Distinguished Preceptor Recognition Program Questionnaire

AACP Resource

This questionnaire should be completed by the preceptor being nominated for the AACP Distinguished Preceptor Recognition Program (DPRP). The purpose of this questionnaire is to supplement the nominee’s resume or curriculum vitae and to provide additional insight of the nominee in areas pertaining to the DPRP award criteria.

Only the information provided in the questionnaire will be considered during the review process.

  • Current Preceptor Information
  • Experiential Education
  • Service to the Profession and College/School of Pharmacy
  • Other Healthcare and Non-Healthcare Service
  • Awards, Recognitions and Professional Credentials
  • Preview
Preceptor Information
Nominating Institution
Nominating Institution #2
(Applicable only if being nominated by two colleges/schools of pharmacy)
Maximum 2 files.
100 MB limit.
Allowed types: pdf, doc, docx.