APhA Academy of Student Pharmacists

Chapter Achievement Awards Program

A P P E N D I X I O U T S TA N D I N G I P S F A C T I V I T Y AWA R D
REPORT FORM
Note: In order for APhA-ASP to complete the IPSF reporting requirements and to
qualify APhA-ASP for international awards at World Congress held in lateJuly/early-August, the Outstanding IPSF Activity Award Report will be due on
June 1. Only this section of the APhA-ASP Chapter Achievement Reports is due
June 1. All other components of the APhA-ASP Chapter Achievement Reports are
due July 15.
Essay
Please describe the extent of your chapters participation in International Pharmaceutical
Students Federation (IPSF) activities (see below). In your report, include how your
chapters IPSF activities demonstrated the following:

Innovation: How your activities were creative or unique for chapter members
and the community, including any unique IPSF projects separate from standard
APhA-ASP programs

Involvement: How your members were involved in the implementation of your

activities with a specific focus on the promotion of international meetings,
promotion strategies to members and the public, member training, and overall
level of collaboration

Impact: How your activities affected your chapter, the American community, the
profession of pharmacy, and the international community

As a reminder official IPSF activities include: Medicine Awareness, Tobacco Awareness,

HIV/AIDS Awareness, Healthy Living and Diabetes Awareness, Tuberculosis Awareness,
Humanitarian Campaign (Vampire Cup), Student Exchange Program (SEP), World Congress,
Pan-American Regional Symposia (PARS), etc. Information about IPSF public health and
humanitarian campaigns can be found online: http://www.ipsf.org/projects/public-health.

Essays may not exceed 1000 words. If your report exceeds 1000 words, only
the first 1000 will be submitted to the APhA-ASP Awards Standing Committee.
(Include word count at the end of the report.)

Files must be submitted as a PDF and labeled as Chapter Name IPSF

Report.pdf.

In addition to the essay please complete the Executive Summary via Formite at:
https://fs8.formsite.com/APhA-ASP/OutstandingIPSF/index.html.
S U B M I T T I N G T H E R E P O RT / F O RM AT T I N G & S T Y L E
Please submit essays, photographs, and supporting materials via your Chapters Dropbox
Folder by June 1. For detailed information regarding submission requirements, formatting,
style, fonts, headers/footers, and how to access the Dropbox.com folder, please see the
Chapter Achievement Award Reporting Guidelines Section on Chapter Achievement Award
Submission Instructions.
CAA Reporting Guidelines (Updated April 13, 2016) Appendix I Page 1 of 6

CAA Reporting Guidelines (Updated April 13, 2016) Appendix I Page 2 of 6

S U P P O RT I N G M AT E R I A L S
Photographs
No more than five (5) photographs may be submitted with the report. Photographs must
be submitted electronically through the Dropbox folder and must be labeled Chapter
Name IPSF Pic #.jpg (i.e. U Arizona IPSF Pic 1.jpg or SDSU IPSF Pic 2.jpg). Once
photographs have been submitted electronically to APhA, the Association reserves the
right to use these photographs in APhA publications, marketing materials, and during APhA
meetings.
Original Documents/Materials
Additional supporting materials developed by your chapter (original documents/materials
only) may be included to illustrate the activities described in your essay. All supporting
materials must be scanned and submitted electronically to APhA as a PDF. No more than
five (5) documents will be accepted. Files must be labeled Chapter Name IPSF SM
#.pdf (i.e. U Arizona IPSF SM 1.pdf or SDSU IPSF SM 4.pdf).
Videos
No more than two (2) videos may be submitted with the report. Due to the large size of
video files, the Awards Standing Committee will only accept the URL, title, and 35 word
synopsis of the video on the official APhA-ASP Video Submission Form. APhA Student
Development Staff may request the original file. Once videos have been submitted
electronically to APhA, the Association reserves the right to use or link these videos in
APhA resources, marketing, and during APhA meetings.

