Northern California College of Clinical Pharmacy - Student Membership Form (version 2018)
Thank you for your interest in joining the Northern California College of Clinical Pharmacy and the American College of Clinical pharmacy. We look forward to having you as a student (and future pharmacist) member!
First name *
Your answer
Last name *
Your answer
Best email address to reach you at *
Your answer
Alternate email address (non university email) *
Leaving this email will help us stay in contact with you as you transition from pharmacy school into your career as a pharmacist. If your "best" email address you left above is a non-university email, simply copy that email into this box
Your answer
Pharmacy School *
Year of graduation *
Your answer
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