2027 IPA Thomas R. Temple Mentor Award-Nominator
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Thomas R Temple Mentorship Award
1.
Please provide the following:
Nominees Name
Credentials
Email
IPA Member: Yes/No/Not Sure
Pharmacy Practice Site:
2.
Initial here that a copy of the nominee's CV has been emailed to IPA@iarx.org
3.
Describe how has the nominee provides mentorship and support to other pharmacists.
4.
Describe the nominee's leadership contributions to the profession of pharmacy.
5.
In what ways has the nominee demonstrated humility in their achievements?
6.
How has the nominee shown support for the accomplishments of others?
7.
Please provide Nominator information:
Nominator Name:
Email:
IPA Member Yes/No:
Pharmacy Practice Site:
Credentials:
