Operating Room Nurses Association of Canada

ORNAC and our partners/collaborators/sponsors are pleased to accept each award nomination. Please provide two (2) letters of support/reference with each nomination.

The Awards committee will review each nomination package. In your letter of support please explain the nominees' unique qualities and traits that make them an exceptional Perioperative Nurse. When writing your letter of support, please refer to the criteria for each award and give specific examples of how the nominees makes an impact every day in the field of perioperative nursing.

To ensure that you don't lose your responses due to a session timeout or browser issue, we recommend typing out your answers to the open-ended questions in a separate document first. Once you're satisfied with your answers, you can copy and paste them into the corresponding fields on this form. This will help prevent any potential loss of information. Thank you!

Lorne Flower Award of Excellence Nomination Form

Please enter the information of the person you wish to nominate.
Notes: The person you are nominating must be a member of ORNAC (with the exception of the Chris Downey Rising Star award). All fields are required. All supporting documents for the nomination must be submitted at the same time as the nomination form.
Nominee Name:
Nominee E-mail:
Nominee Province:
Nominee Place of Employment:
Nominee Job title/position:

If Other, please specify:
Nominee years of perioperative nursing:
Nominee is a current ORNAC member?
Nominee is/was an ORNAC board member?
Nominee Education (click all that apply):
Diploma
Bachelor's Degree
Perioperative Nursing certificate
CNA perioperative certification
Master's Degree
PhD
RNFA
Letter of support/reference #1:

(Image, PDF, DOC or ZIP file accepted. Maximum file size: 10MB)
Letter of support/reference #2:

(Image, PDF, DOC or ZIP file accepted. Maximum file size: 10MB)
Your Name:
Your Email:
Name of an additional reference:
Please solve the following: