MPhA 2026 Award Nomination Form

MPhA 2026 Award Nomination Form
The Minnesota Pharmacists Association grants 6 awards annually to individuals who uphold the values inherent to the pharmacy community. View our awards page for complete information.
Your Information

In this section, enter your information as the nominator.
Your Name

First NameLast Name
Your Organization
Your Email
example@example.com
Your Phone Number
Format: (000) 000-0000.
Nominee Information

In this section, enter the information of the individual you are nominating.
Nominee Name

First NameLast Name
Nominee Organization
Nominee Email
example@example.com
Nominee Phone Number
If available.Format: (000) 000-0000.
Award Nomination Information

In this section, select the award you are submitting a nomination for and describe your reasoning.
Visit our Awards Criteria and History web page for a complete description of each Award's criteria.
Award Nomination Selection
Explain why you are nominating this individual. You can upload a file or paste your text in the box below. Here are some suggestions to write a compelling nomination:
- Aim for approximately 300 words
- Provide specific examples of how the nominee's work aligns with MPhA's mission, values and specific award criteria
- Include brief quotes or testimonials from colleagues that strengthen your case
- Descrive the nominee's impact on a small and/or large scale
Nomination File Upload

Cancelof
Nomination Text Box
Click on the Save button if you would like to complete your nomiantion later. You will receive an email with a link to your draft. If you are ready to finalize your nomination, click on the Submit button.
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MPhA 2026 Award Nomination Form

Your Information

Nominee Information

Award Nomination Information