Application

Pharmacy Technician Training Program

Instructions

Please complete all fields of the application


You must have a copy of the following items before proceeding:

 

  1. High school diploma or GED 
  2. Recent resume with employment history
  3. Letter of interest - 250-word personal statement describing your interest in the program
  4. Letter of recommendation* this can be uploaded here, if you have it available, or emailed to OHSUPTTP@ohsu.edu


Questions?

Email: OHSUPTTP@ohsu.edu      

Urgent questions call: 503-839-0373   


Personal Information

Are you a current OHSU Employee?*
Are you currently employed in an AFSCME union represented position?*
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please include name of employee or explain other:

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Emergency Contact


Educational Background

Did you graduate?*

Did you attend college or a technical training program?*
Did you graduate?


References




Background Information

Have you been charged or convicted (including a nolo contendere plea or guilty plea) of felony misdemeanor (other than minor traffic offenses) whether or not sentence was imposed, suspended, expunged, or whether you were pardoned from any such offense?*
Have you ever been dismissed, suspended, expelled, placed on probation or otherwise involuntarily separated from any other college, university, or high school, or withdrawn to avoid such involuntary separation?*

Equal Enrollment Opportunity

OHSU provides equal opportunities to all individuals without regard to race, religion, national origin, disability, age, marital status, sex, sexual orientation, disability, military reserve status, or any other status protected by law. In order to comply with these laws, OHSU invites applicants to voluntarily self-identify their race or ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations.


By submitting this application, I hereby acknowledge that I have read and understand the below statements and certify that all information in this application and all additional information I have submitted is true and complete to the best of my knowledge. I understand that if I am offered enrollment, discovery that I gave false or misleading information may be grounds for denial of enrollment or immediate dismissal if hired. If you do not agree with these statements, please do not proceed with submission of this application.


Upload Required Documents

Please submit a copy of the following items


  1. High school diploma or GED*
  2. Recent resume with employment history*
  3. Letter of interest* (250-word personal statement describing your interest in the program)
  4. Letter of recommendation (if available)
  5. Any other important documents (e.g. name change, other diplomas and/or certificates)


*required items

Drag and drop files here or

Attestation

I attest I have uploaded the following documents:

Letter of recommendation attestation*

Letter of recommendation can be uploaded here if you have it available, or emailed to OHSUPTTP@ohsu.edu