Working towards optimal health for all older adults

Innovation Award Payment & Submission Form

Payment Information

Please enter the nominee's First Name.
Please enter the nominee's Degrees.
Please enter the nominee's Institution/Organization.
Please enter the nominee's Academic Title.
Please enter your Street Address.
Please enter your City.
Please enter your Zip Code.
Please enter your State.
Please select your Country.
Please enter your Valid E-mail Address.
Please enter your Phone Number.
Please enter the name of the nominee's NHCGNE Member Representative.
Please enter the Member Representative's Email address.
Please enter a Title for the nominee's Project.
Please Cite where the nominee has been Presented/Published.
Invalid Input
Please upload your two-page narrative describing (a) the specific innovative project and (b) how that project addresses each of the five criteria.

Please enter the nominee's Last Name.
Please enter your Valid E-mail Address.
Nomination Application Fee - 25.00 USD
0.00 USD
Please enter a valid credit card number.
Please select an exp. month.
Please select an exp. year.
Please enter a valid CSC.
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The accepted applicant is required to attend the annual leadership conference. Any accepted applicant who is unable to attend will not be recognized at the Leadership Conference.

How to Apply

Instructions: To be considered for the Innovation Award, an applicant must:

  1. Be an NHCGNE Member
  2. A Gerontological Nurse
  3. Recognizes work completed within the previous 3-year-period related to innovation, science, research, education, or practice
  4. Submit appropriate application & application fee using the online payment form 

Please email This email address is being protected from spambots. You need JavaScript enabled to view it.with questions about the application requirements or process.

Deadline August 1, 2022