Use this form to nominate a preceptor for a Preceptor of the Year or Rookie Preceptor of the Year Award. Preceptor's Full Name * Preceptor's Email Address * Rotation Site * Rotation Type * Introductory Pharmacy Practice Experience (IPPE) Advanced Pharmacy Practice Experience (APPE) Rural health Professions Program (RHPP) Years of Service as a Preceptor 5 years or fewer More than 5 years How many years of service has he/she been a pharmacist? Nominated by (Your Name) * Nominator's Email * Nominator's Graduating Class in Pharmacy School * Describe an example in which the nominee was an excellent teacher: * Describe an example in which the nominee was an excellent role model: * Leave this field blank Submit
