Baby and Child Health Pharmacy of the Year Award 2020

Baby and Child Health Pharmacy of the Year Award 2020

It is extremely important that all details are correct and all answers are answered.
Guidelines for entry:
- Application forms for awards entries must be received via email by midnight, 20th March, 2020.
- Please restrict answers to no more than 350 words unless otherwise stated.
- Please be aware this is an individual entry.
- Supporting material such as annual reports, graphs, videos, financial data and so on may be included.
Name of Pharmacist entering:

First NameLast Name
Pharmacy Name:
Pharmacy Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pharmacy Phone Number:

Area CodePhone Number
Mobile Number:
Email:
example@example.com
Name of person nominating the entrant (If different from above):

First NameLast Name
Pharmacy Name:
Pharmacy Phone Number:

Area CodePhone Number
Mobile Number:
Email:
example@example.com
Is the Nominee aware of your nomination?

YesNo
Names of local newspaper and radio stations you would like to see coverage in:
PR & Marketing contacts:
The next section of the application involves 5 questions. Questions 1- 5 must be answered in no more than 350 words, and question 6 in no more than 1,000 words

Supporting material is permitted and is not included towards your word count.

Please send a maximum of four high res images to accompany your application. All images must contain full captions.

Deadline for entries: 20th March, 2020
1. Please describe the pharmacy business and the community it serves:

0/1000
2. How did you identify a need within this market and how did you meet this need?

0/1000
3. Describe the impact your service has had on your community:

0/1000
4. Describe the impact your initiative had on your pharmacy/ies:

0/1000
5. In no more than 1,000 words please describe why this particularly pharmacy(ies) should be awarded the title of Baby and Child Health Pharmacy of the Year Award 2020:

0/1000
Please upload a high resolution, head and shoulder image of the Pharmacist entering this category:

Upload Image
Advise: This image will be used in the IPN Magazine to showcase the finalists. Cancelof
Please attach any additional research or information to further support your application and help the judges in their decision making process:

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