OPA AWARDS NOMINATION FORM
Pfizer Consumer Healthcare Bowl of Hygeia
Terms of reference
This award is presented to a pharmacist on the basis of outstanding service to the community. The recipient must:
- be a pharmacist, licensed within the jurisdiction in which the award is presented
- be living (awards are not presented posthumously)
- not have previously received this award
- not currently serving on the Membership Services Committee or as an officer of the Association (unless in ex-officio capacity)
- have an outstanding record of community service which, apart from their specific role as a pharmacist, reflects well on the profession.
No self-nominations will be accepted.
Criteria at a glance
- Living pharmacist, licensed in Ontario
- Not a previous award winner
- Not a current member of the Association Board of Directors or Membership Services Committee
- A current Association member
- Outstanding community service record
- Community service activities outside of pharmacy, but which reflect well on the profession
Additional information about the nomination process:
The Ontario Pharmacists Association will contact the nominee to sign and return a waiver stipulating that:
- they agree to be nominated
- they are a member in good standing with both the Association and the Ontario College of Pharmacists (OCP)
- they have not been engaged in any prior illegal or criminal activity and that they are not aware of any forthcoming legal claims
- they agree to forward any additional relevant materials to support their nomination
The selection of awards recipients is made by the OPA Membership Services Committee and is subject to confirmation by the OPA Board of Directors. The awards will be presented on Friday, June 8, 2018 at the Awards Ceremony, which is part of the OPA’s annual conference.
Your information
Name:
Phone:
Email:
OPA #:
Nominee’s information
Name:
Phone:
Email:
Tell us about your nominee
To support your nomination, please complete the following section ( it must not exceed 500 words).Supporting materials may include newspaper articles, reference letters, certificates of achievement, CV or biography. Maximum three items, not exceeding three pages in total.
Why is this nominee deserving of this award? Your answers should include:
- the nominee’s involvement in community service.
- the activities and organizations the nominee is involved with and the impact they have had with/on each.
- how the nominee’s community involvement reflects on the profession of pharmacy.
Additional comments/considerations.
Nomination deadline is 4:30 p.m., March 28, 2018
Submit nomination packages to