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Submitted URL: https://visit.perfectserve.com/e/919593/nurses-2022-nominations-/mlx2p/131566625?h=qpY77CfXZaGFNzno-mtpZ0ijMNWCuT7zCd-ZqIR1VGA
Effective URL: https://try.perfectserve.com/nurses-2022-nominations/
Submission: On April 01 via manual from US — Scanned from DE
Effective URL: https://try.perfectserve.com/nurses-2022-nominations/
Submission: On April 01 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
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<form action="/fsg?pageId=9eeb52b3-161c-4565-8652-1ef3470f3563&variant=i" method="POST"><input type="hidden" name="pageId" value="9eeb52b3-161c-4565-8652-1ef3470f3563"><input type="hidden" name="pageVariant" value="i">
<div class="fields">
<div class="lp-pom-form-field single-line-text" id="container_name"><input id="name" name="name" type="text" class="ub-input-item single text form_elem_name" placeholder="*Name of Nominee" required=""></div>
<div class="lp-pom-form-field single-line-text" id="container_organization"><input id="organization" name="organization" type="text" class="ub-input-item single text form_elem_organization" placeholder="*Nominee's Organization" required=""></div>
<div class="lp-pom-form-field email" id="container_nominees_email_address"><input id="nominees_email_address" name="nominees_email_address" type="email" class="ub-input-item single text form_elem_nominees_email_address"
placeholder="*Nominee's Email Address" required="" pattern="^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9_-]+\.[a-zA-Z0-9-.]{2,61}$"></div>
<div class="lp-pom-form-field single-line-text" id="container_your_name"><input id="your_name" name="your_name" type="text" class="ub-input-item single text form_elem_your_name" placeholder="*Your Name" required=""></div>
<div class="lp-pom-form-field email" id="container_your_email_address"><input id="your_email_address" name="your_email_address" type="email" class="ub-input-item single text form_elem_your_email_address" placeholder="*Your Email Address"
required="" pattern="^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9_-]+\.[a-zA-Z0-9-.]{2,61}$"></div>
</div><button class="lp-element lp-pom-button" id="lp-pom-button-127" type="submit"><span class="label"><strong>Next</strong></span></button>
<input type="hidden" name="ubafs-jev" id="ubafs-jev"
value="{"date":"2022-04-01T15:39:57.311Z","agent":"Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/100.0.4896.60 Safari/537.36","screen":{"availWidth":1600,"availHeight":1200,"width":1600,"height":1200},"window":{"innerWidth":1600,"innerHeight":1200},"hasPlugins":true}">
</form>Text Content
Share a little about yourself as a business owner, or maybe describe what makes your service unique. Give visitors one more reason to care about your offer and want to work with you. SOME MORE INFORMATION ABOUT YOUR BUSINESS ABOUT Talk about some of the details of your offer with a focus on the value people get back. FEATURE 1 Is there a pain point that your service resolves? Tell visitors about it here. FEATURE 2 Alternatively, you could use this section to address some frequently asked questions. FEATURE 3 Location Real Name Share a real testimonial that hits some of your benefits (but isn't too sales-y). Location Real Name Include someone talking about how easy it was to sign up and participate. DON'T JUST TAKE OUR WORD FOR IT Include a video or photo from one of your sessions to help people understand your service (or just to hype ‘em up). SHOW VISITORS WHAT THEY'RE SIGNING UP FOR NOMINATE A NURSE Next NOTE: ALL FIELDS ARE REQUIRED ABOVE. WE DON’T HAVE TO EXPLAIN THAT NURSES ARE, QUITE SIMPLY, THE BACKBONE OF THE CARE TEAM. THAT’S WHY PERFECTSERVE LAUNCHED THE FIRST-EVER NURSES OF NOTE PROGRAM LAST YEAR—TO SHINE A LIGHT ON THE INCREDIBLE WORK NURSES DO EVERY DAY. NOMINATIONS OPEN FOR PERFECTSERVE'S 2022 NURSES OF NOTE NOMINATIONS OPEN FOR PERFECTSERVE'S 2022 NURSES OF NOTE WE DON’T HAVE TO EXPLAIN THAT NURSES ARE, QUITE SIMPLY, THE BACKBONE OF THE CARE TEAM. THAT’S WHY PERFECTSERVE LAUNCHED THE FIRST-EVER NURSES OF NOTE PROGRAM LAST YEAR—TO SHINE A LIGHT ON THE INCREDIBLE WORK NURSES DO EVERY DAY. Privacy Policy | Terms and Conditions | All Rights Reserved. PerfectServe ® 2022 THE 2021 PROGRAM WAS A TREMENDOUS SUCCESS, AND WE'RE THRILLED TO LAUNCH THE CALL FOR NOMINATIONS FOR NURSES OF NOTE 2022. THROUGHOUT THIS PROGRAM, WE HOPE TO HEAR EVEN MORE INSPIRING STORIES ABOUT NURSES WHO DEDICATE THEMSELVES TO THE CRAFT OF PATIENT CARE. WHO SHOULD BE NOMINATED? TO PUT IT SIMPLY, WE’RE LOOKING FOR NURSES WHOSE DEDICATION, SACRIFICE, COMPASSION, AND RESILIENCE OVER THE PAST 12 MONTHS HAVE BEEN A SOURCE OF INSPIRATION FOR OTHERS. THERE ARE MANY WAYS TO CHECK THOSE BOXES, AND WE WANT TO HEAR ABOUT ALL OF THEM. SO, IF YOU’RE A NURSE—OR YOU KNOW A NURSE—WHO DESERVES THIS HONOR, FILL OUT THE FORM AND ANSWER A FEW QUESTIONS ON THE NEXT PAGE TO TELL US WHY. ALL OF THIS INFORMATION WILL BE USED TO DETERMINE WHO IS A NURSE OF NOTE FOR 2022. SUBMISSIONS MUST BE COMPLETED BY FRIDAY, APRIL 15. WINNERS WILL BE REVEALED DURING NATIONAL NURSES WEEK IN MAY. THANKS FOR HELPING US RECOGNIZE SOME NOTEWORTHY NURSES! THE 2021 PROGRAM WAS A TREMENDOUS SUCCESS, AND WE'RE THRILLED TO LAUNCH THE CALL FOR NOMINATIONS FOR NURSES OF NOTE 2022. THROUGHOUT THIS PROGRAM, WE HOPE TO HEAR EVEN MORE INSPIRING STORIES ABOUT NURSES WHO DEDICATE THEMSELVES TO THE CRAFT OF PATIENT CARE. WHO SHOULD BE NOMINATED? TO PUT IT SIMPLY, WE’RE LOOKING FOR NURSES WHOSE DEDICATION, SACRIFICE, COMPASSION, AND RESILIENCE OVER THE PAST 12 MONTHS HAVE BEEN A SOURCE OF INSPIRATION FOR OTHERS. THERE ARE MANY WAYS TO CHECK THOSE BOXES, AND WE WANT TO HEAR ABOUT ALL OF THEM. SO, IF YOU’RE A NURSE—OR YOU KNOW A NURSE—WHO DESERVES THIS HONOR, FILL OUT THE FORM AND ANSWER A FEW QUESTIONS ON THE NEXT PAGE TO TELL US WHY. ALL OF THIS INFORMATION WILL BE USED TO DETERMINE WHO IS A NURSE OF NOTE FOR 2022. SUBMISSIONS MUST BE COMPLETED BY FRIDAY, APRIL 15. WINNERS WILL BE REVEALED DURING NATIONAL NURSES WEEK IN MAY. THANKS FOR HELPING US RECOGNIZE SOME NOTEWORTHY NURSES!