DAISY Award Nomination Form

Each year four DAISY Award recipients will be selected, one for each quarter.

You may nominate a Strong Nurse for the DAISY Award by downloading the DAISY Nomination Form and mailing it, or you may complete the form below:

Online Nomination Form

Nominee Information
* Name of Nurse Being Nominated:
Unit/Department of Nurse (If Known):
Nominator Information
* Your Name:
* I Am:
Your Unit (If You Are A Strong Employee):
Your Email Address:
Your Phone Number (format: 585-555-5555):
In the event that this nominee is selected to receive the DAISY Award, we would like to notify you. Please provide your email address and/or phone number above if you wish to receive notification.
Nominee Story
* Please describe a situation involving the nurse you are nominating that clearly domonstrates he/she meets the criteria for the DAISY Award:

If you have any questions, please contact the Center for Nursing Professional Development at (585) 273-4220.