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LEADERSHIP INTERN PROGRAM

NURSING LEADER RECOMMENDATION FORM

Due by February 14, 2009

Applicant's Name:

Please check each of the following items in regard to the Leadership Intern applicant:

Commitment to nursing community:
Willing to walk extra miles to improve health care:
Leadership ability:
Interpersonal relationships:
Communication skills:
Attitude about learning:
Organizational ability:
Willing to help:

Address any additional comments here to support the applicant for Leadership Intern position.

My contact with this applicant includes:

I am an active member of Sigma Theta Tau International and recommend this applicant for Beta Mu Chapter Leadership Intern:

Name:
Chapter Membership:
Date:

Submit this form no later than February 15, 2006.

   

 

  

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Sigma Theta Tau Beta Mu · College of Nursing · 1305 N. Martin · Tucson, AZ  85721-0203

(520) 694 - 7577 · Email: President

Copyright ©2008 - 2009 Sigma Theta Tau, Beta Mu Chapter