AKPhA Fellowship Award Application Form

Award Application - Fellow of AKPhA (Deadline to Submit 12/1)

Pharmacists who apply for this designation must have been practicing pharmacy for a minimum of 10 years, be members of AKPhA for a minimum of 10 years, and NOT be a current member of the Board of Directors or the Awards Committee. This designation will be for life as long as the individual is an active member of AKPhA.
  • Drop files here or
    Max. file size: 256 MB.
    • 3. Letters of Recommendation

    • Max. file size: 256 MB.
    • Max. file size: 256 MB.
    • Max. file size: 256 MB.
    • 5. Membership with the Association

    • 6. Contribution to the total body of knowledge in pharmacy (One or more of the following)

    • 7. Involvement in and Commitment to Education of Others (One or more of the following)

    • 8. Active Involvement and Leadership in Professional Activities (One or more of the following)