CAA Reporting Guidelines (Updated April 13, 2016) Appendix I Page 3 of 6

E X E C U T I V E S U M M A R Y- O N L I N E F O R M
In addition to the essay, please complete the Executive Summary based on your APhA-ASP
Chapters IPSF activity via Formite: https://fs8.formsite.com/APhAASP/OutstandingIPSF/index.html
Healthy Living and Diabetes
o Number of Healthy Living and Diabetes Awareness activities/events
conducted: __________
o Number of individuals screened: ___________________________
o Number of individuals educated: ___________________________
o Number of student pharmacists involved in Healthy Living and
Diabetes Awareness activities/events:
_______________________________________
HIV/AIDS Awareness
o Number of HIV/Aids Awareness events held:
__________________________________
o Number of individuals educated: ___________________________
o Number of student pharmacists involved in HIV/AIDS awareness
activities/events: ________

Medicine Awareness
o Number of Medicine Awareness events held:
__________________________________
o Number of individuals educated: ___________________________
o Number of student pharmacists involved in Medicine Awareness
activities/events: ________

Tobacco Awareness:
o Number of Tobacco Awareness activities/events conducted:
__________________________
o Number of individuals screened: ___________________________
o Number individuals educated: _____________________________
o Number of student pharmacists involved in Tobacco awareness
activities/events: _________

Vampire Cup
o Number of activities/events conducted: _____________________
o Number of blood units collected: ___________________________
o Number of donors: ______________________________________
o Number of individuals educated on blood donation:
_________________________________
o Number of student pharmacists involved in Vampire Cup activities/events:
______________
Student Exchange Program (SEP)
o Number of chapter members applied for SEP ________________________
o Number of chapter members placed for SEP _________________________
o Number of students hosted through SEP _____________________

IPSF Meetings
o Number of chapter members who attended World Congress
__________________________
CAA Reporting Guidelines (Updated April 13, 2016) Appendix I Page 4 of 6

Number of chapter members who attended other IPSF-affiliated

conferences ____________

Other IPSF Activities:

o Number of student pharmacists involved in the Anti-counterfeit Drug
Campaign: _________
o Number of individuals educated about Anti-counterfeit Drug Campaign
activities/events: ___
o Number of student pharmacists involved in World TB Day activities/events:
______________
o Number of individuals educated from World TB Day activities/events:
__________________
o Number of student pharmacists involved in World Tobacco Day
activities/events: _________
o Number of individuals educated from World Tobacco Day activities/events:
______________

Overall Involvement:
o Total number of chapter members involved in all IPSF activities/events:
________
o Total number of student pharmacists (non-APhA members) involved in all
IPSF activities/events: ________________________________________
o Total number of faculty and staff involved in all IPSF activities/events:
__________________

CAA Reporting Guidelines (Updated April 13, 2016) Appendix I Page 5 of 6

APhA Academy of Student Pharmacists

Chapter Achievement Awards Program

O U T S TA N D I N G I P S F A C T I V I T Y AWA R D A D V I S O R
C O N F I R M AT I O N
Please indicate which of the following documents have been uploaded to your Chapters
Dropbox folder or completed via Formsite, as part of the Outstanding IPSF Activity Award
Report.
_____
_____
_____
_____

Essay
Executive Summary (online)
Photographs (Number: ___)
Supporting Materials (Number: ___)

As the Chapter Advisor, I hereby state that the following Outstanding IPSF Activity Award
report submission and related materials are the work of our Chapters Members and the
activities represented in this entry are an accurate portrayal of the work our Chapter has
completed.
APhA-ASP Chapter Name:
___________________________________________________________________

Signature of Chapter Advisor: _____________________________________

_____________________

Date:

DEADLINE AND SUBMISSION REQUIREMENTS:

Entries for the Outstanding IPSF Activity Award must be uploaded to APhA via
your Chapters Dropbox folder no later than 11:59pm (PST) on June 1. All other
components of the Chapter Achievement Report are due July 15 at 11:59pm (PST).
For detailed information regarding submission requirements, formatting, style, fonts,
headers/footers, and how to access the Dropbox.com folder, please see the Chapter
Achievement Award Reporting Guidelines Section on Chapter Achievement Award
Submission Instructions. Please submit this form via Dropbox no later than June 1.

CAA Reporting Guidelines (Updated April 13, 2016) Appendix I Page 6 of 6