MPhA NPN Member-at-large Application
The Maryland Pharmacists Association's New Practitioner Network is seeking THREE (3) New Practitioner Members-at-large for one term (ending at the MPhA 2019 Annual Convention) to serve on the New Practitioner Network Executive Committee (NPNEC). Each Member-at-large will be responsible for one of three branches within the NPNEC's initiatives: Community Service (patient outreach, philanthropy, etc.), Communications (social media, emails, etc.), and Member Engagement (resource & CE development, social events, etc.). The Members-at-large will also be responsible for attending monthly evening conference calls as part of the NPNEC's duties.

New Practitioners (pharmacists graduated within the past 5 years) and student pharmacists are encouraged to apply! Please fill out the form entirely. Applications will close at 11:59PM on August 31st, 2018. Appointments will be made by September 7th, 2018. Please contact Meryam Gharbi ( and Andrew Wherley ( for questions. Best of luck!

Name (First, Last) *
Your answer
Email *
Your answer
What city in Maryland do you live in? *
Your answer
Are you an MPhA member? (Please note: This is not a requirement to apply, but will be a requirement should you be selected.) *
Are you a new practitioner or a student pharmacist? *
If you are a new practitioner, what area do you practice or plan on practicing in (community, hospital, completing a residency/fellowship, other, etc.)?
Your answer
If you are a student pharmacist, which pharmacy school do you attend?
Why do you want to serve as a New Practitioner Member-at-large? *
Your answer
Tell us a little bit about yourself and your leadership experience. *
Your answer
What ideas do you have to engage New Practitioner members across the state? *
Your answer
Please check which branches of the NPN initiatives you would like to be considered for (you may check more than one). *
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