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Pharmacy Technician Interest Form
Any student who is interested in participating in the Pharmacy Technican will need to complete this Interest form AND send their email to Ericka Kouba careercoordinator@dvr-efe.org. Any student who does not email their resume prior to April 10, 2026 will not be considered for the program. All emails inquiring the program should be sent by the STUDENT who is interested in the program. Interviews for the program will begin at the end of April and will conclude in May. 
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First Name *
Last Name *
Email Address *
What high school do you attend? *
Will you be a senior for the 2026/2027 school year? *
Do you have reliable transportation to and from West High School?
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What medical career are you interested in? *
What are you looking to get out of the Pharmacy Technican Program? *
The Pharmacy Technician Program may begin as early as June 8, 2026 and continue on to July 23, 2026 every Monday to Thursday, with Fridays off. Are you able to commit to the entire program? *
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