Cianfarani Pharmacy Education Scholarship

Acceptance Form

Congratulations on being selected as a recipient of the Cianfarani Pharmacy Education Scholarship.

Please complete and return this form within 7 business days to confirm acceptance of your award.

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Award Acknowledgment

By signing below, I acknowledge and agree that:

Payment Terms

  • Payment will be issued within a reasonable timeframe (typically 10–15 business days) following receipt and approval of all required documentation.
  • RXinsider reserves the right to determine the method of payment, which may include payment to the recipient, joint payment, or payment to an educational institution, as applicable.

Publicity & Media Release Authorization

By accepting this award, I grant RXinsider permission to:

  • Publish my name, professional title, organization, and general nomination summary.
  • Use my photograph (if provided).
  • Use quotes, testimonials, and related materials for marketing, promotional, editorial, and educational purposes across digital, print, and social platforms.
I understand no additional compensation will be provided for such use.
This award is non-transferable and may not be assigned to another individual.

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