Roswell Park Alliance FoundationIndividual Gifts and Donor Stewardship Office

Elm & Carlton StreetsBuffalo, NY 14263

716-845-1338

Nominate your favorite nurse for

The Sandra C. GencoExcellence in Oncology Nursing Award

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The Sandra C. Genco Excellence in Oncology Nursing Award recognizes a Registered Nurse at Roswell Park Comprehensive Cancer Center who has made a difference in the life of a patient or family coping with cancer.

Nominations are accepted from patients and their family members as well as Roswell Park faculty and staff. Nominated nurses must be currently employed as a Registered Nurse at Roswell Park and involved with direct patient care.

A ceremony honoring the awardee and nominees will be held in May.

Visit RoswellPark.org/nursing/awards to submit an online nomination form or return completed paper forms to:

Nursing Administration Office ASB, Room K132 Roswell Park Comprehensive Cancer Center Elm & Carlton Streets Buffalo, NY 14263

Questions? Contact: Tracy Brunton Individual Gifts Officer 716-845-3328 Tracy.Brunton@RoswellPark.org

Completed nomination forms must be received by March 31.

Thank you for your participation !

Sandra C. Genco

YOUR NAME:

PHONE NUMBER:

EMAIL ADDRESS:

ROSWELL PARK UNIT/DEPARTMENT (If applicable) :

I AM A (please check one) :

o Patient o Family Member/Visitor o MD o RN

o Roswell Park Staff Member o Roswell Park Volunteer

NURSE’S NAME:

NURSE’S UNIT/DEPARTMENT:

Describe a situation involving the nurse you have nominated which exemplifies why they are deserving of this award. (Feel free to use the back of this pamphlet and/or additional pages.)

Nomination FormNominate Your Favorite Nurse !