STAR Award application

Nominate YOURSELF or a COLLEAGUE for outstanding contribution to infection prevention and control made between OCTOBER 1, 2017 and SEPTEMBER 30, 2018.  

APPLICATION DEADLINE:  November 9, 2018

 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
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     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.