OSHP Timothy D. Moore Pharmacy Management Award

OSHP Timothy D. Moore Pharmacy Management Award

To recognize a health-system pharmacist who has demonstrated exemplary leadership and managerial performance in the delivery of health-system pharmacy services in a health-system organization.
Nominee Information
Nominee Name

First NameLast Name
Nominee Phone

Area CodePhone Number
Nominee Email Address
example@example.com
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, other pharmacy organizations, non-pharmacy organization, institution specific (such as a supervisor role). This list is not all inclusive
List significant contribution to the profession or healthcare institution within the last 2 years. This could include FTE expansion, expansion or creation of new pharmacy services, innovation, technology expansion. This list is not all inclusive
Nominator Information

Due to the nature of this award (i.e., recognition as a health-system pharmacy manager), recommendation by the candidate's administrative supervisor, Director of Pharmacy (if applicable) is required.
Nominator Name

First NameLast Name
Nominator Employer
Nominator Phone

Area CodePhone 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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