2025 Preceptor Award Nomination

Date*

Your Contact Information

Your First and Last Name*

Your @vumc.org email*

Your VUMC ID*

Your General Information

Your Entity*

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Your Department*

Your Manager's Name:*

Your Job Role*

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Please List Your Job Role

The Preceptor Nominee

Name of the Preceptor You Want to Nominate*

Preceptor's Job Role

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Please List the Preceptor's Job Role

Does this preceptor work in your department?*

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Preceptor's Department

Preceptor's Manager (if known)

Nomination Category

Select a nomination category. Each category has a brief description to help you decide. For more details, select the link. If you're unsure, pick the category that best matches your example or story.*

Evaluator - guides new staff by setting goals, observing, and providing feedback.
Facilitator – supports learning and seeks new opportunities for orientee to learn and/or practice.
Teacher – explains or demonstrates new knowledge.
Protector - ensures safety and supports and guides the orientee in preventing mistakes.

VUMC Preceptor Nomination Categories

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Nomination Examples

Share a specific story or example of how the preceptor has helped you in the category you selected. Sharing details about your experience will help the nomination committee understand why you believe this preceptor deserves recognition. Describe a time when the preceptor’s actions, advice, or support had a significant impact on you. The clearer and more detailed your story, the better the committee will be able to see why this preceptor stands out.

Example 1*

Example 2 (Optional)

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