Distinguished Preceptor Recognition Program: Office of Experiential Education Nomination Form

AACP Resource
  • Each nomination must be submitted by the Experiential Education Department from no more than two colleges/schools of pharmacy. Each college/school of pharmacy may nominate no more than one nominee per year. A nominee’s name may not be submitted posthumously. Re-nominations of past preceptors nominated for the award are welcome.
  • Nominated preceptors must not be full-time employees nor have a primary employment commitment (>50% of the nominated preceptor’s work salary) at a U.S. member college or school of pharmacy.
  • Nominated preceptors must have a minimum of 6 years of preceptor experience for a college/school of pharmacy. The total years of experience do not all have to be from the same college/school.
  • Application Elements include:
    • Signed Acknowledgement Statement from School/College of Pharmacy
    • Completed Office of Experiential Education Nomination Form
      • Including Letter of Recommendation from the Office of Experiential Education
    • Completed Direct Supervisor/Peer Colleague Letter of Recommendation 
    • Completed Questionnaire by the nominated Preceptor
      • Including submitted curriculum vitae/resume
Nominator Information
Institution
One file only.
100 MB limit.
Allowed types: pdf, doc, docx.
Is the preceptor being co-nominated by another college/school of Pharmacy?
By signing above, you acknowledge your college/school’s intent to submit a nomination application for the Distinguished Preceptor Recognition Program.  You also will ensure that all portions of the Nomination Application are completed by the appropriate person)
Nominated Preceptor Information