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Wednesday, December 3, 2014 Hyatt Regency Princeton Hotel INSTITUTE FOR NURSING The Foundation of the New Jersey State Nurses Association Honors men and women in nursing leadership across New Jersey who set high standards of excellence and make a Notable difference in the lives of so many at The 10th Diva and Don Gala Wednesday, December 3, 2014 at the Hyatt Regency Princeton Hotel 102 Carnegie Center | Princeton, New Jersey $150 per person or $1350 for a table of ten Reception: 6:00 pm Dinner: 7:00 pm Black Tie Optional Cash Bar For information, call (609) 883-5335 x 119 RSVP by November 17, 2014
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Page 1: Diva and Don Gala - c.ymcdn.com · Diva and Don Honorees MaryAlyce Berkowitz, RN, MSN, EMT(I) Jersey Shore University Medical Center Barbara Blozen, EdD, MA, RN, BC, CNL New Jersey

Wednesday, December 3, 2014 Hyatt Regency Princeton Hotel

INSTITUTE FOR NURSING The Foundation of the

New Jersey State Nurses Association

Honors men and women in nursing leadership across New Jersey who set high standards of excellence and make a

Notable difference in the lives of so many at

The 10th

Diva and Don Gala

Wednesday, December 3, 2014 at the Hyatt Regency Princeton Hotel

102 Carnegie Center | Princeton, New Jersey

$150 per person or $1350 for a table of ten

Reception: 6:00 pm Dinner: 7:00 pm Black Tie Optional Cash Bar

For information, call (609) 883-5335 x 119

RSVP by November 17, 2014

Wednesday, December 3, 2014 Hyatt Regency Princeton Hotel

INSTITUTE FOR NURSING The Foundation of the

New Jersey State Nurses Association

Honors men and women in nursing leadership across New Jersey who set high standards of excellence and make a

Notable difference in the lives of so many at

The 10th

Diva and Don Gala

Wednesday, December 3, 2014 at the Hyatt Regency Princeton Hotel

102 Carnegie Center | Princeton, New Jersey

$150 per person or $1350 for a table of ten

Reception: 6:00 pm Dinner: 7:00 pm Black Tie Optional Cash Bar

For information, call (609) 883-5335 x 119

RSVP by November 17, 2014

Page 2: Diva and Don Gala - c.ymcdn.com · Diva and Don Honorees MaryAlyce Berkowitz, RN, MSN, EMT(I) Jersey Shore University Medical Center Barbara Blozen, EdD, MA, RN, BC, CNL New Jersey

