Visiting Pharmacy Student Application-IPPE

 

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

 
 
 
mm/dd/yyyy
 
 

Include Name, Title, E-mail, Phone number

 
 

Please choose all months you have availability.

 

Please indicate # of hours, timeframe for completion

 
 
 

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 and IPPE Syllabus.

Drop your files here
 

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