Prescott Pharmacy Leadership Award Nomination Form

Welcome to the Prescott Pharmacy Leadership Award nomination form. The Albert B. Prescott Pharmacy Leadership Award is administered by the Pharmacy Leadership & Education Institute (PLEI) in partnership with Phi Lambda Sigma (PLS), the national Pharmacy Leadership Society. The Prescott Pharmacy Leadership Award was conceived by Phi Delta Chi (PDC) in 1987 to recognize excellence and leadership potential among young leaders in pharmacy. From its beginning, this has been a profession-wide recognition, not restricted to any fraternal group or practice setting.

The Albert B. Prescott Pharmacy Leadership Award recognizes outstanding leadership demonstrated by a pharmacist no more than 10 years into his or her career. The recipient is selected by the four most recent recipients of the Award, two members of the PLEI Board of Directors, one representative of PLS, and one representative of PDC.

The 2025 Prescott recipient, who must have received his or her first pharmacy degree in 2015 or later, will receive a $2,000 honorarium. The recipient must give an address during APhA2025 in Nashville, TN (March 21-24, 2025) and prepare a text based on the address that is suitable for publication in the Journal of the American Pharmacists Association.

You may start the submission process and complete it later by clicking on the “Save and Continue Later” button at the bottom of this page. Please note, we only receive your completed nomination when you hit the submit button. ONLY COMPLETE NOMINATION PACKETS SHOULD BE SUBMITTED. Please ensure you have all letters of support and documentation necessary to submit before completing this submission form. Late submissions/letters will not be considered.

Information on nomination best practices can be found HERE.

Deadline: November 6, 2024

Prescott Nomination 2025

Name of the Nominator

First Last

Nominator Email Address

Nominator Phone Number

Name of the Nominee

First Last

Nominee's Year of Graduation

Please note that the graduation year should 2015 or later.

Nominee's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nominee's Phone (Work)

Nominee's Phone (Cell)

Nominee's Email

Please share the top three accomplishments of this nominee to date.

Nominee's Current Employment

Please list your nominee’s current title and employer (e.g., Clinical Pharmacist, ABC Pharmacy). If you are submitting a CV, this question may be skipped.

Nominee's CV

Max. file size: 100 MB.

Please upload the current CV for the nominee.

Letter of Nomination

Please upload a letter of nomination from the nominator. Include a brief explanation of why you believe the candidate is deserving of this award.

Max. file size: 100 MB.

Letters of Recommendation

Please provide the names (including their institution, workplace or employer) of up to five (5) individuals who will be submitting the letters of recommendation on behalf of the nominee.

Name of person providing letter of recommendation #1

First Last

Recommender #1's institution, workplace or employer

Letter of Recommendation #1

Max. file size: 100 MB.

Name of person providing letter of recommendation #2

First Last

Recommender #2's institution, workplace or employer

Letter of Recommendation #2

Max. file size: 100 MB.

Name of person providing letter of recommendation #3

First Last

Recommender #3's institution, workplace or employer

Letter of Recommendation #3

Max. file size: 100 MB.

Name of person providing letter of recommendation #4

First Last

Recommender #4's institution, workplace or employer

Letter of Recommendation #4

Max. file size: 100 MB.

Name of person providing letter of recommendation #5

First Last

Recommender #5's institution, workplace or employer

Letter of Recommendation #5

Max. file size: 100 MB.

Comments

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