WVPA

Award Nominations

West Virginia Pharmacists Association recognizes outstanding pharmacists, technicians, and student pharmacists each year. You can nominate for as many awards as you'd like in this one form — just skip the pages that don't apply to you.

Your information

Tell us who's submitting this nomination.

Your full name with professional designations *

e.g. Jane Smith, PharmD, BCACP

Your email *

Are you a current WVPA member? *

You don't have to be a current WVPA member to nominate or be nominated — but a nominee must be a current member to win an award.

James H. Beal Award

WVPA's highest honor. If you're not nominating anyone for this award, check the box below and hit Next.

I'm not nominating anyone for the Beal Award right now.

Award criteria (for reference — not required to submit): Nominee should be a licensed West Virginia pharmacist, reside in WV, be a WVPA member for at least 10 years, and be active in the profession. This award is not presented more than once every two years.

Nominee

Full name with professional designations *

Email *

Current WVPA member? *

Employer name *

Practice location *

Practice setting *

Tell us about them

What has this person done to help the pharmacy profession in West Virginia? *

How long have they been active in WVPA or the profession?

What makes them stand out compared to others in the field?

This award will be left out of your submission.

Bowl of Hygeia Award

If you're not nominating anyone for this award, check the box below and hit Next.

I'm not nominating anyone for the Bowl of Hygeia Award right now.

I confirm that I have reviewed the award criteria. *

Recipient

Recipient name *

Recipient full name with professional designations *

As you'd like the name to appear on the engraved plaque. Please double-check — mistakes may result in additional fees.

Recipient's spouse's name

Recipient address *

Recipient phone

Recipient email *

Recipient practice location *

i.e. Kroger, University of State, etc.

Primary type of pharmacy practice *

Pharmacy education *

School(s) and year(s)

Why is the recipient receiving this award? *

Please limit to 100–200 words.

Recipient's state pharmacy association activities

Include offices currently or previously held, including dates.

Recipient's industry/pharmacy organizations

Include offices currently or previously held, including dates.

Recipient's civic/religious organizations and community service

Include offices currently or previously held, including dates.

Ceremony details

Does the recipient know in advance that they've been chosen? *

Have you contacted the recipient to verify attendance at the award ceremony? *

If no, please do so before the date of the award ceremony.

Presentation date *

Event start time *

Presentation location *

Include city, state, building, room number, etc.

Lodging information

If applicable.

Event name *

Where the award is being presented, e.g. Annual Meeting, Pharmacy Board Meeting.

This award will be left out of your submission.

Distinguished Young Pharmacist Award

If you're not nominating anyone for this award, check the box below and hit Next.

I'm not nominating anyone for the Distinguished Young Pharmacist Award right now.

Nominee

Full name with professional designations *

Email *

Current WVPA member? *

Employer name *

Practice location *

Practice setting *

School of pharmacy *

Graduation year *

Involvement

State associations/organizations held

Positions and dates.

National association names, dates, and positions held

Community activities and other programs

This award will be left out of your submission.

Excellence in Innovation Award

If you're not nominating anyone for this award, check the box below and hit Next.

I'm not nominating anyone for the Excellence in Innovation Award right now.

Award criteria (for reference — not required to submit): Nominee should be a WV-licensed, actively practicing WVPA member, and not a previous recipient of this award.

Nominee

Full name with professional designations *

Email *

Current WVPA member? *

Employer name *

Practice location *

Practice setting *

Tell us about them

What did the nominee create, change, or try that was innovative? *

How did it help patients or improve pharmacy practice?

What makes this person a forward-thinking leader?

This award will be left out of your submission.

WVPA Pharmacy Technician of the Year

If you're not nominating anyone for this award, check the box below and hit Next.

I'm not nominating anyone for Technician of the Year right now.

Award criteria (for reference — not required to submit): Nominee should be an active WVPA technician member in good standing, licensed to practice as a pharmacy technician in WV, with 5+ years of experience. Cannot currently be enrolled in pharmacy school, and cannot have received this award in the last 10 years.

Nominee

Full name with professional designations *

Email *

Current WVPA member? *

Employer name *

Practice location *

Practice setting *

Tell us about them

What has this technician done that stands out to you? *

How have they shown leadership or gone above and beyond for patients?

Any certifications, association involvement, or achievements worth mentioning?

This award will be left out of your submission.

WVPA Student Pharmacist of the Year

If you're not nominating anyone for this award, check the box below and hit Next.

I'm not nominating anyone for Student Pharmacist of the Year right now.

Note: this award's questions are a placeholder draft — swap in the real eligibility criteria and questions once finalized.

Nominee

Full name with professional designations *

Email *

Current WVPA member? *

School of pharmacy *

Anticipated graduation year *

Tell us about them

Why does this student stand out as a leader in WVPA and the pharmacy community? *

What volunteer work or involvement have they shown?

Anything else worth mentioning?

This award will be left out of your submission.

Review & submit

Here's what will be included in your submission.

Submitting opens your email client with everything filled in, addressed to WVPA. Nothing sends until you hit send there.

Heads up: if you're nominating for several awards at once (especially Bowl of Hygeia, which has a lot of fields), the pre-filled email may be too long for some email apps to open correctly. If that happens, use the "Copy summary" button below the confirmation and paste it into a new email by hand.

Nomination summary

If your email client didn't open automatically, copy this and send it to your WVPA staff contact.

Award Nominations

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