Award Nomination Form

Award Nominations

CANA members may use this form to nominate individuals to receive an award from CANA. Please click this link to view the Awards Nomination Criteria for more information about the various awards, eligibility, and procedure for selection

Proposed award for the nominee:

The Sophie Winton Award

The Timothy Wolf “Guardian of the Practice” Award

The Joyce Kelly Education Award

Emeritus State Honorary Membership

Nominee Name(Required)

Full Name Credentials (e.g. CRNA)

Nominee Email

Reason for the nomination(Required)

This statement will be shared with the CANA Board of Directors for consideration.

Your Name(Required)

First Last

Your Email(Required)

Your Phone(Required)

Award Nominations

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Award Nominations

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Policies

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