College of Health and Human Services

Interprofessional Collaboration Award Nomination Form

Submit information about your nominee below. Criteria and considerations are below the form. Read more about the Interprofessional Education Excellence Award.

Your Name (required)

Your Email (required)

Project name (required)

Project description (required)

Attach a detailed description (around three pages long) of the collaborative teaching, practice, research or scholarly activity and your justification for the nomination, specifically addressing the selection criteria for the award.
One file only.
2 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.

Nominee 1 (required)

Nominee 1 College (required)

Nominee 1 School/Department (required)

Nominee 1 Faculty Rank (required)

Nominee 2 (required)

Nominee 2 College (required)

Nominee 2 School/Department (required)

Nominee 2 Faculty Rank (required)

Nominee 3 (required)

Nominee 3 College (required)

Nominee 3 School/Department (required)

Nominee 3 Faculty Rank (required)

Nominee 4

Nominee 4 College

Nominee 4 School/Department

Nominee 4 Faculty Rank

Focus

This award focuses specifically on collaborative efforts that require multi and/or inter-professional approaches to teaching, practice or scholarship activities, with emphasis on interprofessional education.

Criteria

Evidence of sustained collaborative teaching, practice or scholarly productivity, with emphasis on the last three years at WMU
Quality and impact of collaborative teaching, practice or scholarly activities
Impact of collaborative, teaching, practice or scholarly activities on the college, University and community

Award

$2000 to be divided among the group of recipients
A certificate
Recognition on a plaque on display at CHHS
Recognition at an annual college meeting, in the college newsletter and other publications