OSHP Humanitarian Award
To recognize the health-system pharmacist who has made outstanding and admirable contributions to his/her community and society over the past year.
Nominee Information
Nominee Name
First Name
Last Name
Nominee significant contributions to humanitarian efforts
Nominee significant community engagement (if more to be added than what appears on CV)
Additional Significant Information
Nominator Information
Nominator Name
*
First Name
Last Name
Nominator Employer
*
Phone Number
*
-
Area Code
Phone Number
Nominator Email Address
*
example@example.com
Attachments
Nominee's CV (required)
*
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Additional Evidence #1
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Additional Evidence #2
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Additional Evidence #3
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