UNDER 40 & Media Awards Solicitation Form

OPA AWARDS SOLICITATION
OPA will recognize the accomplishments of members throughout the state at the 2023 OPA Annual Conference, April 14-16, 2023 in Columbus. Any OPA member may nominate any eligible OPA member for an UNDER 40 award.
OPA UNDER 40 Recognition
OPA's UNDER 40 designation recognizes outstanding pharmacists who have exemplified leadership, excellence, and vision in their practices. Criteria include:
 
  • OPA member;
  •  
  • Licensed pharmacist;
  •  
  • Under 40 years of age as of the OPA Annual Awards Luncheon (April 14, 2023)
  • OPA Media Awards
    Awards are presented to persons in the media promoting medication safety or pharmacy issues to the public. Nominate a broadcast or print media person for this special OPA award.
    The deadline for submitting nominations for UNDER 40 and Media Awards is February 20, 2023.
    Please complete the following form to submit an award nominee:
    Check Proposed Award for Nominee:
    OPA UNDER 40
    OPA Media Award
    Nominee Information
    First
    Middle
    Last
    Address
    City State Zip
    Preferred Email
    Primary Phone
    Birthdate in MM/DD/YY format (required for UNDER 40 nomination only)
    Network/publication name (applicable for media award)
    Network/Publication phone (applicable for media award)
    Network/Publication email (applicable for media award, provide if different from above email address)
    Qualifications
     
    (Email CV or bio to abennett@ohiopharmacists.org, if available.)
    Reasons for nomination
     
    Link to TV, radio, or newspaper article for which the reporter is being nominated (if applicable):
     
    Nominator's Information
    First
    Middle
    Last
    Preferred Email
    Primary Phone
       - denotes required fields