Tell us about you.
And, thank you for taking time to appreciate someone.
Your Name
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First Name
Last Name
E-mail
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Your Employer or Pharmacy Name
Phone Number
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What is your relationship to GPhA?
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Pharmacist, Emeritus, Tech, Student, etc.
Who are you nominating?
Name
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First Name
Last Name
Employer or Pharmacy Name
E-mail
*
Phone Number
*
The Awards
What award are you nominating this person for?
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Bowl of Hygeia Award
Distinguished Young Pharmacist Award
Excellence in Innovation Award
Faculty Member of the Year Award
Jim Bartling Student Pharmacist Member of the Year Award
Larry Braden Meritorious Service Award
Pharmacy Technician Member of the Year Award
Tell us why this person deserves the award. MUST list date they graduated from pharmacy school!
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Submit your nomination
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