Outstanding Preceptor Award - Nomination Form

Fill out this form by December 31, 2024 to start the nomination process.

Person you would like to nominate for the Outstanding Preceptor Award.
Indicate the dates this person was your preceptor.
If the person you nominated is selected as the award recipient and you would like to remain anonymous, please select YES below.
Please describe how your preceptor has provided an exemplary learning environment, demonstrated a commitment to teach, and embodied an enthusiastic model of professionalism with patients, students, health care professionals, and other stakeholders. Clarity and conciseness will be valued; please keep descriptions to a maximum of 500 words.