OSHP Preceptor of the Year Award
To recognize a pharmacist who has demonstrated excellence in precepting pharmacy students and/or pharmacy residents.
Nominee Information
Nominee Name
First Name
Last Name
Exemplary Preceptorship Ability
Interprofessional Engagement and Advancement of Interprofessional Education
Promotion of Innovative Scholarly and/or Practice Activities
Advocacy for Improvement of Training Opportunities
Nominator Information
Nominator Name
*
First Name
Last 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 Past/Current Student/Resident
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Letter of Support From Fellow Preceptor
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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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Submit
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