Sigma Theta Tau International Honor Society of ... - Regis College

Sigma Theta Tau International Honor Society of Nursing - Pi Epsilon Chapter at LargePi Epsilon-at-Large ChapterSigma Theta Tau InternationalHonor Society of NursingRegis College235 Wellesley StreetWeston, MA 02193781-768-7090Emmanuel College400 The FenwayBoston, MA 02115617-735-9935Information & Membership Application Form – Nurse LeaderI. Philosophy of Membership EligibilityPhilosophy and PurposePhilosophy of membership eligibility is consistent with the purposes of Sigma Theta Tau.Awarding membership encourages, fosters and actively supports further professionaldevelopment, thus promoting nursing scholarship, leadership, research, creativity, andcommitment to nursing, fulfilling the purposes of the honor society.The honor society endeavors to seek out and recognize all students in baccalaureate orhigher degree nursing programs who have demonstrated ability in nursing as evidencedby superior academic achievement. Personal achievement of the purposes of this societyis a developmental process; therefore, individuals who do not meet the eligibilityrequirements as undergraduate students may emerge to meet the requirements later intheir graduate program or professional careers as nurse leaders. The growth of the societyand its continued support of the purposes are reflected through the membership selectionprocess.II.Purpose of the Honor SocietyA. Recognize superior achievement and scholarshipB. Recognize the development of leadership qualitiesC. Foster high professional standardsD. Encourage creative workE. Strengthen commitment to the ideals and purposes of the profession.(*Extracted and reviewed 9/26/11 from www.http://www.nursingsociety.org/Membership/ApplyNow/Pages/mem_criteria.aspx)1

Sigma Theta Tau International Honor Society of Nursing - Pi Epsilon Chapter at LargeExamples of Nurse Leader Achievements in Nursing:Creativity/Innovation in clinical practiceLeadership qualities contributing to improved health careTeachingAdministrationCurriculum developmentImprovement of the status of nursing organizationsInnovative student-focused learning approachesResearch development utilizationEntrepreneurial skillsStaff developmentMentoring of colleaguesInnovative professional recognition of programsList of Sample Achievements from Previous Candidate Forms:Nursing faculty member for 23 yearsWriting articles for Nursing Spectrum magazineRecognized for outstanding care of treating special patients in Saudi ArabiaAdjunct instructor, write monthly health columns for local newspaperBegan precepting newer nursesDeveloped classes to help educate the staff on certain areasIn charge of a 24 bed open heart surgery unitTeam leader of a critical care ambulanceCare of indigent, homeless, migrant patientsDeveloped and ran nursing health education services for rural educationIncreased nursing services with Medicaid grantsTeam researcher in Distance Learning ProjectReviewer of "The Journal of Nursing Education"Forensic nurse who forged collaboration between police, rape crisis interviewers and medicalteamsExpert witness in area of forensic medical evaluationsSenior leadership as a nurse in the Navy for 33 yearsReceived military medal for excellenceSpoke at a convention of a national organizationAdvocates for the profession in state governmentReceived award from AANP (or other national organization)Nominated as Nurse of the Year by ________ organizationServed on various task forces, staff retention teams, and councilsHeld executive offices in nursing organizationsServed as an undergraduate curriculum committee representativeExperienced lecturer on topic of expertiseDeveloped cancer screening programs to meet the needs of the under insured and those in ruralcommunitiesServe on the board of directors of nursing or other organizationWorked on developing policy, procedures and nurse position statements to improve patient care(Extracted and reviewed 11/6/11 from www.http://www.nursingsociety.org/Membership/ApplyNow/Pages/nl_memcriteria.aspx)3

