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Pharmacy Alumni Award Nomination Form

The Southwestern Pharmacy Alumni Association is seeking nominations for the following awards: Humanitarian Award, Professional Achievement Award and Young Professional Achievement Award. If you would like to nominate a deserving SWOSU pharmacy graduate for one or all of the awards, please complete the form and submit before March 10, 2018 .

Humanitarian Award – Recognizes a SWOSU pharmacy graduate who has significantly affected lives in a humanitarian way through service to their communities beyond the call of duty; recognizes dedication to the pharmacy profession and extraordinary humanitarian service to society. Only living alumni of SWOSU College of Pharmacy are eligible. 

Professional Achievement Award – Recognizes outstanding professional achievement; recognizes individuals who have attained prominence in his or her field; recognizes alumni who personify the pharmacy school's tradition of excellence. Only living alumni of SWOSU College of Pharmacy are eligible. 

Young Professional Achievement Award – Recognizes outstanding professional achievement in the profession and graduated within the last ten years. Only living alumni of SWOSU College of Pharmacy are eligible. 

Please submit nomination form by March 10, 2018, to:

Southwestern Pharmacy Alumni Association
ATTN: Pharmacy Alumnus Award
P.O. Box 702
Weatherford, Oklahoma 73096

Email: swpharmacy@swosu.edu
Fax: 580-774-3243

OR use the form below

Nomination Form





Nominee Information

Nominee name (required):
Nominee home address:
City:
State:
Zip:
Business Name:
Business Address:
City:
State:
Zip:
Primary Phone (required):
Other Phone:
Email:
Reason for Nomination:


Nominator Information

Nominator name (required):
Address:
City:
State:
Zip:
Primary phone (required):
Other phone:
Email (required):



Southwestern Pharmacy Alumni Foundation, Inc.
P.O. Box 702
Weatherford, OK 73096
E-Mail: swpharmacy@swosu.edu

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