Technician of the Year Award Nomination Form

Nomination

Question Title

* Name of candidate

Question Title

* Is the candidate a CSHP member?

Yes

Question Title

* Minimum 5 years of service?

Yes

No

Question Title

* Please describe how this candidate meets award criteria. Specifically:

current and past hospital pharmacy experience

involvement in professional organizations

demonstrated service to the profession and community

demonstrated dedication to patient care (including examples of work towards full scope of practice)

any other notable considerations

There is no minimum or maximum word count.