Partner Spotlight Interview Nomination Form

The Partner Spotlight Interview Series

We are looking for nominations for partners who have helped build the college over the last 20 years.

Six external COPH partners will be selected over the course of 2026-2027 to participate in a video recorded interview highlighting their work, their relationship with the College, and their contributions to public health.

Nominees may be individuals or organizations that have worked with the College through education, research, practice, service, workforce development, community engagement, or other collaborative efforts.

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1. Which type of recognition are you nominating for? (Required.)

Individual Recognition

Organization Recognition

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2. Please provide the name of the individual or organization you are nominating. (Required.)

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3. If you are nominating an organization, please provide the primary contact name.

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4. Email Address for Nominated Individual Nominee or the Primary Contact of Nominated Organization (Required.)

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5. Select all the criteria that apply to the nominee. Select all that apply.

Leadership

Innovation

Community Impact

Academic Excellence

Collaboration

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6. Briefly describe the partner's relationship with the College of Public Health.

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7. In 300 words or less, please tell us why this partner's story would be meaningful to share?
i.e. Why is this partner a strong candidate for the Partner Spotlight Interview Series? What impact has this partner had on public health, the College, students, faculty, staff, or the communities they serve? Is there a specific project, achievement, or success story that should be highlighted?

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8. How long have you known the nominee?

Less than a year

1-3 years

4-6 years

More than 6 years

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9. Your name (Required.)

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10. Your title

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11. Your COPH department

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12. Your email address (Required.)

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13. May we contact you if additional information is needed regarding the nomination(s) you submitted? (Required.)

Yes

Partner Spotlight Interview Nomination Form

The Partner Spotlight Interview Series

Question Title

* 1. Which type of recognition are you nominating for? (Required.)

Question Title

* 2. Please provide the name of the individual or organization you are nominating. (Required.)

Question Title

* 3. If you are nominating an organization, please provide the primary contact name.

Question Title

* 4. Email Address for Nominated Individual Nominee or the Primary Contact of Nominated Organization (Required.)

Question Title

* 5. Select all the criteria that apply to the nominee. Select all that apply.

Question Title

* 6. Briefly describe the partner's relationship with the College of Public Health.

Question Title

Question Title

* 8. How long have you known the nominee?

Question Title

* 9. Your name (Required.)

Question Title

* 10. Your title

Question Title

* 11. Your COPH department

Question Title

* 12. Your email address (Required.)

Question Title

* 13. May we contact you if additional information is needed regarding the nomination(s) you submitted? (Required.)

1. Which type of recognition are you nominating for? (Required.)

2. Please provide the name of the individual or organization you are nominating. (Required.)

3. If you are nominating an organization, please provide the primary contact name.

4. Email Address for Nominated Individual Nominee or the Primary Contact of Nominated Organization (Required.)

5. Select all the criteria that apply to the nominee. Select all that apply.

6. Briefly describe the partner's relationship with the College of Public Health.

8. How long have you known the nominee?

9. Your name (Required.)

10. Your title

11. Your COPH department

12. Your email address (Required.)

13. May we contact you if additional information is needed regarding the nomination(s) you submitted? (Required.)