Rural Health Residency Night - STUDENT/CANDIDATE Sign-Up

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Event Date & Time: October 29th, 6-8 pm CST

Location: Virtual
Questions? Contact Julie Bartell at julie.bartell@ssmhealth.com

Student/Candidate Name *

Email *

Name of College of Pharmacy

Year in School *

P1 (first year student)

P2 (second year student)

P3 (third year student)

P4 (fourth year student)

PY1 (first year of a three year program)

PY2 (second year of a three year program)

PY3 (third year of a three year program)

Post-Graduate

I agree to be present or have another program contact/representative attend virtually on October 29th from 6-8pm CST *

If something changes, please email Julie.Bartell@ssmhealth.com ASAP.

Yes

Required

Prior to Event:

A few days prior to the event, a virtual link for access to the event and information on the attending programs will be sent to you.

Submit

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