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2017-2019 Chapter Key Award Application

Nominator’s Name: Total Possible Points: 72 points Chapter Name: Minimum points to apply: 50 points

Minimum points that must be awarded to receive the award:

50 points

Your Overall Points Earned: Please name your online entry title Chapter Name_Chapter#_Chapter Key Form 2019 EX: Omega Omega_001_Chapter Key Form 2019

EligibilityIn order to apply for the 2017-2019 Chapter Key Award, which recognizes chapter activity for the timeframe between 1 July 2017 and 30 June 2019, chapters must have met chapter responsibilities as outlined in STTI bylaws. More information can be found in the All Chapter Officers Workgroup.

Tips to using this form: Access the instruction guide by going to the All Chapter Officers Workgroup. The form is read-only. You will only be able to enter text in the gray fields within the yellow cells. Examples provided are merely suggested projects and other chapter activities may also be eligible for points. To type text in a yellow cell, simply click in the gray field within that specific cell. To start a new line of text at a specific point in a cell, press ENTER.

Questions? Contact STTI Headquarters at 888.634.7575 (US/Canada toll-free) or +1.317.634.8171 (International), or email [email protected].

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Leadership Development Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points1. Chapter implemented or maintained a leadership intern program.

NOTE: Must have created or maintained the program during specified time period.

See the application instruction guide for a definition of an internship program.

Such as: Formal intern

program for chapter leader positions

"Junior" leader program

Please describe the program below:


One point per year (maximum of two points)

2. Chapter implemented or maintained a mentorship program.

NOTE: Must have created or maintained the program during specified time period.

See the application instruction guide for a definition of a mentorship program.

Such as: Formal mentor

program for chapter members that matches mentors with mentees in regards to professional / leadership development

Start a mentoring program with a local teen pregnancy center in your area




3. Chapter hosted/presented leadership development programs to the membership.

Such as: program focused on

serving on your first non-profit/nongovernmental organization board

program targeted to

Please describe the program and explain how the chapter targeted groups within the membership with these efforts (e.g. new members, retired members, clinicians, all members, etc.)

Please describe the program and explain how the chapter targeted groups within the membership with these efforts (e.g. new members, retired members, clinicians, all members, etc.)


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Leadership Development Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Pointsyoung nurses on how to start your leadership journey

partnered with the college / university leadership department to invite a guest speaker to present a program to the chapter on leadership

4. Financially supported current and/or potential leaders to attend STTI leadership activities and sponsored leaders disseminated information to the membership at large.

NOTE: A potential leader is a member that a chapter is actively mentoring to take on a chapter leadership role.

Presented a program or wrote articles for the chapter newsletter about the information learned at the leadership activity.Includes:

Chapter Leader Training

Biennial Convention STTI Mentoring

Programs (such as Board Leadership)

STTI Leadership Connection

Global Leadership

Please name the STTI leadership activity and explain how the information learned was brought back and shared with the membership at large.

Please name the STTI leadership activity and explain how the information learned was brought back and shared with the membership at large.


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Leadership Development Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points5. Chapter has committees in addition to the leadership succession and governance committees.

Examples: Membership

Involvement Committee

Membership Ambassador Committee

Finance Committee Program Committee Past President Council Awards Committee

Please name each committee and explain how the chapter is utilizing these committees to develop future leaders and engage the membership.

Please name each committee and explain how the chapter is utilizing these committees to develop future leaders and engage the membership.

1 committee = 1 point2 committees = 2 points3 or more = 3 pointsMaximum 6 points total (3 points per year).

6. Chapter recruited, prepared, and oriented a board of directors and volunteers each election cycle.

Examples: Utilizing the volunteer

opportunity section on the chapter’s website

Leadership Succession plan

Elect positions on the board

Please describe the methods and process in which the chapter recruited board members, committees, and other volunteers:

Please describe the methods and process in which the chapter recruited board members, committees, and other volunteers:

One point per year (maximum of two points).

Total points earned for Chapter Operations:

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Membership Engagement Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points1. Members presented at Biennial Convention, International Nursing Research Congress, Regional or Consortia events or any other official STTI events and disseminated information to the membership at large. (STTI only).

NOTE: It is the chapter's responsibility to keep these records. Members do not have to be presenting on behalf of the chapter. For more information about STTI events, visit www.nursingsociety.org/events.

Examples of information dissemination:

Posted a video or PowerPoint of presentation on The Circle/ chapter's website

Sent an email to all members with an article about the information presented

Published information in the chapter newsletter

Provided a live program

Please list members, events, and how the presentation was shared with the membership at large below:



2. Members presented at professional nursing meetings, conferences or forums and disseminated information to the membership at large (Non-STTI).

NOTE: Chapter needs to keep records. Members do not have to be presenting on behalf of the chapter.

