1) Identification of the Academic Institution

2) City and Country

3) Name, role and email, of the representative #1

4) Name, role and email, of the representative #2

5) Institutional website

6) Does your Institution consider relevant to have a European Academic Network for Pharmacy Technicians'?

7) Why does your Institution want to be involved in a European Academic Network for Pharmacy Technicians?

8) Which projects do you think could be developed within the European Academic Network for Pharmacy Technicians? (several apply)

9) Do you work with other European partners that provide education for Pharmacy Technicians? Please identify your partners (Institution and City/Country)

10) In this Academic Network, your intention is (several apply)