OSHP Residency Program Director Award
To recognize a pharmacist who has demonstrated excellence in the position of Residency Program Director.
Nominee Information
Nominee Name
First Name
Last Name
Examples/Description of how Nominee’s Dedication to Teaching and Learning Within the Practice of Pharmacy, Exemplary Preceptor Ability, and Professionalism Have Impacted the Residency Program
Examples/Description of how Nominee Has Established/Expanded Residency Program Positions and Promotes/Advocates for Residency Program Training in the State of Ohio
Nominator Information
Nominator Name
*
Nominator Employer
*
Nominator Phone
*
-
Area Code
Phone Number
Nominator Email Address
*
example@example.com
Attachments
Nominee’s CV (required)
*
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Letter of Support From Preceptor #1 (required)
*
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Letter of Support from Current/Past Resident #2 (required)
*
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Additional Evidence #1
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of
Additional Evidence #2
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Additional Evidence #3
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of
Submit
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