Nurse of the Year Nomination Form

Nominate for the Nurse of the Year

We invite you to put forward a nurse whose care has left a mark — not just clinically, but personally. Tell us, in 500 words or less, what sets them apart and why they deserve to be recognised.

Who can submit a nomination?

Nominations are open to:
• Individuals living with thalassaemia, sickle cell, or other haemoglobin conditions
• Parents, carers, and family members
• Healthcare staff working alongside haemoglobinopathy nurses (excluding self-nominations)

Nurse of the Year Nomination Form

Which best describes you?(Required)

Thalassaemia patient

Sickle cell patient

Parent or carer

Name of nurse you wish to nominate:(Required)

Treatment Centre / Hospital:(Required)

Why is this nurse, your nurse of the year? In 500 words or less:(Required)

Your full name:(Required)

Contact number:(Required)

I give permission for my nomination to be quoted in the Thalassaemia & Sickle Cell Society of NSW’s social media, website or email, for the purpose of recognising the winner and promoting this initiative(Required)

Yes

I wish to keep my name and associated details confidential(Required)

Yes

Nominate for the Nurse of the Year

Who can submit a nomination?

Nurse of the Year Nomination Form

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