Clone of Team Member of the Year

Team Member of the Year

This category is open to all members of pharmacy staff (excluding pharmacists), including pharmacy assistants, technicians, dispensers, and drivers. Entrants should be able to demonstrate an exceptional contribution to their pharmacy’s services and the positive impact of their work on patients, colleagues, and the wider community.
Name
Full name of person submitting this nomination
Title/Position
Job title/position
Phone Number
Phone number (personal/work)
Email Address
Email address (personal/work)

Nominee for Team Member of the Year
Full name of the nominated individual
Nominated Team Member's Position/Title
Job position/title of the nominated individual (excluding pharmacists)
Pharmacy Name
Name of the pharmacy the nominated individual works at
Pharmacy Address

Street Address

Street Address Line Two

CityCounty

Post Code
Phone
Contact number for the nominated individual
Email
Email address the nominated individual can be contacted at

Questions

Team Member of the Year Award applicants will be assessed on the answers they provide to each of the five questions below. Where possible, candidates should try to quantify the impact that has been made by referencing facts and figures.
1. Provide a summary of why this individual has been nominated for the Team Member of the Year Award:
Max. 200 words
2. What motivated this individual?
Max. 250 words
3. Please share specific examples of how this individual has demonstrated creativity/innovation in their role:
Max. 250 words
4. Using examples, demonstrate how this individual contributes to the team and the overall success of their pharmacy:
Max. 300 words
5. Tell us how the nominee has demonstrated significant value to the local community and/or individual patients/customers. Please provide examples:
Max. 300 words
If you wish to include any supporting material with your nomination, please attach below:

(e.g. testimonials, graphs, photos, etc.)
Cancelof
To accompany your nomination, please provide a high-resolution image of the nominee:

Cancelof
To accompany your nomination, please provide a high-resolution image of the nominee:
Deadline for entry & submission:
Friday 20th February 2026
Should be Empty:

Team Member of the Year