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Award Submission Form

As a candidate for the 2020 MIMS / Guild Intern of the Year Award you have an opportunity to advance your career through an educational and travel grant of $4,500 provided by MIMS Australia.  In addition to this prize money, the Guild Intern of the Year will have the opportunity to attend APP 2021 on the Gold Coast.

Announcement of winner
The winner of the 2020 MIMS / Guild Intern of the Year Award will be announced at the APP Conference held on the Gold Coast in May 2021.

Acceptance of nomination and confirmation of details

By providing your contact details below you are confirming your nomination in the 2020 MIMS / Guild Intern of the Year Award and indicating that you wish to proceed with the competition. If you do not wish to proceed and take part in this competition please email info@internpharmacist.com.au.

TIP: We recommend completing the selection criteria in Word then copying them into this form to ensure accuracy prior to completing your submission.
Your Details: 
Practice Location (where internship was undertaken):
Practice Location (where you are employed now - if different to the above):
Application:
1. Select one of the six following judging criteria and in no more than 500 words describe how you have demonstrated your excellence in that element.

You may make reference to some or all of the other judging criteria in your application; however your response should be principally concerned about your practice in the one area you have selected.

It is encouraged (but not mandatory) to include additional evidence in the form of photographs, brochures, newspaper clippings or videos relevant to your application. 
2. In no more than 200 words describe how you would use the $4,500 educational grant from MIMS Australia to advance your career.
Referee Details:
As part of the application you are required to nominate two referees (preferably colleagues who have worked closely with you during your intern year such as your Pharmacist Preceptor). 
Referee One:
Referee Two:
We value your privacy as much as you do. We will not give your email address out to any other parties.
By submitting your submission you agree to the Terms and Conditions of this competition.