Albert E. Rosica, Jr. Memorial Award Nomination

Presented to a pharmacy practitioner in recognition of exemplary service to pharmacy students and fulfilling other responsibilities in pharmacy education.

The Albert E. Rosica, Jr. Memorial Award is presented to a pharmacy practitioner in recognition of exemplary service to pharmacy students and fulfilling other responsibilities in pharmacy education.  All colleges of pharmacy are requested to nominate one candidate.   As a part of the award, a $1,000 contribution will be made to the College of Pharmacy of the award recipient’s choice to be used to assist a pharmacy student to complete his or her education.

Criteria for the Albert E. Rosica, Jr. Memorial Award

  1. Service on college committees, e.g. admissions or curriculum
  2. Participate in alumni activities
    a. Officer
    b. Committee member
    c. Fund raiser
  3. Serve as instructor
    a. Teach courses
    b. Lecture in courses
    c. Serve as preceptor
  4. Recommendations from faculty and students

Click here for a list of the past Albert E. Rosica, Jr. Memorial Award Recipients.

Albert E. Rosica, Jr. Memorial Award Nomination Form

"*" indicates required fields

Name of Nominee*

Education

Address*

Please complete the following information which will be used in determining the recipient of this year’s award and attach any additional information you feel should be considered by the selection committee.
Office(s) held in local, state, or national pharmacy associations:*
Office
Association
Year
 
MM slash DD slash YYYY
Preferred mailing address:*
Home Address*
Business Address*

Submitted by:

Name
Date
MM slash DD slash YYYY
Example - Recommendations from faculty and students.
Accepted file types: doc, docx, pdf, jpg, png, Max. file size: 1 GB.
Example - Recommendations from faculty and students.
Accepted file types: doc, docx, pdf, jpg, png, Max. file size: 1 GB.
Example - Recommendations from faculty and students.
Accepted file types: doc, docx, pdf, jpg, png, Max. file size: 1 GB.
Example - Recommendations from faculty and students.
Accepted file types: doc, docx, pdf, jpg, png, Max. file size: 1 GB.
This field is for validation purposes and should be left unchanged.