NCCCP Grassroots Advocacy Committee Sign-up
Thank you for your interest in participating in advocacy efforts to advance the profession of pharmacy! The information you provide will solely be used for the purpose of communicating and organizing events related to the NCCCP Grassroots Advocacy Committee.

Visit the NCCCP website at https://ncccp.net or find us on Facebook at https://facebook.com/ncccp.pharmacy

First name *
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Middle name
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Last name *
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Email address *
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Position (if not student) or graduation year (if student) *
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Place of work/school *
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Phone number (optional)
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Grassroots Advocacy Committee Group sign-up
Core Group - I volunteer to help organize and promote activities and initiatives, such as communicating with government bodies.

Legion Group - I volunteer to participate in supporting NCCCP/CSHP/CPhA initiatives, but not organize activities.

Steering Group - I want to help synergize efforts among professional organizations and determine useful activities for NCCCP to undertake.

Which group of the Grassroots Advocacy Committee would you like to join (or are already part of)?
Affiliated student group (if student)
Position within the Grassroots Committee (if applicable)
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Comments (e.g., activities you would like to accomplish with the Grassroots Advocacy Committee)
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