DAISY Award

Welcome to the DAISY Award nomination form!

Thank you for taking a moment to nominate a deserving student or faculty member today!

As a reminder, the DAISY Award for Extraordinary Nurse Educators honors nurse educators for their
inspirational influence on the nurses of today and tomorrow – across the education continuum
in academic and practice settings. The DAISY Award for Extraordinary Nursing Students highlights outstanding, compassionate care provided to patients and families by nursing students.

You can view the nomination rubric here:

To make a nomination for either a faculty member or a student, please complete the form below.

DAISY Award Nomination

iCare stands for Inclusivity, Character, Accountability, Respect, Excellence and Compassionately.
Learn more about Galen’s iCare Compassionately model.

I would like to nominate:(Required)

Galen Faculty

Galen Student

My relationship to this faculty member:(Required)

I’m a fellow Galen colleague

I’m a Galen student

My relationship to this student:(Required)

I’m a clinical partner

I’m a fellow Galen student

I’m a faculty member at this student’s campus

Your First Name(Required)

Your Last Name(Required)

Your Galen Email Address(Required)

My Nominee is Located at this Galen Campus:(Required)

Student Nominee | First Name(Required)

Student Nominee | Last Name(Required)

Student Nominee | Galen Email

Faculty Nominee | First Name(Required)

Faculty Nominee | Last Name(Required)

Faculty Nominee | Galen Email

In what ways has this Galen faculty member served as a role model for professional nursing?(Required)

To ensure anonymity during review, please refrain from using your nominee’s first and/or last name.

How has this Galen faculty member demonstrated enthusiasm for teaching, learning, and nursing that inspires and motivates students?(Required)

To ensure anonymity during review, please refrain from using your nominee’s first and/or last name.

Explain how this Galen faculty member has demonstrated two or more aspects of the iCare Compassionately Care Model:(Required)

iCare stands for Inclusivity, Character, Accountability, Respect, Excellence and Compassionately. Learn more about Galen’s iCare Compassionately model. To ensure anonymity during review, please refrain from using your nominee’s first and/or last name.

In what ways has this Galen student made connections with patients, families, and peers by building trust and respect?(Required)

To ensure anonymity during review, please refrain from using your nominee’s first and/or last name.

Explain how this Galen student has advocated strongly for patients and families:(Required)

To ensure anonymity during review, please refrain from using your nominee’s first and/or last name.

Explain how this Galen student has demonstrated two or more aspects of the iCare Compassionately Care Model:(Required)