2009 Beatrice D. Wade Award of Clinical Excellence

1. Description of the Beatrice D. Wade Award of Clinical Excellence

The awards committee at the Department of Occupational Therapy at UIC is seeking nominations for The Beatrice D. Wade Award of Clinical Excellence. This award is given annually to graduating occupational therapy students who have shown an exemplary commitment to occupational therapy during the academic program, and in particular those who have demonstrated outstanding abilities during their fieldwork experiences. The recipients of this award are honored at the UIC Occupational Therapy Pinning Ceremony, and they also receive a monetary award.

If you would like to nominate a UIC OT student for this award, please complete this survery OR submit a nomination letter with your rationale for nominating the student. It is important that this survey OR your letter reflects performance beyond entry-level expectations, as the committee is looking for exemplary students.

The committee uses the following documentation to select awardees:

1. Nomination has been submitted by fieldwork supervisor(s) and reflects the student’s fieldwork performance that is beyond entry-level competence.

2. The student demonstrates a commitment to the profession of occupational therapy.

3. The student is in good standing in the OT curriculum, with a minimum cumulative GPA of 4.0 on a 5.0 scale.

4. The student nominee has submitted a letter in support of the nomination.

To allow adequate time for review of nominations, please complete this survey OR submit your nominating letter no later than Friday, July 3 2009 to:

Kathy Preissner
Department of Occupational Therapy (M/C 811)
1919 West Taylor Street
Chicago, IL 60612
kpreiss@uic.edu
Phone: 312-996-5220
Fax: (312) 413-0256

1. Name of Student:

Name of Student:

2. Contact Information for the Fieldwork Educator Nominating the Student:

Contact Information for the Fieldwork Educator Nominating the Student: Name:
Fieldwork Site:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

3. Practice Setting of Fieldwork Experience: (school system, pediatric outpatient clinic, acute care, rehabilitation, mental health)

Practice Setting of Fieldwork Experience: (school system, pediatric outpatient clinic, acute care, rehabilitation, mental health)

4. Dates of Fieldwork Experience:

Dates of Fieldwork Experience:

5. Description of why this student has performed beyond entry-level expectations at your facility. Please provide as many specific examples as possible.

Description of why this student has performed beyond entry-level expectations at your facility. Please provide as many specific examples as possible.