2022–2023 Submission Information
- Institution Submission Information
- Office of Experiential Education Nomination Form, including Letter from Recommendation from the Experiential Education Department
- Signed acknowledgment statement from nominating college/school of pharmacy Dean
- Letter of recommendation from a direct supervisor or peer of the nominated preceptor attesting to the preceptor’s experiential and/or professional service competency
- Nominated Preceptor Submission Information
- Questionnaire highlighting the key attributes of the award:
- Experiential Education
- Service to the Pharmacy Profession and College/School of Pharmacy
- Other Healthcare and Non-Healthcare Service
- Awards, Recognitions and Professional Credentials
- Questionnaire highlighting the key attributes of the award: