Request edit access
Chapter Member of the Year Award Submission
NOMINATIONS DUE ANNUALLY ON FEBRUARY 15TH
PURPOSE OF AWARD
This award is available to one member from each chapter on an annual basis. This individual is chosen by their respective chapter based on contributions to pharmacy leadership. Although no formal nomination materials are required to be submitted to the national office, please fill in the form below in order for your chapter recipient to be eligible to receive an official certificate.
NUMBER OF AWARDS & RECOGNITION
One student member is chosen annually per chapter. The individual chosen by the chapter for this award will be listed in the annual awards booklet at the awards event held in conjunction with the APhA Annual Meeting. In addition, the chapter will receive a certificate to present to the awardee.
ELIGIBILITY
This individual is chosen by their respective chapter based on contributions to pharmacy leadership.
Phi Lambda Sigma Chapter:
Your answer
Chapter Recipient:
Your answer
Address:
Your answer
Nominator:
Your answer
Certificate Mailing Address:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Phi Lambda Sigma. Report Abuse