Fellow of the California Pharmacists Association Application

Please note: This form does not allow you to save your submission and come back to finish it at a later time.

Being recognized as a fellow of the California Pharmacists Association (CPhA) is an honor. It signifies that you have made significant contributions to CPhA and to the profession of pharmacy that go far beyond regular pharmacy practice. 

The CPhA Board of Trustees has adopted a set of criteria that CPhA members must meet or exceed to be considered eligible to earn the designation of Fellow of the California Pharmacists Association (FCPhA). Selected Fellows will be honored at CPhA’s annual meeting, Western Pharmacy Exchange.

To become eligible as a Fellow in CPhA, the candidate must have been a licensed California pharmacist and an active member of CPhA for at least seven years. Membership or activities performed while a student pharmacist are not considered for eligibility. Activities during post-graduate residency training may be included.

*Qualified Fellows should demonstrate sustained contributions and excellence in pharmacy practice, professional leadership, teaching, professional advocacy and community engagement. FCPhA recognition serves as a highly visible way to promote public awareness of pharmacists who have distinguished themselves within CPhA and the profession. 

If you are interested in being recognized as a professional who has met the highest standards in California pharmacy then please examine the seven categories for fellowship status. If you have any questions please do not hesitate to contact the CPhA Awards Committee staff at (916) 600-6495 or eteal@cpha.com.

Your pharmacist membership in CPhA must remain active at the time of nomination and award.

All application materials must be submitted electronically. Applicants should submit a curriculum vitae or resume, however, the application form must be fully completed without statements such as “refer to CV”. 

Required materials:
  • Completed application (typed and submitted electronically)
  • Curriculum vitae/Resume
  • Letter of nomination may be submitted by any current CPhA member pharmacist. Self-nominations are acceptable.
  • Letters of recommendation: minimum of 2; maximum of 5.
  • Letters should address several of the criteria listed above*.
  • Letters of recommendation are welcome from member pharmacists, technicians or student pharmacists.
All application materials and letters of recommendation should be received electronically by Sunday, March 21, 2021.

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* 1. Nominee Contact Information

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* 2. Nominee CPhA Membership ID Number

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* 3. Nominator Contact Information (if different than above)

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* 4. Upload CV/resume

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* 5. Letter of Nomination

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* 6. Letter of Recommendation 1

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* 7. Letter of Recommendation 2

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* 8. Letter of Recommendation 3

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* 9. Letter of Recommendation 4

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* 10. Letter of Recommendation 5

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