House of Delegates Nominations Form

Call for House of Delegates Nominations

Thank you for taking the opportunity to become more involved in KSHP (or for nominating someone else to become more involved), by completing the below nominations form for the KSHP House of Delegates.

Delegates serve 3-year terms and meet monthly via teleconference to support the strategic plan and advocacy efforts of our Society. We are currently seeking delegates to represent the following regions/groups:

  • Lexington (1)
  • Louisville (1)
  • Northern Kentucky (2)
  • Western Kentucky (1)
  • Sullivan University College of Pharmacy (1)
  • University of Kentucky College of Pharmacy (1)
  • Past President (1)

Self-nominations are encouraged, although you are welcome to nominate qualified colleagues as well.

Nominations will remain open through the end of business on Friday, 3/29/19. Elections will then be held Monday, 4/8/19 through Friday, 4/19/19.


Nominee's First Name: *
Nominee's Last Name:: *
Nominee's Email Address: *
Nominee's Phone Number:
Nominee's Region/Group:
Lexington
Louisville
Northern Kentucky
Past President
UKCOP
SUCOP
Western Kentucky
I am not sure
Is this a self nomination?: *
Yes
No
If this is NOT a self nomination please enter your name as nominator below:
Please provide a BRIEF Personal Bio for inclusion in election materials (if you are nominating someone else and don't have this information please type "N/A"): *
Please provide a BRIEF Candidate Statement for inclusion in election materials (if you are nominating someone else and don't have this information please type "N/A"): *




Please direct any questions to:

Lindsay Villalobos, President - president@kshp.org
Kimber Boothe, Chair of the House of Delegates - Kimber.Boothe@stelizabeth.com
Nick Vaccaro, Association Manager - info@kshp.org