OSWAPIC STAR Award Nomination Form

OSWAPIC 'STAR' Award Nomination Form

2025 'Special Thanks And Recognition' Nomination
Nominator's Information
The OSWAPIC 'Special Thanks And Recognition' (STAR) Awards are an annual recognition bestowed by the OSWAPIC Chapter to honor outstanding members for their exceptional contributions to the field of Infection Prevention.

These awards aim to appreciate individuals for their exceptional performance, promote innovation, and encourage creative thinking within the Infection Prevention profession. The STAR Award aligns with the National APIC Competency Model, recognizing excellence in key areas essential for advancing infection prevention and control.
Nominator's Name*

First NameLast Name
Nominator's Email*
example@example.com
Nominator's Phone Number*
Please enter a valid phone number.
As the nominator, would you like to remain anonymous?*

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STAR Award Nomination Categories & Criteria Details

Please review the six STAR Award categories below and complete the nomination form.
- Leadership STAR Award:
  - Demonstrates effective communication and team-building skills.
  - Exhibits visionary leadership that inspires others in the field.
- Professional Stewardship STAR Award
  - Acts as a role model for ethical practice and professional development.
  - Engages in mentoring and supporting the growth of others in the profession.
- Research STAR Award
  - Contributes to the body of knowledge in Infection Prevention through research or evidence-based practice.
  - Publishes findings or presents at conferences to disseminate knowledge.
- IPC Operations STAR Award
  - Implements effective infection prevention and control measures within healthcare settings.
  - Demonstrates innovative approaches to improving IPC practices.
- Quality Improvement STAR Award
  - Participates in quality improvement initiatives that enhance patient safety and outcomes.
  - Utilizes data to drive decisions and improve IPC practices.
- IPC Informatics STAR Award
  - Uses technology and data management to advance infection prevention efforts.
  - Implements informatics solutions that enhance surveillance and reporting capabilities.
STAR Award Nominee Information
Nominee's Full Name*

First NameLast Name
Nominee's Job Title
(if known)
Nominee's Job Organization
(if known)
Nominee's Email
(if known)
Nominee's Phone Number
Please enter a valid phone number. (if known)
How do you know the Nominee?*

Fellow OSWAPIC MemberCoworkerSupervisorDirect ReportHealthcare PartnerPreviously Worked TogetherOther
If selected 'other', please explain
Nomination Category*

LeadershipProfessional StewardshipResearchIPC OperationsQuality ImprovementIPC Informatics
Please provide a detailed description using specific examples of the Nominee's contributions and/or achievements to the field of Infection Prevention as it relates to the selected STAR Award nomination category (min 150 words, no more than 500 words).*

0/500
Optional: Upload any supporting documents or additional information

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OSWAPIC 'STAR' Award Nomination Form

Nominator's Information

STAR Award Nomination Categories & Criteria Details

STAR Award Nominee Information