Visiting Pharmacy Students-APPE

Visiting Pharmacy Students-APPE

Your name*

Please include first and last name (ex: Jane Smith)

Your e-mail*

Today's date*

What pharmacy school are you currently attending?*

Experiential Team Contact Information*

Include Name, Title, E-mail, Phone number

Ex: Jane Smith, PharmD, Director of Experiential Education, jsmith@sop.edu, 555-555-5555

APPE blocks you are seeking rotations*

Please choose all blocks you have availability. Note that we do require students to start the rotation on the first day of each block.

Select or enter value

What types of APPE rotations are you seeking?*

Please note, we offer elective rotations.

Select or enter value

If "other" selected, please describe:

Any current or previous OHSU affiliation?*

Select

If "yes," please describe:

Please upload your brief interest statement and CV*

Limit 250 words. Please include why you'd like to come to OHSU, your practice interest areas and/or career plans. Please also upload your most up to date CV.

Drag and drop files here or

Please review and check box before submitting*

I confirm that I am currently enrolled in an accredited PharmD Program, am in good academic standing, and have an Active Oregon Intern License.

Send me a copy of my responses

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