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Preceptor Treasures

Form

I am currently a:
Preceptor
Orientee
Staff member that is neither a Preceptor, nor Orientee

 

I would like to:

 


PRECEPTOR GEM NOMINATION

(Please complete this section to nominate a Preceptor)


About me:
I am currently a:
Preceptor
Orientee
Staff member that is neither a Preceptor, nor Orientee

Name and Credentials (if applicable)


Title


Unit/Area


Email Address (used only to contact you if we have questions and/or to schedule a photo session)

 

About the person I am nominating:
Name and Credentials


Title


Unit/Area


Email


Please share why the person you are nominating is a Preceptor Gem


Thank you for your nomination



ASK PEARL

(Please complete this section to submit a question)





Email Address
(used only to contact you if we have any followup questions and will be kept confidential)


What is your question for Pearl?
*all names and unit/areas will remain confidential


Thank you for your question
 


 


PRECEPTOR TREASURES PROGRAM
AND/OR WEBSITE SUGGESTIONS

(Please complete this section to submit a suggestion)

 

Email Address (used only to contact you if we have any follow-up questions)

 Please add your comment

Thank you for your suggestion


 

This page was last updated April 15, 2013 and is maintained by