2024 HPSA Advisor of the Year Nomination Form
Thank you for your interest in nominating an advisor for the 2024 HPSA Advisor of the Year Award! Each year, we recognize advisors from public and private institutions for their dedication to student achievement. Please complete the form below and let us know how your nominee guided you through your pre-professional pursuit of a career in healthcare. Your nominee can be an advisor, faculty, advisory committee, other staff, or entire school advisory program.

Rules and conditions may be found at the bottom of this form.
Sign in to Google to save your progress. Learn more
Your Information
All fields required
Your Name (Last, First, MI) *
Your Personal Email *
Your School Email (if applicable, otherwise, N/A) *
Student Program *
Institution Information
All fields required
Institution Name *
Institution Type *
State/District/Territory of Institution *
Institution City *
Nominee Information
Your nominee can be an advisor, faculty, advisory committee, other staff, or entire school advisory program.
Please be as specific as possible.
All fields required.
Nominee Name (Last, First, MI) *
Nominee Email *
Nominee Phone *
College/University where Nominee Advise(d) *
Tell Us Your Story
Required.
500 Word Limit.
Why does your nominee deserve to be Advisor of the Year? How did they go above and beyond for you? Explain how your nominee helped, guided, or impacted your pre-professional healthcare career pursuit. Please include specific examples/conversations/moments. *
Additional Information
All fields required. If question does not apply, please type "N/A"
Size of Institution *
Does your Institution have a pre-professional (pre-health) advisory group or committee? *
If your Institution has a pre-professional advisory group/committee, are you assigned a specific advisor? *
If you are assigned a specific advisor, about how many students is each advisor assigned? *
If your Institution does NOT have a pre-professional advisory group/committee, are you assigned any type of advisor? Please describe or enter N/A if not applicable. *
Rules and Conditions

The Health Professional Student Association (HPSA) Advisor of the Year program is open to advisors, faculty, advisory committees, other staff, or entire school advisory programs at non-profit educational institutions in the United States or territories. Institutions can be at the associate (Community College), undergraduate, or post-baccalaureate level. Advisors from for-profit advising services and institutions will not be considered for this award.

Nominations are accepted from February 14, 2024, through March 31, 2024. No late submissions will be considered. Nominations must be provided by current or former students, and verification of student nominators may be required.

The HPSA Student Advisory Council will select two awardees from all valid nominations received by the deadline. The Student Advisory Council reserves the right to award multiple or no recipients by category, depending on the nominations received. All decisions of the Student Advisory Council are final. Awardees will be announced at the NAAHP Conference in Cincinnati, OH in June.

Questions about the award may be sent to contact@hpsa.org.

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Health Professional Student Association. Report Abuse
Google Forms