DISTINGUISHED SERVICE AWARD

Nomination Form (click here)

PSW may award the Distinguished Service Award at its Annual Meeting. The award is granted to recognize and honor a qualified Wisconsin pharmacist who has made outstanding sustained contributions to the profession of pharmacy and the Pharmacy Society of Wisconsin.

SELECTION CRITERIA

Demonstration of outstanding, long-term contributions to the profession of pharmacy and the Pharmacy Society of Wisconsin.

AWARD ELIGIBILITY

Any licensed pharmacist practicing and residing in Wisconsin who is not a member of the PSW Board of Directors, an elected officer or a paid employee of PSW and whose current membership in PSW is in good standing. The nominee must not be a past recipient of this award.

AWARD DESCRIPTION

Recipients of this award shall receive an engraved plaque, recognition in The Journal and at the Annual Awards Banquet.

NOMINATION COMPLETION AND SUBMISSION

All nominations must be fully completed and submitted to PSW by the nomination deadline in order for the nominee to be considered as a candidate for the award. All incomplete nominations will be returned to the nominator for re-submission. Nominations postmarked or date stamped after the nomination deadline will not qualify for consideration until the following year.

To complete the nomination, please submit three (3) letters in support of this candidate’s nomination by June 1st. Each letter supporting nomination should be accompanied by writer’s name, work site and contact information. One letter of support can be written by the award candidate. In addition, a curriculum vitae or resume may be substituted in place of one letter of support. Each qualified nomination will be evaluated based on the award’s selection criteria. Documentation supporting candidate’s nomination should highlight how candidate has fulfilled the awards selection criteria. For questions or for more information, please contact the PSW office at (608) 827-9200.

You may Email your nomination to PSW.

Include:

Candidate’s Name
Worksite
Address
City
State
Zip
Business telephone
E-mail
Home phone

Nominator’s name is a required element of a complete nomination. If nominator’s name is the same as candidate’s name, please indicate.