2010 Award Nominations

The Washington State Pharmacy Association annually honors the accomplishments of deserving pharmacy professionals. The 2010 Award winners will be recognized at the Awards Banquet during the WSPA Annual Meeting Nov. 5 and 6, 2010. Please complete the 2010 Award Nominations Form and submit by September 3. As you answer the questions, keep in mind the following:

 

  • What value your nominee provides to patients, co-workers, their community, other health professionals, etc.
  • How the nominee implemented and executed initiatives.
  • Specific patients’ interactions - include any patients’ expectations, problems, solutions and outcomes.
  • Any unique strategies your nominee used that were successful.
First Name *

Last Name *

Email *

Please see the list of awards for descriptions.
For what award are you submitting a nomination? *
Nominee's Name (First and Last) *
Nominee's Home Address *
Nominee's Home Phone (xxx-xxx-xxxx) *
Nominee's Employer *
Type of Pharmacy Practice *
Education (List nominee's colleges attended, degrees received and dates) *
Nominee's Current Occupation and Responsibilities *
Why do you believe this nominee deserves this particular award? *
How has the nominee made an impactful contribution to the pharmacy profession on a local, state or national level? *
State Pharmacy Association Activities (include nominee
What other industry/pharmacy organizations (include offices/positions held) is the nominee involved in? *
What civic organizations and/or activities (if any) has the nominee been involved with? *

You may want to include:

  • Biographical information
  • Testimonials from colleagues, patients and faculty
  • Links to news articles featuring the nominee's accomplishments or honors
  • Records of achievement
What additional information about this nominee would you like to mention?




 

 

 

 

Washington State Pharmacy Association
411 Williams Ave South
Renton, WA 98057-2748
425-228-7171
Fax 425-277-3897
wspa@wsparx.org