Examples of information dissemination with the chapter: Posted a video or PowerPoint of

presentation on The Circle/ chapter's website.


Examples of professional nursing meetings, conferences and forums: International Council

of Nurses American Nurses

Association Royal College of

Nursing, Australia Portugal Association

of Nurses (Associação Portuguesa de Enfermeiros)

Dutch Nurses Association

Japanese Nursing Association

EAFONS




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http://www.nursingsociety.org/events

Membership Engagement Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points Published information in the

chapter newsletter Presented a live presentation

local / state / providence / provice / etc. nursing organizations

3. Members presented at interdisciplinary professional meetings, conferences or forums and disseminated information to the membership at large (Non-STTI).

NOTE: Chapter needs to keep records. Members do not have to be presenting on behalf of the chapter.

Examples of information dissemination with the chapter: Posted a video or PowerPoint of

presentation on The Circle/ chapter's website.


Published information in the chapter newsletter

Presented a live presentation

Examples of interdisciplinary professional meetings, conferences and forums: American Public

Health Association International

International Association of Gerontology and Geriatrics

European Union Geriatric Medicines Society (EUGMS)

An International Association for Medical Education (AMEE)




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Membership Engagement Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points4. Chapter collaborated with another STTI chapter, community-based group or health-related organization for programming for the membership at large.

NOTE: For more information on events and programs, visit the All Chapter Officers Workgroup library.

Such as: Chapter-chapter

collaboration Regional collaboration Co-hosted research

event Presented seminar

with local hospital Worked with local

cancer society for seminar/workshop

Please list chapter or group and events below:

Please list chapter or group and events below:


5. Chapter sponsored three or more events or programs per year for the membership at large.

NOTE: For more information on events and programs, visit the All Chapter Officers Workgroup library.

Such as: Educational Social Service / volunteer Research Evidence-based

practice Professional

development Global initiatives

Please list title of the events or programs and a brief description below:

Please list title of the events or programs and a brief description below:


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Membership Engagement Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points6. Chapter organized and offered members the opportunity to participate in volunteer/service or philanthropic activities.

NOTE: See the application instruction guide for the definition of a volunteer, service and philanthropy.

Such as: food pantry / food

drive volunteering at a clinic

or shelter Habitat for Humanity

Please describe the organization and the activity supported below:

Please describe the organization and the activity supported below:


7. Chapter re-engaged inactive (non-dues paying) members.

NOTE: A roster of inactive members can be obtained by using the Roster Report Tool the Chapter Management System and selecting the Inactive Only report.

Held special event to reconnect inactive members with the chapter

Send special communication to inactive members inviting them to renew their memberships

Please describe the re-engagement efforts below:

Please describe the re-engagement efforts below:


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Membership Engagement Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points8. Chapter made intentional/targeted efforts to engage specific groups of members.

NOTE: Reports of members are available in the Chapter Management System. To identify transfer members, select the All Activity - Last 90 Days report. Chapters are responsible for obtaining and keeping these records.

Such as: Sent welcoming email

to transfer members and new members

Provided transfer members with a list of upcoming chapter events

Chapter organized and connected members based on nursing specialty

Groups included but are not limited to administrators, educators, nursing specialty, nursing interest, areas of practice, new members, transfer members, retired members, etc.

Please describe the efforts below:

Please describe the efforts below:

1 group = 1 point2 groups = 2 points3 or more = 3 pointsMaximum 6 points total (3 points per year).

9. Chapter involved past chapter officers.

NOTE: Report of officers (both current and past) is available in the Chapter Management System. To identify officer, select the Officers report. Chapters are responsible for obtaining and keeping these records.

Involvement could include: Assist with strategic

planning Serve on a task-force Serve on a past-

president’s council

Please describe the efforts and list members below:

Please describe the efforts and list members below:


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Membership Engagement Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points10. Chapter recognized excellence of individual members for their contributions/accomplishments to nursing, community, chapter, etc.

NOTE: See the application instruction guide for the definition of an award and recognition.

Such as: monetary or non-

monetary awards nominated a member

for an STTI award members spotlight on

the chapter website recognition event

Please list the member and award/nomination:

Please list the member and award/nomination:


11. Chapter used technology to connect and engage membership.

NOTE: For more information about The Circle, visit www.thecircle.nursingsociety.org.

Such as: The Circle Social Media

(Facebook, Twitter, LinkedIn, YouTube)

Skype, Google Hangout, etc.

Please list the activity below and explain the process and the outcomes of the chapter's efforts.

Please list the activity below and explain the process and the outcomes of the chapter's efforts.


12. Chapter promoted the participation of philanthropic activities for the STTI Foundation for Nursing.

NOTE: For more information about STTI Foundation for Nursing giving opportunities, visit http://www.nursingsociety.org > Why STTI? > STTI Foundation for Nursing.