Sigma Theta Tau International Honor Society of Nursing - Pi Epsilon Chapter at LargeMembership Intent FormPi Epsilon at Large Nursing Honor SocietyNURSE LEADERCRITERIA: Nurses legally recognized to practice nursing in his/her country, have a minimum of abaccalaureate degree or the equivalent in any field, and demonstrate achievement in nursing.Name: ________________________________________________________________________(Last) (First) (Middle initial)Present Address: ________________________________________________________________Phone Number: _______________________ E-mail Address:FORMAL EDUCATION: Education (include basic preparation through highest degree earned).Note: This application should not be submitted if you are currently enrolled in a nursing degree program,do not hold a baccalaureate degree or equivalent or are not legally recognized to practice nursing in yourcountry.EXPERIENCE: Describe your professional experience and achievements in nursing, plus how you havecontributed to the honor society's vision to create a global community of nurses who lead in usingknowledge, scholarship, service and learning to improve the health of the world’s people.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Candidate’s Signature_______________________DatePlease submit this form and:1. Membership Vitae, which includes formal education, professional work experiences, communityparticipation, publications, papers presented, grants received, teaching activities. Please include adescription of present and most recent contributions in nursing and future professional goals.2. Two letters of endorsementThe letters of endorsement can be from nursing faculty, other nurses in leadership roles, or activeSigma Theta Tau International members.4

Sigma Theta Tau International Honor Society of Nursing - Pi Epsilon Chapter at LargeMembership VitaeName: _______________________________________________________________________(Last) (First) (Middle Initial)Schools Attended: Degree YearWork Experience (Past 10 Years):Professional Memberships:Recent Research, Publications:Scholarly ActivitiesType of ActivityForm of Dissemination(Please feel free to use extra pages to complete Membership Vitae.)5

Sigma Theta Tau International Honor Society of Nursing - Pi Epsilon Chapter at LargeEndorsement for MembershipPi Epsilon-at-Large Nursing Honor SocietyNURSE LEADERDEFINITION: An endorsement is a letter supporting an individual for membership* in thenursing honor society. Two endorsements per individual are necessary in order for anapplication to be considered by the Honor Society Eligibility Committee. At least one of the twoendorsements is required to be from a member of the nursing faculty.This endorsement enables the candidate to be considered for membership. The EligibilityCommittee of the honor society invites your letter of endorsement supporting the followingindividual for membership:_____________________________________ is applying for membership in the_____________________________________ Nursing Honor SocietyOn the basis of this individual’s achievement and my knowledge of the purposes of thehonor society, I heartily endorse this individual for membership in the nursing honorsociety.Signature __________________________________________ Date ___________________Position ___________________________________________________________________Relationship to Applicant _____________________________________________________Are you a member of Sigma Theta Tau International? Yes __________No___________If yes, please indicate the chapter _______________________________________________Comments: (if desired) _________________________________________________________________________________________________________________________________* THE NURSE LEADER CRITERIA FOR MEMBERSHIP ARE AS FOLLOWS: Nurseslegally recognized to practice nursing in his/her country, have a minimum of a baccalaureatedegree or the equivalent in any field, and demonstrate achievement in nursing.11/6/11 pg;jd6

Sigma Theta Tau International Honor Society of Nursing - Pi Epsilon Chapter at LargeEndorsement for MembershipPi Epsilon-at-Large Nursing Honor SocietyNURSE LEADERDEFINITION: An endorsement is a letter supporting an individual for membership* in thenursing honor society. Two endorsements per individual are necessary in order for anapplication to be considered by the Honor Society Eligibility Committee. At least one of the twoendorsements is required to be from a member of the nursing faculty.This endorsement enables the candidate to be considered for membership. The EligibilityCommittee of the honor society invites your letter of endorsement supporting the followingindividual for membership:_____________________________________ is applying for membership in the_____________________________________ Nursing Honor SocietyOn the basis of this individual’s achievement and my knowledge of the purposes of thehonor society, I heartily endorse this individual for membership in the nursing honorsociety.Signature __________________________________________ Date ___________________Position ___________________________________________________________________Relationship to Applicant _____________________________________________________Are you a member of Sigma Theta Tau International? Yes __________No___________If yes, please indicate the chapter _______________________________________________Comments: (if desired) _________________________________________________________________________________________________________________________________* THE NURSE LEADER CRITERIA FOR MEMBERSHIP ARE AS FOLLOWS: Nurseslegally recognized to practice nursing in his/her country, have a minimum of a baccalaureatedegree or the equivalent in any field, and demonstrate achievement in nursing.11/6/11 pg;jd7