2026 Utah AHEC Academic Coach/Preceptor of the Year

Please use the form below to submit your nominations for the Utah AHEC Academic Coach/Preceptor of the Year award. Nominations close September 15, 2026.

Name of the Academic Coach/Preceptor you would like to nominate: *

First

Last

Please provide the nominee's email ID: *

Name of the site where you received the training from this nominee : *

Address of the training site: *

Address Line 1

Address Line 2

City

UahAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Academic Coach/Preceptor's area of expertise (field of practice/discipline/specialty): *

Which of the following core topic areas does the Academic Coach/Preceptor provide experience/training to students? *

• Interprofessional Education
• Behavioral Health Integration
• Social Determinants of Health
• Practice Transformation
• Current and Emerging Health Issues
• Supporting Health Professionals
• Virtual Learning & Telehealth

In 4-6 sentences, please describe how in the past year the Academic Coach/Preceptor has provided training or experience to students in the selected topics above: *

In 4-6 sentences, please describe why you think this Academic Coach/Preceptor is deserving of 2025 Utah AHEC Academic Coach/Preceptor of the Year award: *

Submit