Inova Nursing Scholarship Recommendation Form

1. Welcome

The following is a recommendation for an Inova Nursing Excellence Scholarship candidate. Only current Inova nurses and those enrolled in an accredited nursing program are eligible for scholarships. Your recommendation is critical to our decision-making process, therefore we ask that you be straight forward and honest in your feedback. Your responses are never shared with the scholarship candidate.

Thank you for your time in completing this recommendation.

Question Title

* 1. Required Information

Your Name:

Your email address:

Employee you are recommending:

Today's Date:

Hospital & Unit:

Question Title

* 2. Please describe your relationship to the employee.

Supervisor (Example: Clinical Director/Nurse Manager. This option will take you to the Leader specific questions.)

Professional Colleague

Former or Other Supervisor

Professor/Instructor

Coworker

Other (please specify)

Please do not fill in gibberish replies above to skip to the next page - if you'd like to preview the questions before proceeding, please click the appropriate preview link:

Preview supervisor form
Preview form for all others