Tennessee Pharmacists Association

  • Please provide the information requested below. Using this form, you may also upload documents, such as a CV or cover letter.

    Award Description/Criteria
    List of Awards
    Past Recipients

    * = Required Field

  • Please comment on the applicable areas below, with regard to your nominee.
  • Describe an experience(s) with the nominee that ultimately developed student pharmacist leadership skills.
  • Provide observations from an experience with the nominee in which the nominee demonstrated active involvement in the professional growth and development of other pharmacy practitioners, residents, fellows or students as it relates to the provision of patient care.
  • Address another topic related to the professionalism of the nominee that might be helpful to other pharmacists with regards to volunteering, teaching, philanthropy or precepting.
  • You may upload a CV, your statement, and/or other documentation in support of your nominee.
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