PMCP Mentorship Application
Please fill out this form if you would like to join USC AMCP's pre-mentorship program. You will not be added to the mailing list until you have paid the membership dues:
Untitled Title
Name (Last, First) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Undergraduate School *
Your answer
Year you are planning to enter pharmacy school *
New/Returning Member? *
Payment Method *
*New ($20), Returning ($15)* (If paying with check, please make it out to USC AMCP)
Questions? Comments? Concerns?
Please feel free to state if you have any preferences as to who you'd like your mentor to be (ex. from a specific school, P1, P2, P3, female, male, etc)
Your answer
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