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The Queen's Nursing Institute Scotland

Promoting excellence in community nursing across Scotland

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CNALS Online Application Form

  • Date Format: DD slash MM slash YYYY
  • Name
  • Please note that you must have at least 21 years working in the community to qualify for a Long Service Award
  • Date CompletedName & Place of Education InstituteQualification 
  • DatePositionEmployer 
  • Address to send Award to:

  • Home address
  • Work address
  • Is this a:
  • (if unable to contact you at address above)
  • The Queen’s Nursing Institute Scotland (QNIS) is committed to protecting your privacy in line with the General Data Protection Regulation (GDPR) 2018.

    This policy explains what information we collect, what we will and won’t do with the information, how we protect your data, and your rights under the new law.

    To verify that the information supplied on this form is correct we may contact your current employer.

    Please provide details below:

  • If you or the person nominating you would like to provide a supporting statement, please complete below:
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31 Castle Terrace
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Email: office@qnis.org.uk
Telephone: 0131 229 2333

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