Diva and Don Honorees

MaryAlyce Berkowitz, RN, MSN, EMT(I) Jersey Shore University Medical Center

Barbara Blozen, EdD, MA, RN, BC, CNL

New Jersey City University

Lynne Borucki, Phd, RNC-OB Rutgers, School of Nursing, Camden

Judith Caruso, DNP, MBA, RN, NEA-BC, FACHE

Seton Hall University College of Nursing

Stephanie Chung, RN, MSN Coastal Volunteers in Medicine

Lori Colineri, MSN, RN, NEA-BC

Robert Wood Johnson University Hospital

Vicki DeNoia, MSN, RN, APN-BC, NP-C Meridian Quality Care

Gloria Essoka, PhD, RN Seton Hall University

Diva and Don Honorees

Benjamin Evans, DD, DNP, RN, APN-C William Paterson University

Joan Harewood, DNP, RN, NEA-BC

Raritan Bay Medical Center

Amanda Hessels, PhD, MPH, RN, CIC, CPHQ Meridian Health

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

Hackensack University Medical Center

Barbara Kunkel, MSN, RN Mercer County Community College

Mary Anne Marra, DNP, MSN, RN, NEA-BC

East Orange General Hospital

Carol Patterson, MSN, BSN, RN, CNE Raritan Valley Community College

Eddie Perez, RN, MHA, NE-BC

St. Joseph’s Regional Medical Center

Diva and Don Honorees

MaryAlyce Berkowitz, RN, MSN, EMT(I) Jersey Shore University Medical Center

Barbara Blozen, EdD, MA, RN, BC, CNL

New Jersey City University

Lynne Borucki, Phd, RNC-OB Rutgers, School of Nursing, Camden

Judith Caruso, DNP, MBA, RN, NEA-BC, FACHE

Seton Hall University College of Nursing

Stephanie Chung, RN, MSN Coastal Volunteers in Medicine

Lori Colineri, MSN, RN, NEA-BC

Robert Wood Johnson University Hospital

Vicki DeNoia, MSN, RN, APN-BC, NP-C Meridian Quality Care

Gloria Essoka, PhD, RN Seton Hall University

Diva and Don Honorees

Benjamin Evans, DD, DNP, RN, APN-C William Paterson University

Joan Harewood, DNP, RN, NEA-BC

Raritan Bay Medical Center

Amanda Hessels, PhD, MPH, RN, CIC, CPHQ Meridian Health

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

Hackensack University Medical Center

Barbara Kunkel, MSN, RN Mercer County Community College

Mary Anne Marra, DNP, MSN, RN, NEA-BC

East Orange General Hospital

Carol Patterson, MSN, BSN, RN, CNE Raritan Valley Community College

Eddie Perez, RN, MHA, NE-BC

St. Joseph’s Regional Medical Center

Page 3: Diva and Don Gala - c.ymcdn.com · Diva and Don Honorees MaryAlyce Berkowitz, RN, MSN, EMT(I) Jersey Shore University Medical Center Barbara Blozen, EdD, MA, RN, BC, CNL New Jersey

Diva and Don Honorees

Kathleen Russell-Babin, PhD, MSN, RN, NEA-BC, ACNS-BC

Meridian Health

Debbie Regen, BSN, RN, MS, NEA-BC Saint Clare’s Health System

Rosemarie Rosales, BSN, MPA, RN, CCRN, CPHQ

East Orange General Hospital

Patricia Worth, RN, MSN, APN Meridian Quality Care

Institute for Nursing

The mission of the Institute for Nursing is to preserve the heritage, principles, values and practices of our health profession through the support of scholarship, education and research. The vision of the Institute for Nursing is to engender the spirit of giving to nurture the soul of nursing now and for future generations. The Institute for Nursing is the public 501[c]3 not for profit founda-tion of the New Jersey State Nurses Association established in 1988 by the former Chief Executive officer of NJSNA, Dorothy Fleming, for-mer NJSNA President Jean Marshall and dedicated community lead-ers and philanthropists. The Institute develops, implements and funds innovative programs and projects influencing the practice and future of nursing professionals.

On behalf of the Institute for Nursing Board of Trustees, we

thank you for your support.

Diva and Don Honorees

Kathleen Russell-Babin, PhD, MSN, RN, NEA-BC, ACNS-BC

Meridian Health

Debbie Regen, BSN, RN, MS, NEA-BC Saint Clare’s Health System

Rosemarie Rosales, BSN, MPA, RN, CCRN, CPHQ

East Orange General Hospital

Patricia Worth, RN, MSN, APN Meridian Quality Care

Institute for Nursing

The mission of the Institute for Nursing is to preserve the heritage, principles, values and practices of our health profession through the support of scholarship, education and research. The vision of the Institute for Nursing is to engender the spirit of giving to nurture the soul of nursing now and for future generations. The Institute for Nursing is the public 501[c]3 not for profit founda-tion of the New Jersey State Nurses Association established in 1988 by the former Chief Executive officer of NJSNA, Dorothy Fleming, for-mer NJSNA President Jean Marshall and dedicated community lead-ers and philanthropists. The Institute develops, implements and funds innovative programs and projects influencing the practice and future of nursing professionals.

On behalf of the Institute for Nursing Board of Trustees, we

thank you for your support.

