TIPH Ambassador Nomination Form

TIPH Ambassador Nomination 2026-2027

URL
This field is for validation purposes and should be left unchanged.
Nomination Form
Institution*
Each ASPPH member institution may submit a maximum of two nominations. If your school is not listed, this indicates we’ve already received two nominations from your institution.
Please select your institutionA.T. Still University College of Graduate Health StudiesAmerican University of Beirut – Faculty of Health Sciences, Graduate Public Health ProgramAndrews University Public Health ProgramArizona State UniversityAugusta University School of Public HealthAzusa Pacific UniversityBaylor University Public Health ProgramBinghamton University SUNY Public Health ProgramBrown University School of Public HealthCalifornia State University – Long Beach Public Health ProgramCampbell University Master of Science in Public Health ProgramCase Western Reserve University MPH ProgramChamberlain University MPH ProgramCharles R. Drew University of Medicine and Science MPH Program in Urban Public HealthClaremont Graduate UniversityColorado School of Public HealthConsortium of Eastern Ohio Master of Public Health ProgramCornell University Public Health ProgramCreighton University MPH ProgramCUNY Graduate School of Public Health and Health PolicyDePaul University Master of Public Health ProgramDes Moines University Department of Public HealthEast Carolina University – Brody School of Medicine Graduate Programs in Public HealthElmhurst University Public Health ProgramEmory University Rollins School of Public HealthEnsign Global University MPH ProgramFairleigh Dickinson UniversityFlorida A&M University Public Health ProgramFlorida International University Robert Stempel College of Public Health and Social WorkGeorge Washington University Milken Institute School of Public HealthGeorgia State University School of Public HealthGwynedd Mercy University Public Health ProgramHarvard T.H. Chan School of Public HealthHofstra University MPH ProgramIcahn School of Medicine at Mount Sinai, Graduate Program in Public HealthIdaho State University MPH ProgramIndiana University Richard M. Fairbanks School of Public Health – IndianapolisKent State University College of Public HealthLa Salle University Public Health ProgramLoma Linda University School of Public HealthLouisiana State University-Shreveport/Louisiana State University Health Sciences Center-ShreveportMassachusetts College of Pharmacy and Health Sciences MPH ProgramMeharry Medical College Department of Public HealthMichigan State University MPH ProgramNational Institute of Public Health of Mexico (Instituto Nacional de Salud Pública)National Taiwan University College of Public HealthNew York Medical College, School of Health Sciences and Practice, and Institute of Public HealthNorth Dakota State University Department of Public HealthNorthern Arizona UniversityNorthwestern University Feinberg School of Medicine Program in Public HealthOhio State University College of Public HealthOregon Health & Science University/Portland State University School of Public HealthOregon State University College of HealthPurdue University Department of Public HealthQatar University – College of Health Sciences Public Health ProgramRollins College MPH ProgramRutgers School of Public HealthSacred Heart University Master of Public Health ProgramSan Diego State University School of Public HealthSouthern Illinois University EdwardsvilleSt. Ambrose University, Master of Public Health ProgramSt. Catherine University Public Health ProgramSt. George's University Department of Public Health and Preventive MedicineSUNY Downstate School of Public HealthSUNY Upstate Medical University Public Health ProgramSyracuse University Falk College of Sport and Human DynamicsTemple University College of Public HealthTexas Tech University Health Sciences Center, Julia Jones Matthews School of Population and Public HealthThe College of New Jersey MPH ProgramThe University of Chicago MPH ProgramThe University of North Texas Health Science Center at Fort Worth College of Public HealthThe University of Texas at Tyler School of Health ProfessionsThomas Jefferson University, College of Population Health – MPH ProgramTouro University – California MPH ProgramTufts University School of Medicine, Public Health ProgramUCLA Jonathan and Karin Fielding School of Public HealthUniformed Services University of the Health Sciences Public Health ProgramUnion Adventist University MPH ProgramUniversity at Albany College of Integrated Health SciencesUniversity at Buffalo School of Public Health and Health ProfessionsUniversity of Alabama at Birmingham School of Public HealthUniversity of Alaska – Anchorage MPH ProgramUniversity of Arizona Mel and Enid Zuckerman College of Public HealthUniversity of California, Davis Public Health ProgramUniversity of Cincinnati College of Medicine MPH ProgramUniversity of Delaware MPH ProgramUniversity of Georgia College of Public HealthUniversity of Hawai‘i at Mānoa Department of Public Health SciencesUniversity of Hong Kong School of Public HealthUniversity of Illinois at Chicago School of Public HealthUniversity of Illinois at Urbana-Champaign College of Applied Health SciencesUniversity of Iowa College of Public HealthUniversity of Kansas School of Medicine KU – MPH ProgramUniversity of Kentucky College of Public HealthUniversity of Maryland School of Medicine Public Health ProgramsUniversity of Massachusetts Amherst School of Public Health and Health SciencesUniversity of Massachusetts Lowell Department of Public HealthUniversity of Minnesota School of Public HealthUniversity of Missouri – Columbia Department of Public HealthUniversity of Nebraska Medical Center College of Public HealthUniversity of Nevada, Reno School of Public HealthUniversity of New England Graduate Program in Public HealthUniversity of New Mexico College of Population HealthUniversity of North Carolina at Charlotte Public Health ProgramsUniversity of North Carolina Gillings School of Global Public HealthUniversity of Oklahoma Health Sciences Center Hudson College of Public HealthUniversity of Pennsylvania Master of Public Health ProgramUniversity of Puerto Rico Graduate School of Public HealthUniversity of Puget Sound Public Health ProgramUniversity of Rochester Graduate Public Health ProgramsUniversity of San Francisco MPH ProgramUniversity of South Carolina Arnold School of Public HealthUniversity of Southern California Programs in Public HealthUniversity of Utah Public Health ProgramUniversity of Vermont Larner College of Medicine MPH ProgramUniversity of Washington School of Public HealthUniversity of Wisconsin-Milwaukee Zilber College of Public HealthVirginia Commonwealth University School of Public HealthVirginia Tech Public Health ProgramWashington University in St. Louis School of Public HealthWright State University MPH ProgramYale School of Public Health
Student's Name*
First Last
Do you want to share your nomination with the nominee?*
If you select “yes” the nominee will automatically receive an email with the following information once you submit your nomination: 1) Your name 2) Your response to “Why would this student be a great TIPH Ambassador?”
- Yes
- No
Student's Email*
Student's Email**
You have selected “no” on the previous question. Therefore this nomination will not be shared with the nominee.
Student's Phone
Why would this student be a great TIPH Ambassador?*
Please tell us a little bit about this student! Why are you nominating them? What makes them a great candidate? What makes them stand out as an exceptional student at your institution?
Is the student studying FT or PT?*
- FT
- PT
Student's Degree (e.g. MPH)*
Please select student's degreeCERT/ND – Certificate or Non-DegreeDrPH – Doctor of Public HealthMA – Master of ArtsMHA – Master Health AdministrationMHS – Master of Health ScienceMHSA – Master of Health Services AdministrationMPH – Master of Public HealthMPH/JD – Master of Public Health/Jurisdiction DoctorMPH/MBA – Master of Public Health/Master of Business AdministrationMPH/MD – Master of Public Health/Doctor of MedicineMPH/MPA – Master of Public Health/Master of Public AdministrationMPH/MSN – Master of Public Health/Master of Science in NursingMPH/MSW – Master of Public Health/Master of Social WorkMS/ScM – Master of ScienceMSPH – Master of Science in Public HealthOTHER DOCT – Other Doctorate DegreeOTHER JOINT/DUAL DOCT – Other Joint/Dual Master's DegreesOTHER MAST – Other Master's DegreePhD – Doctor of Philosophy
Student's Concentration (e.g., Maternal & Child Health)*
Nominator's Email*
Nominator's Name*
First Last
Nominator's Job Title*
Nominator's Phone
I have spoken with this student and they are interested in becoming a TIPH Ambassador and have the interest and capacity to participate in the year-long virtual cohort.*
- Yes
* Indicates required field

