OSHP Health-System Pharmacy Practice Research Award
To recognize an individual's contributions toward furthering the Society's objective to promote research in health-system pharmacy practice and professional sciences.
Nominee Information
Nominee Name
First Name
Last Name
Nominee Phone
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-
Area Code
Phone Number
Nominee Email Address
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example@example.com
Please list the nominee’s specific research initiatives within the last 5 years. Please list how these projects have impacted practice on the local/institutional, state, and national level. Please add any additional evidence necessary for the committee’s review of this individual. Limit attachment to no more than 2 pages (attachments are not necessary to win the award).
Please describe how the nominee contributes to mentoring learners in research. Be specific on type of learner and number within the last 5 years.
List publications within the last 5 years. Please note if publication(s) were peer-reviewed or not. Please note if nominee was first author or corresponding author for the publication(s). Include citation and/or link to publication.
List poster or platform presentations within the last 5 years. Include citation. Specify if peer reviewed or limited number of posters accepted.
List OSHP involvement over the last 2 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
Please describe one recognizable and/or outstanding research effort the nominee has completed for impact on practice, patient care, innovation, education, etc. within the last 3 years. Please provide any objective data to support this accomplishment. Please also note impact on local, state, and/or national level. Please attach additional evidence as warranted to support this content (attachments are not necessary to be awarded points in this section; limit attachment to no more than 2 pages).
Additional Significant Information
Nominator Information
Nominator Name
*
First Name
Last Name
Nominator Employer
*
Nominator Phone
*
-
Area Code
Phone Number
Nominator Email Address
*
example@example.com
By checking below, I hereby: Attest that all information I have provided in conjunction with this application is true and completed by myself as the nominator. Attest that this individual is of upmost ethical and professional standing. Acknowledge and agree that if during the application process, I make any false or misleading statements—including material omission—that this may be considered grounds for removal of the application from award consideration.
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I have read and agree with the above statement
Attachments
Nominee CV (required)
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Additional Evidence #1 - Limit attachment to no more than 2 pages
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