Scholars of Excellence - Association of Surgical Assistants

Scholars of Excellence

The purpose of the ASA Scholars of Excellence program is to celebrate and recognize outstanding surgical first assistant students who demonstrate academic excellence, leadership, professionalism, and a commitment to advancing the surgical assisting profession.

Please use the form below to nominate an individual who meets the following criteria:

-Currently enrolled in a CAAHEP accredited Surgical First Assistant program

-Have completed at least 50% of their program curriculum at time of nomination

-Maintain a GPA of 3.5 or higher on a 4.0 scale

-Demonstrate integrity, reliability, and accountability in both the classroom and clinical settings

-Exhibit dedication to the surgical assistant profession through participation in professional organizations, outreach, or peer support

-Demonstrate compassion, respect, and a commitment to patient safety in clinical practice

Fields marked with an * are required.

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Your Name *

Your Phone Number *

Your Email *

Your Title *

Are you nominating yourself or someone else? *

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Student Name *

Student Phone Number *

Student Email Address *

Is the student aware you are nominating them? *

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Faculty Endorsement *

Enter the name, email, and phone number of a faculty member at your school who agrees to endorse your self-nomination.

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Surgical Assisting Program *

Anticipated Graduation Date *

Percentage of Completed Curriculum *

GPA *

Briefly explain why the student deserves to be selected for the ASA Scholars of Excellence Program. *

Type Your Name *

By typing your name below, you understand the requirements for the ASA Scholars of Excellence program. You certify that all information contained is accurate and true. Falsification of any information will forfeit this nomination and could affect your privilege for future nominations.

Please verify that you have checked the “I'm not a robot” checkbox.

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