Nursing Research Award Reference

Thank you for agreeing to provide a reference to assist the applicant in obtaining this research award. If you are unable to meet the October 15th deadline for receipt of references, please notify the applicant. Failure to receive references will jeopardize the applicant's ability to meet the award requirements.

Note: fields marked with * are mandatory


A. Applicant Information

Above information provided by the applicant. Note that you cannot submit the reference form without the applicant's ARNNL Registration Number and e-mail address.


Please indicate the following:


B. Your Information

Please provide the following information about yourself.


C. Research Merit

Please rank the merit of the proposed research using the scale below. Examples to consider for each of the scale items are available in the Scale Definitions document.

Below AverageAverageAbove AverageExceptional
scientific merit
relevance to nursing
potential contribution to nursing
feasibility of research


D. Reference Statement

Please provide a statement that addresses the applicant's motivation and initiative in nursing practice and experience in nursing research. You may also expand on the merits of the applicant's proposed research. 


E. Declaration


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