Academic Excellence Award Nominator'S Checklist Form printable pdf download

Academic Excellence Award Nominator'S Checklist Form

Academic Excellence Award Nominator’s Checklist

Note: Please use this form as a guide for information gathering and for organizing

your submission.

Submissions are NOT accepted by scan or fax. All

submissions must be entered online into Jot Form.

Field

EXCELLENCE IN ACADEMIA AWARD: Advancing Academic Excellence in

of Nursing Simulation & Clinical Laboratories

“This a ward i s g iven t o a m ember w ho d emonstrates a s ustained r ecord o f t eaching

excellence i n S imulation T eaching a nd L earning i n A cademic S ettings. T he s uccessful

nominee d emonstrates f lexibility, c reativity, e nthusiasm f or, a nd i nnovation i n, t he

delivery a nd d issemination o f s imulation-‐based e ducation w here e ducational

endeavors a re v alidated b y e vidence o f p ositive o utcomes f or s tudents a nd/or f aculty.

Moreover, t he n ominee c onsistently e mploys I NACSL S tandards o f B est P ractice:

Simulation ( 2013) i n t eaching a nd l earning a nd i s h eld i n h igh r egard w ith s tudents a nd

colleagues.”

Nominee Information:

First and Last Name __________________________________________________

Title and Credentials __________________________________________________

Home Address: ______________________________________________________

City __________________________________ State/Province _________________

Country __________________________Zip/Postal Code _____________________

Email Address _______________________________________________________