CAPA PA Educator of the Year Award

This award recognizes a PA’s contribution as a PA preceptor or educator. Recipient must be a CAPA member. Selection for this award will be based on the following criteria:

• Support educational advancement of PA students

• Promotion of student leadership

• Evidence of mentoring efforts

• Professional leadership activities

• Community and volunteer activities

Nominator Name *

Nominator Email *

Nominee Name *

Nominee City *

Nominee Specialty (if applicable)

Nominee Email Address *

Nominee Phone Number *

Recommendation - Please attach a letter of recommendation that describes why the PA educator nominated is deserving of this award. *

Supporting Documents - Please attach any other supporting materials (CV, articles, additional letters of recommendation, etc.) that would help the Awards committee in

I confirm that the Nominee is a CAPA member. *

Yes

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