the Excellence in School Nursing Awards. The Highmark Foundation will choose three (3) winners from the group of nominees. One winner will be selected from each of the Foundation’s service regions — western Pennsylvania, central Pennsylvania and West Virginia. Use this questionnaire to nominate a school nurse and tell us why your school nurse deserves the 2015 Excellence in School Nursing Award.

Nominee’s name:

Phone number:

Email address:

School district:

School district address:

City:

County:

State:

Zip:

School district telephone:

Registered nurse?: Y o N o

Present position:

Number of years in present position:

School grade levels served in present position:

Does nominee serve a school district or school building?: Y o N o

Number of school buildings in the district:

How many students impacted by his/her work?:

NOMINATION SUBMITTED BY:

First name:

Last name:

Telephone:

Email address:

Affiliation/relationship to nominee:

Procedure For Submitting an Application:1. Nominations can be made by school nurse colleagues, school staff, administrators, supervisors, teachers, parents,

students, community members, or others.

2. Attachments for the application:

• Current resume including education, awards, committees, membership in professional organizations, certifications, etc.

• Letter(s) of recommendation (optional).

3. Information MUST BE SUBMITTED VIA THE ONLINE APPLICATION which is found at www.highmarkfoundationrfp.versaic.com

Finalists will be recognized at an awards luncheon on Wednesday, May 6, 2015 at the Wyndham Grand Pittsburgh from 11 a.m. - 1:30 p.m.

Describe a specific activity in which the nominee has actively and substantially impacted the health of children (300 words or less):

Describe an example of how the nominee’s behavior has influenced school nursing by: a. Demonstrating Best Practices in school nursingb. Using creative resources, both human and material, to improve school health programc. Promoting excellence in student health and wellness

Featured Speaker: Aleshia Smith, MSN, RN, CSN; The Children’s Hospital of Philadelphia; CHOP School Nurse Coordinator.

One hour of Act 48 or Act 58 credit pending.

www.highmarkfoundation.org Call us at 1-866-594-1730 2/15 CS 203681

Highmark Foundation Board of Directors Daniel A. Onorato, Chair Executive Vice President, Public Policy, Chief Government Relations and Community Affairs Officer, Highmark Health

James B. Bransom, DDS Chief Dental Officer, United Concordia Companies, Inc.

Janine K. Colinear Chief Accounting Officer, Highmark Health

Patricia J. Darnley President and Chief Executive Officer, Gateway Health

Evan S. Frazier Senior Vice President of Community Affairs, Highmark Health

Judy W. Sjostedt Executive Director, Parkersburg Area Community Foundation

Doris Carson Williams, Vice Chair President & CEO, African American Chamber of Commerce