Such as: Chapter Giving Club Chapter encouraged

members to give to Foundation / Orchid Society

Chapter included an article in the chapter newsletter about ways to participate with the STTI Foundation For Nursing

Please describe how the chapter promoted the participation of philanthropic activities with the STTI Foundation For Nursing.

Please describe how the chapter promoted the participation of philanthropic activities with the STTI Foundation For Nursing.


Total points earned for Member Engagement:

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Chapter Operations Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points1. Chapter prepared and implemented a strategic plan, communcations plan, and / or recruitment and retention plan.

NOTE: For more information about strategic planning, visit the All Chapter Officers Workgroup library.

Such as: Organized a strategic

planning committee Used strategic plan to

set chapter leader/board of director's goals

Please explain what components were included in the plan and how the plan was implemented and outcomes were reached.

Please explain what components were included in the plan and how the plan was implemented and outcomes were reached.

One point per year per plan (maximum of 3 points per year, 6 points total)

2. Chapter awarded academic scholarship(s) to nursing students.

NOTE: Chapter must provide information for all three sections per year to receive points.

See application instruction guide for the definition of a scholarship.

Such as: Gifted a monetary

scholarship(s) to members to subsidize/education costs

Member dues subsidies

Name of the scholarship(s) being received below:

Name of the scholarship(s) being received below:

1-2 scholarships =1 point3-4 scholarships = 2 points 5 or more scholarships = 3 pointsMaximum 6 points (3 points per year).

Name of scholarship recipient(s) below:

Name of scholarship recipient(s) below:

Amount of scholarship(s) awarded below:

Amount of scholarship(s) awarded below:

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Chapter Operations Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points3. Chapter awarded research grant(s) to members.

NOTE: Chapter must provide information for all three sections per year to receive points.

See application instruction guide for the definition of a grant.

Such as: Chapter paid for a

member's travel expenses to conduct/share research.

Chapter provided funding for resources (e.g. equipment, tools, etc.) to a member for the purposes of research.

Name of the grant(s) being received below:

Name of the grant(s) being received below:

1-2 grants = 1 point3-4 grants = 2 points5 or more = 3 pointsMaximum 6 points (3 points per year).

Name of grant recipient(s) below:

Name of grant recipient(s) below:

Amount of grant(s) awarded below:

Amount of grant(s) awarded below:

Total points earned for Chapter Operations:

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Publicity & Recruitment Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points1. Chapter provided at least one program/activity/project focused on increasing community awareness of health promotion and prevention of illness.

Such as: Sponsor a health fair

in an underserved area.

Team up with a charitable organization and start a “Nurses for Nets” fundraising program that sends anti-malaria nets to the most needy in the world.

Organize a “Well-Babies Expo” and get local businesses and resources to help sponsor an exhibit at the event.

Promote Gender Equality and Empower Women

Worked to support the UN Sustainable Development Goals

Please describe the program /activity/project below:

Please describe the program /activity/project below:


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http://www.nursingsociety.org/connect-engage/our-global-impact/stti-and-the-united-nations



Publicity & Recruitment Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points2. Chapter provided a program or activity/project focused on increasing community awareness of nursing.

Such as: Participated in local

career fair Chapter partnered

with a local college/university or practice setting professional job shadowing program

If applicable, organized/participated in Nurses Week activities/events

Please describe the event, outcome and how the activity was shared with the chapter below:

Please describe the event, outcome and how the activity was shared with the chapter below:


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Publicity & Recruitment Examples 1 July 2017 – 30 June 2018 1 July 2018 – 30 June 2019 Points3. Chapter conducted efforts to recruit nurse leaders and potential student candidates.

NOTE: For more information about nurse leaders and recruitment techniques visit the All Chapter Officers Workgroup library.

Engaged local non-member nurses to invite them to apply for Nurse Leader membership

Encouraged members to nominate non-member nurses for membership

Hosted a study snack break during finals week in the School of Nursing and informed students about STTI and membership benefits

Please describe the recruitment efforts and results below:

Please describe the recruitment efforts and results below:

1 point per year for efforts to recruit potential student candidates and 1 point per year for efforts to recruit nurse leader candidates. Maximum of four points (2 points per year). See example in the first column for total.

4. Chapter participated in financial or in-kind support/contribution at the international level (STTI Foundation for Nursing).

NOTE: For more information about STTI Foundation for Nursing and chapter giving opportunities, visit http://www.nursingsociety.org > Why STTI? > STTI Foundation for Nursing > Chapters make a difference

Made contribution to the STTI Foundation for Nursing

STTI event sponsor STTI award

presentation sponsor sponsor/co-sponsor of

STTI research grant or leadership education grant

Please list the date and contribution made by the chapter.

Please list the date and contribution made by the chapter.


Total points earned for Publicity and Recruitment:

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Total Possible Points: 72Minimum to be considered for award: 50

Your Overall Points Earned:

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