STAR Award application

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


 STAR Awards winners are selected based on criteria that is congruent with the APIC Competency Model.

DOWNLOAD THE CRITERIA before completing the application

Note:  If you want to save this application for your records, either
     1) Print screen [(Alt + PrintScreen) then paste into a document] before you submit the application
     2) Print the web page before you submit the application

Name of Nominee *
Name of Nominee
Person Nominating (can be self nominate) *
Person Nominating (can be self nominate)
Nominee's Preferred Phone Number *
Nominee's Preferred Phone Number
Using the award matrix, please list the criteria met within each domain and provide details. The awards committee will only know the information submitted-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.