star award application

Nominate YOURSELF or a COLLEAGUE for an outstanding contribution to infection prevention and control made between OCTOBER 1, 2018 and SEPTEMBER 30, 2019

APPLICATION DEADLINE: October 15, 2019

STAR Award winners are selected based on criteria that is congruent with the APIC Competency Model.
Review Star Award Criteria before completing the application
(ALL fields are required to submit the application)

Name of Nominee *
Name of Nominee
Person Nominating (Can self-nominate) *
Person Nominating (Can self-nominate)
Nominee's Preferred Phone *
Nominee's Preferred Phone
IP Category *
Using the award matrix, please list the criteria met within each domain and provide details. The Awards Committee will only have the information that you submit, so the more details, the better.
In addition to the above accomplishments, briefly explain why this person is a STAR in the field of infection control and prevention.