OSHP Pharmacy Technician of the Year
To recognize a pharmacy technician of high integrity who has made significant contributions toward supporting the practice of pharmacy within the health-system organization.
Nominee Information
Nominee Name
First Name
Last Name
Nominee Email Address
*
example@example.com
Nominee Phone
*
-
Area Code
Phone Number
List all noted credentialing and privileging. This could include but is not limited to specialized training, certification, etc.
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
List leadership experience which is non-OSHP related within the last 2 years. This could be ASHP involvement, non-pharmacy organization, institution specific such as a supervisor role or non-traditional technician role
List nominee's significant contributions to health-system pharmacy over the last 2 years. This could include but is not listed to technician education and engagement, policy or process changes, advocacy, precepting, management of drug shortages, etc.
List the nominee's awards over the last 5 years. This could include local, state, institution, or national awards
List the nominee's research projects and presentations over the last 2 years. This could be local, state, institution, or national presentations. Research projects do not need to be presented to count, though poster presentations should also be listed
List the nominee's community engagement within the last 2 years. This does not include any volunteer efforts with OSHP or ASHP. This also should be independent of any engagement as listed above
Please include any other additional contributions the individual has made to practice, as needed, not listed above
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.
*
I have read and agree with the above statement
Submit
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