Thursday, December 10, 20159:30 a.m. to 2 p.m. in Forsgate Country Club

Brunch 10:00 a.m.-11:15 a.m. President’s Welcome Keynote Speaker 2015 Nursing Leadership Awards Presentation Installation of Officers for 2016

Featured Speaker DONNA HARTLEY

� Nursing Leadership

inNew Jersey

elebratingC

The Organization of Nurse Executives of New Jersey invites you to attend the...

ANNUAL HOLIDAY MEETING AND AWARDS BRUNCH

Nursing Leadership inNew Jersey

elebratingCANNUAL HOLIDAY MEETING AND AWARDS BRUNCH

DONNA HARTLEY has an amazing story…

she is proof that one woman can walk through fire and deliver

a message powerful enough to impact millions of lives. This is an empowering

survival story. Drawing on her three life-threatening events (which all occurred

on dates of March 1st) she ignites you with firepower for personal leadership and gives you proven strategies to

master change in your life. Cry, laugh, and be inspired! She is a graduate of the University of Hawaii and former Miss Hawaii. Donna has been

featured on PBS, NBC, ABC and in The New York Times. She is the author of Fire Up Your Life!, Fire Up Your Intuition! and Fire Up Your Healing!

2015 NURSING LEADERSHIP AWARDEES

PROFESSIONAL RECOGNITION AWARD

Trish O’Keefe, PhD, RN, NE-BCInterim President

Morristown Medical Center

NURSE EXECUTIVE AWARD

Lea Rodriguez, MAS, BS, RNVice President, Patient Care

Services and Chief Nursing Officer Clara Maass Medical Center

DIVISIONAL LEADER AWARD

Ramonita Jimenez, DNP, MPA, RN, NE-BC

Administrator, Department of Patient CareHackensack University Medical Center

NURSE LEADER AWARD

Mary Jo Tracy, MSN, RN, CCRNDirector, Intensive Care Unit Holy Name Medical Center

ASPIRING NURSE LEADER AWARD

Lauren Russo, MSN, RN, OCNClinical Director

Monmouth Medical Center

DISTINGUISHED SERVICE AWARD

Patricia Steingall, RN, MS, NE-BCChief Nursing Officer and Vice President Patient Care ServicesHunterdon Medical Center

IMPACT AWARD

ONE NJ Mentorship Committee

LIFETIME ACHIEVEMENT AWARD

George J. HebertPresented posthumously

LIVING LEGENDS ADVANCED LEADERSHIP SCHOLARSHIP AWARDEES

Avril A. Keldo, MSN, APN-C, RN-BC, OCNNurse Manager, Medical Oncology UnitSaint Peter’s University Hospital

Cathy Janzekovich, RN-BC, MA, NEA-BCAssistant Vice President of NursingCentraState Healthcare System

Lydia Alicia Cristobal, MS, LNHA, RN-BCAdministrative Supervisor, Bayonne Medical Center, BayonneCaptain/Commander, US Army Reserve, 311th Military History Detachment, Fort Totten, NY

Patricia Bowen, MSN, MBA, RN, NE-BCAssistant Vice President/Administrative Director, Nursing Administration Virtua Berlin and Voorhees

ONE NJ ANNUAL AWARDS BRUNCH, DECEMBER 10ADVERTISEMENT IN THE PROGRAM BOOK ORDER FORM

PRICE: $500

NAME

ORGANIZATION

ADDRESS

CITY

STATE ZIP

PHONE

ARTWORK DEADLINE: NOVEMBER 13

SPECIFICATIONS:

Ad Size 7.5" wide x 10" tall

Full-page bleeds cannot be accommodated

Final Trim Size: 8.5" wide by 11" tall

Black and white

Ad pages printed by Xerox Docutech

Black & white ads will be accepted as Adobe Acrobat PDFs saved as a print-optimized (high resolution, minimum 300 dpi) no image compression and embedded fonts; or Adobe Photoshop CS6 (.tif, .eps, .psd, .jpg) saved at a minimum of 300 dpi, sized at 100%.

Complete and send this order form to scholewka@njha.com.

Questions – Please Contact:Susan Cholewka, Executive Director, ONE NJscholewka@njha.com 609-275-4110

MAIL REGISTRATION WITH PAYMENT TO:

ONE/NJ PO Box 6066 Bellmawr, NJ 08099 or register online or fax with credit card information to 609-275-4271

Registrations will be accepted by FAX 609-275-4271 ONLY IF ACCOMPANIED BY credit card information (MasterCard, VISA or American Express)

Cancellations received prior to December 4th will receive a refund minus a $70 per person service fee. Cancellations received after that date are not eligible for a refund.

Registrants unable to attend may send an alternate.

No confirmation will be sent.

For more information, or if you have a disability and need special accomodations, call 609-275-4180.

Directions to Forsgate County Club, 375 Forsgate Drive, Monroe Township, NJ 08831 www.forsgatecc.com

NAME CREDENTIALS

TITLE

ORGANIZATION

ORGANIZATION ADDRESS

PHONE FAX

EMAIL ADDRESS

METHOD OF PAYMENT:

Check (Make payable to ONE/NJ) Check # ________________

MasterCard Visa American Express

NAME ON CARD

CARD NUMBER

EXPIRATION DATE CCV CODE

SIGNATURE

BILLING ADDRESS (IF DIFFERENT FROM ABOVE)

To register online with a credit card, please go to

www.HRET-Register.com

Seminar #: EDU 1558 (AWARDS BRUNCH) – INDIVIDUAL REGISTRATION: $165 per person

MAIL REGISTRATION WITH PAYMENT TO:

ONE/NJ PO Box 6066 Bellmawr, NJ 08099 OR register online OR fax with credit card information to 609-275-4271

Registrations will be accepted by FAX 609-275-4271 ONLY IF ACCOMPANIED BY credit card information (MasterCard, VISA or American Express)

Cancellations received prior to December 4th will receive a refund minus a $70 per person service fee. Cancellations received after that date are not eligible for a refund.

Registrants unable to attend may send an alternate.

No confirmation will be sent.

For more information, or if you have a disability and need special accomodations, call 609-275-4180.

Directions to Forsgate County Club, 375 Forsgate Drive, Monroe Township, NJ 08831 www.forsgatecc.com

To register online with a credit card, please go to

www.HRET-Register.com

Seminar #: EDU 1558 (AWARDS BRUNCH) – TABLE REGISTRATION

CHECK ONE: (Tables of 10 only)

____ Table for 10 with one seat for Award Honoree @ $1,485.

____ Tables for 10 @ $1,650.

Total amount paid ________________

Name Credentials Titles Name of organization if diferent than above