PAA Distinguished Alum of the Year Nomination Form

For over 50 years, the Distinguished Alum of the Year Award has been the highest honor bestowed by the UCSF Pharmacy Alumni Association (PAA). The award recognizes a UCSF School of Pharmacy graduate who has made outstanding contributions to the profession, society, and/or UCSF.

All submissions are due by Wednesday, January 4, 2023.

Distinguished nominees meet the following criteria:

Nominees are graduates of the School of Pharmacy’s professional programs.
Nominees have made significant contributions to the profession of pharmacy, health care delivery, pharmaceutical research, pharmacy education, and/or public health.
Nominees have made contributions that are unique and innovative.
Nominees have demonstrated continuous and sustaining service, contributing to the growth and development of the School of Pharmacy, professional pharmacy organizations, the pharmaceutical industry, and/or community or government entities.

All nominations must include a signed letter of nomination, up to four letters of support, and a CV or resumé. Nominations are considered “active” for a five-year period.

Nominator's Name

Nominator's Email Address

Nominee’s Name

Nominee’s UCSF Class/Affinity

Please submit a signed letter of nomination.

One file only.
250 MB limit.
Allowed types: gif, jpg, png, txt, rtf, html, odf, pdf, doc, docx, zip.

Please submit a supporting letter (up to five may be submitted).

Maximum 5 files.
250 MB limit.
Allowed types: gif, jpg, png, txt, rtf, html, odf, pdf, doc, docx, zip.

Please submit the nominee's CV or resumé.

One file only.
250 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Additional materials

Unlimited number of files can be uploaded to this field.
250 MB limit.
Allowed types: gif, jpg, png, txt, rtf, html, odf, pdf, doc, docx, zip.

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