Page 4: Diva and Don Gala - c.ymcdn.com · Diva and Don Honorees MaryAlyce Berkowitz, RN, MSN, EMT(I) Jersey Shore University Medical Center Barbara Blozen, EdD, MA, RN, BC, CNL New Jersey

Diva & Don Gala Enclosed is $ _______ for _______ # of tickets to attend the Diva and Don Gala on December 3, 2014. Name: Facility/Agency: Street Address: City: State: Zip: Phone: Please make checks payable to The Institute for Nursing, 1479 Pennington Road, Trenton, NJ 08618. Ph: (609) 883-5335 x19 or fax: (609) 883-5343 There is reserved seating for tables of ten. Names must be listed. Sorry, I am not able to attend, but would like to make a donation. Enclosed is my check for $ ________.

Page 5: Diva and Don Gala - c.ymcdn.com · Diva and Don Honorees MaryAlyce Berkowitz, RN, MSN, EMT(I) Jersey Shore University Medical Center Barbara Blozen, EdD, MA, RN, BC, CNL New Jersey

Journal Opportunities

Wednesday, December 3, 2014 Hyatt Regency Princeton Hotel

102 Carnegie Center | Princeton, New Jersey

**Journal Ads must be submitted by November 7, 2014** X Type of Ad Size of Ad Contribution

OUTSIDE BACK COVER FULL COLOR 8”W X 10.5”H $2,000

INSIDE FRONT OR BACK COVER FULL COLOR 8”W X 10.5”H $1,500

FULL PAGE (FC – FULL COLOR; BW – BLACK & WHITE) 7”W X 10”H FC$650;BW$550

HALF PAGE (FC – FULL COLOR; BW – BLACK & WHITE) 7”W X 5”H FC$300;BW$250

QUARTER PAGE (FC – FULL COLOR; BW – BLACK & WHITE) 3.75”W X 5”H FC$200;BW$150

PATRONS/BUSINESS CARDS 3.75”W X 2.5”H $75.00

MECHANICAL REQUIREMENTS: THE OVERALL SIZE OF THE JOURNAL IS 8.5”X11”. FOR INFORMATION ON AD PLACEMENT, CONTACT ALLYSON

FOOSE, GRAPHIC ARTIST AT [email protected]. ALL ADS SHOULD BE SENT IN ONE OF THE FOLLOWING FORMATS: EPS, PDF, DOC. IF CAMERA-READY ARTWORK IS UNAVAILABLE A TEXT ONLY “CONGRATULATIONS” ADVERTISEMENT WOULD BE DEVELOPED AT NO ADDITIONAL

COST. ALL ADS SENT ELECTRONICALLY SHOULD BE SENT TO [email protected] WITH DIVA/DON GALA” IN THE SUBJECT LINE

WITH A COPY TO DEBRA HARWELL, ASSOCIATE DIRECTOR AT [email protected].

**Full Payment must accompany Journal Ads. Make checks payable to: Institute for Nursing

Contact Name:

Title:

Company:

Address:

City: State: Zip:

Telephone: Fax:

E-Mail:

Amex/Visa/MC/Discover Credit Card #: Expiration Date: Security Code:

Please complete, sign and return the form with your credit card information or check to:

Institute for Nursing Attention: DIVA and DON GALA

1479 Pennington Road | Trenton, NJ | 08618

The Institute for Nursing is a 501 (c) (3) not for profit corporation. Federal ID# 22-2259791. Information filed with the Attorney General concerning

this charitable solicitation and the percentage of contributions received by the charity during the last reporting period that were dedicated to the

charitable purpose may be obtained from the Attorney General of the State of New Jersey by calling 973-504-6215 and is available on the internet

at: http://www.state.nj.us/lps/ca/charfrm.htm. Registration with the Attorney General does not imply endorsement.

Page 6: Diva and Don Gala - c.ymcdn.com · Diva and Don Honorees MaryAlyce Berkowitz, RN, MSN, EMT(I) Jersey Shore University Medical Center Barbara Blozen, EdD, MA, RN, BC, CNL New Jersey

Sponsorship Opportunities

Wednesday, December 3, 2014

Hyatt Regency Princeton Hotel 102 Carnegie Center | Princeton, New Jersey

$ LEVEL SPONSORSHIP OPPORTUNITIES $7,500

DIAMOND SPONSOR 1-YEAR INSTITUTE FOR NURSING WEB PAGE AD VIP RESERVED TABLE FOR 10 COLOR CENTERFOLD AD IN PROGRAM BOOK ACKNOWLEDGEMENT AS DIAMOND SPONSOR ON ALL

