Nominees Form
Staff Information & Award Application
Personal Information
Full Name
Staff ID
Date of Birth
Date of birth doesn't match the age entered.
Age
Phone Number
Format: 0240000000 (10 digits)
Email Address
Professional Information
Grade
Place of Work
Region
Select Region
Ashanti
Bono East
Brong Ahafo
Central
Eastern
Greater Accra
North East
Northern
Oti
Savannah
Upper East
Upper West
Western
Volta
Nominees DDNS
Date of First Appointment
Format: mm/dd/yy
Years In Service
Excluding National Service
You do not meet the minimum years of experience requirement for this category.
Years of service doesn't match your first appointment date.
Award Application
Type of Application
Select Application Type
Self
Nomination by Others
Award Category
Select Category
Dr. Docia Kesseih International Achievement Award
Mrs. Alice Darkoa Asare-Allotey Managerial Award - Senior Level
Mrs. Alice Darkoa Asare-Allotey Managerial Award - Junior Level
Mrs. Emma Helen Banga Health Advocacy and Human Rights Award
Prof. Ayodele Akiwumi Outstanding Nursing/Midwifery Award
Dr. Kwaku Asante-Krobea Educator Award
Prof. Lydia Aziato Research Award
Dr. Mary Opare Preceptorship Award
Mrs. Ruth Aku Gyang Rural Service Award
Col Vida Otoo (Rtd) Military Nightingale Award
Chief Sup. Marufatu Essie Braimah Police Service Nurse/Midwife Award
Mrs. Perpetual Ofori-Ampofo Innovation and Impact Award
Years in Managerial Position
10 years minimum for senior level, 5-9 years for junior level
You do not meet the minimum years requirement for this category.
Years as a Nurse Educator
Minimum 5 years required
You must have at least 5 years of experience as an educator.
Number of Publications
Minimum 5 publications
You must have at least 5 publications.
Number of Citations
Minimum 5 citations
You must have at least 5 citations.
Years as a Preceptor
Minimum 5 years required
You must have at least 5 years as a preceptor.
Years as Leader in Military Facility
Minimum 2 years required
You must have at least 2 years of leadership in military facility.
Years as Leader in Police Facility
Minimum 2 years required
You must have at least 2 years of leadership in police facility.
Required Documents
Appointment Letter
Accepted: PDF, PNG, JPG, JPEG
NMC Certificate
Accepted: PDF, PNG, JPG, JPEG
Curriculum Vitae (CV)
Accepted: PDF only
Project/Innovation File
Accepted: PDF only
Project & Motivation
Project or Innovation Description
0 / 500 words
Statement of Motivation
Important Notice
Only shortlisted nominees will be contacted for interviews.
Submit Application
