CSHP Member of the Month Nomination Form
Full name of nominee
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First Name
Last Name
Nominee email address or alternative contact information
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Nominee practice setting/organization
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How does this individual align with CSHP's Mission Statement? "Our mission is to enrich, support, and advocate for the network of health-system pharmacy professionals to achieve optimal health outcomes."
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Please describe specific contributions, achievements, leadership, or service. Include examples of how this individual has positively impacted patients, members, partners, or the profession. 150–300 words suggested.
Additional Information (Optional)
Links, examples, or brief anecdotes to support this nomination
Additional Information or Photos (Optional)
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