2019 Nominee Form

The NASPA Excellence in Innovation Award recognizes a qualified pharmacist who has demonstrated significant innovation in his or her respective practice, method, or service directly or indirectly resulting in improved patient care and/or advancement of the profession of pharmacy.

Jack V. Nicolais Spirit of Pharmacy Award- presented to a member in good standing for at least 3 consecutive years, presenting a favorable impression of pharmacy to the public, performed service to the profession of pharmacy or pharmacy organization and aided in the preservation or advancement of community pharmacy

Distinguished Young Pharmacist Award- presented by Pharmacists Mutual to a NY pharmacist practicing <9 years, is a PSSNY member, currently practicing and who has actively participated in pharmacy associations, professional programs, and/or community service.

Bowl of Hygeia- This award recognizes a pharmacist for outstanding and continuing activity in the community outside of the profession. The recipient should be a person who has demonstrated how pharmacists can elevate themselves and their profession in the eyes of the public through participation in community civic programs or participation in government activities at the local or state level. The person must be a PSSNY member pharmacist and have contributed to the advancement of the profession through his/her activities.  

 

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* 1. Nominator Information

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* 2. Nominator Phone (preferred phone)

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* 3. Nominator Email Address

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* 4. Nominee Name

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* 5. Nominee's Phone

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* 6. Nominee's Email

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* 7. Please select the award you would like to nominate this person for, and provide as much of the information below as possible.

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* 8. Actions that have improved patient care if applicable.

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* 9. Explain how this person has gone above and beyond.

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* 10. Community involvement:

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* 11. Activities with PSSNY:

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* 12. Other pharmacy activities:

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