Pharmacists Manitoba

Award of Merit Nomination Form

Pharmacists Manitoba Award of Merit

The Award of Merit is bestowed upon an Active Member of Pharmacists Manitoba in recognition for active participation and promotion contributing to the benefit of Pharmacists Manitoba and the profession of pharmacy. This award was established for presentation in 1995.

Eligibility Criteria

The nominee must be a pharmacist in good standing with Pharmacists Manitoba.
Nomination forms are to be submitted with the names of at least three (3) members in good standing with Pharmacists Manitoba.
The submission shall outline the nominee’s qualifications and contributions for receipt of this award.
The nominee may not be currently serving as a Director of Pharmacists Manitoba or on the Awards Committee, except in an ex-officio capacity.
This award is not presented posthumously.
Submissions for this award must be in the hands of the Board of Directors prior to end of day on January 15, 2025
The award is presented at such time as deemed appropriate by the Board of Directors.
Power of decision for granting of the Award of Merit rests with the Board of Directors of Pharmacists Manitoba.
The Pharmacists Manitoba Award of Merit is not necessarily granted every year.

First Name *

Last Name *

Email *

Nominee's Contact Information:

First Name: *

Last Name: *

Email Address: *

Telephone Number: *

Contributions to Pharmacists Manitoba

Provide a summary of the Nominee's contributions to Pharmacists Manitoba. *

Contact Information - Nominating Member # 1

First Name: *

Last Name: *

Email Address: *

Contact Information - Nominating Member # 2

First Name: *

Last Name: *

Email Address: *

Contact Information - Nominating Member # 3

First Name: *

Last Name: *

Email Address: *