MATERIALS EXTENSIVE COVERAGE OF LOGO ON MARKING MATERIALS

OPPORTUNITY TO PROVIDE PROMOTIONAL MATERIALS TO ATTENDEES OPPORTUNITY FOR COMPANY CEO/REPRESENTATIVE TO BE

RECOGNIZED & BRIEFLY SPEAK TO ATTENDEES PHOTO OF TABLE GUESTS RECOGNITION AT EVENT & SPECIAL MENTION IN PRESS RELEASES SPONSOR PAGE INCLUSION ACKNOWLEDGEMENT IN NEW JERSEY NURSE NEWSLETTER

$5,000

PLATINUM SPONSOR VIP RESERVED TABLE FOR 10 FULL PAGE COLOR AD IN PROGRAM BOOK ONE 6-MONTH WEB AD ON INSTITUTE WEB PAGE ACKNOWLEDGEMENT AS PLATINUM SPONSOR ON ALL

MATERIALS

SIGNAGE PROMINENTLY DISPLAYED AT EVENT RECOGNITION AT EVENT SPECIAL MENTION IN PRESS RELEASES SPONSOR PAGE INCLUSION PHOTO OF TABLE GUESTS ACKNOWLEDGEMENT IN NEW JERSEY NURSE NEWSLETTER

$2,500

GOLD SPONSOR FULL PAGE AD IN PROGRAM BOOK ONE 3-MONTH WEB AD ON INSTITUTE WEB PAGE ACKNOWLEDGEMENT AS GOLD SPONSOR ON ALL

MATERIALS

SIGNAGE PROMINENTLY DISPLAYED AT EVENT RECOGNITION AT EVENT SPECIAL MENTION IN PRESS RELEASES SPONSOR PAGE INCLUSION ACKNOWLEDGEMENT IN NEW JERSEY NURSE NEWSLETTER

$1,500

SILVER SPONSOR ½ PAGE AD IN PROGRAM BOOK RECOGNITION AT EVENT

SPECIAL MENTION IN PRESS RELEASES SPONSOR PAGE INCLUSION ACKNOWLEDGEMENT IN NEW JERSEY NURSE NEWSLETTER

$1,000

BRONZE SPONSOR ¼ PAGE AD IN PROGRAM BOOK RECOGNITION AT EVENT & SPONSOR PAGE INCLUSION ACKNOWLEDGEMENT IN NEW JERSEY NURSE NEWSLETTER

$150

GENERAL SPONSOR ACKNOWLEDGEMENT IN NEW JERSEY NURSE NEWSLETTER

ALL SPONSOR OPPORTUNITIES INCLUDE RESERVATIONS AND ACKNOWLEDGEMENT IN THE DIVA AND DON JOURNAL. TO ENSURE THAT YOU WILL BE REPRESENTED IN THE JOURNAL, PLEASE SUBMIT JOURNAL AD BY NOVEMBER 7, 2014

Company Contact: Company Name: As it should appear on printed materials

Title:

Address:

City: State: Zip:

Telephone: Fax:

Sponsorship Level: Amount:

Signature Date:

Amex/Visa/MC/Discover Credit Card #: Expiration Date: Security Code:

Please complete, sign and return the form with your credit card information or check to: Institute for Nursing

Attention: DIVA and DON GALA 1479 Pennington Road | Trenton, NJ | 08618

For Assistance, call 609-883-5335; Fax: 609-883-5343 or email [email protected] Your contribution is tax deductible to the extent allowed by law.

The Institute for Nursing is a 501 (c) (3) not for profit corporation. Federal ID# 22-2259791. Information filed with the Attorney General concerning

this charitable solicitation and the percentage of contributions received by the charity during the last reporting period that were dedicated to the

charitable purpose may be obtained from the Attorney General of the State of New Jersey by calling 973-504-6215 and is available on the internet

at: http://www.state.nj.us/lps/ca/charfrm.htm. Registration with the Attorney General does not imply endorsement.


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