gform.initializeOnLoaded( function() {gformInitSpinner( 146, 'https://aspph.org/wp-content/plugins/gravityforms/images/spinner.svg', true );jQuery('#gform_ajax_frame_146').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_146');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_146').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_146').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_146').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_146').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_146').val();gformInitSpinner( 146, 'https://aspph.org/wp-content/plugins/gravityforms/images/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [146, current_page]);window['gf_submitting_146'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_146').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [146]);window['gf_submitting_146'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_146').text());}else{jQuery('#gform_146').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger("gform_pre_post_render", [{ formId: "146", currentPage: "current_page", abort: function() { this.preventDefault(); } }]); if (event && event.defaultPrevented) { return; } const gformWrapperDiv = document.getElementById( "gform_wrapper_146" ); if ( gformWrapperDiv ) { const visibilitySpan = document.createElement( "span" ); visibilitySpan.id = "gform_visibility_test_146"; gformWrapperDiv.insertAdjacentElement( "afterend", visibilitySpan ); } const visibilityTestDiv = document.getElementById( "gform_visibility_test_146" ); let postRenderFired = false; function triggerPostRender() { if ( postRenderFired ) { return; } postRenderFired = true; gform.core.triggerPostRenderEvents( 146, current_page ); if ( visibilityTestDiv ) { visibilityTestDiv.parentNode.removeChild( visibilityTestDiv ); } } function debounce( func, wait, immediate ) { var timeout; return function() { var context = this, args = arguments; var later = function() { timeout = null; if ( !immediate ) func.apply( context, args ); }; var callNow = immediate && !timeout; clearTimeout( timeout ); timeout = setTimeout( later, wait ); if ( callNow ) func.apply( context, args ); }; } const debouncedTriggerPostRender = debounce( function() { triggerPostRender(); }, 200 ); if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) { const observer = new MutationObserver( ( mutations ) => { mutations.forEach( ( mutation ) => { if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) { debouncedTriggerPostRender(); observer.disconnect(); } }); }); observer.observe( document.body, { attributes: true, childList: false, subtree: true, attributeFilter: [ 'style', 'class' ], }); } else { triggerPostRender(); } } );} );