Nomination Form

Drug Store News would like to recognize community pharmacy preceptors who are making a difference by creating meaningful learning experiences for the future of the profession. Use this form to nominate a community pharmacy preceptor to be featured in the DSN Pharmacist's Journal.

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* 1. Enter the name of the nominated preceptor:

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* 2. Describe the practice site (include store name and location):

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* 3. Why should Drug Store News spotlight this preceptor?

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* 4. Enter your name:

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* 5. Please enter your contact information for additional details about this nomination:

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