UAMS Nursing Recognition Program

Peer’s Letter of Support

Applicant  Information

Applicant  Name:

 

Date:

 

Job Title:

 

Shift:

 

Department:

                                                                                       Unit:

Manager:

 

Category of Resource Nurse applying for:  

 

 

Comments on Areas
               

                   

Describe your relationship with the candidate including how long you have known the candidate & in what capacity you have worked with him/her:

 

 

Please comment on the candidate’s relationships with patients & families:

 

 

 

Please comment on the candidate’s clinical knowledge:

 

 

 

Please comment on the candidate’s ability to collaborate and work as a team:

 

 

 

 

Please add any other comments you feel pertinent to support the candidate’s application:

 

 

 

 

            Signature/Title:_______________________________________       Date: _______________________

            

 

            Signature printed: ________________________________