OSHP Emerging Leader Award

OSHP Emerging Leader Award

To recognize a pharmacist within the first 5 years after graduation who has demonstrated exemplary pharmacy practice leadership and engagement with OSHP or other professional organizations.
Nominee Information
Nominee Name

First NameLast Name
Nominee Phone

Area CodePhone Number
Nominee Email Address
example@example.com
List significant contribution to the profession or healthcare institution within the last 5 years. This could include FTE expansion, expansion or creation of new pharmacy services, innovation, technology expansion, panel presentations, committee/taskforce work. This list is not all inclusive. Please attach additional evidence to support as warranted and limit any attachments to no more than 2 pages.
Please describe any advocacy work the nominee has participated in for the profession in the last 5 years. Please include description and years involved.
Please list any certification this individual has obtained or additional training completed (ex: board certification, MBA, MPH, Lean Six Sigma training, etc).
List OSHP involvement over the last 5 years. This could include membership on a specific division, volunteer efforts, etc. This does not include only OSHP membership
Please list the years the nominee has been a member of OSHP
List leadership experience which is non-OSHP related within the last 5 years. This could be ASHP involvement, other pharmacy organizations, non-pharmacy organization, institution specific such as a supervisor role. This list is not all inclusive.
Please document any advocacy efforts at the local, state, or national level for advancing pharmacy within the last 5 years
List the nominee's community engagement within the last 5 years. This does not include any volunteer efforts with OSHP or ASHP. This also should be independent of any engagement as listed above.
Define any awards received by the nominee at the local, state, or national level within the last 5 years
Nominator Information
Nominator Name
Nominator Employer
Nominator Phone

Area CodePhone Number
Nominator Email Address
example@example.com
Attachments

Please limit attachments to no more than 2 pages
Nominee's CV (required)

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Additional Evidence #1

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