UAMS Nursing Recognition Program

Applicant’s Statement of Interest for Continuance in Recognition Program

Applicant  Information

Applicant  Name:

 

Date:

 

Job Title:

 

Shift:

 

Department:

                                                                                       Unit:

Manager:

 

Category of Resource Nurse applying for:  

 

 

Goals

               

Describe why you desire the role of Resource Nurse:

 

 

 

 

 

What goals do you wish to accomplish in this role as Resource Nurse?

 

 

 

 

 

What effect will the attainment of Resource Nurse have on your unit and for patient care in your area?

 

 

 

 

 

Describe your professional strengths & weaknesses:

 

 

 

 

 

Describe your personal strengths & weaknesses:

 

 

 

 

Comments

 

Additional comments:

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