APPE PHARMACY STUDENT ROTATION APPLICATION

Application & Deadline:

To be eligible for ASCP’s APPE rotation, interested student pharmacists must submit an application by December 31, 2018.

Completion of the APPE application.
500 word essay explaining career goals and interest in senior care pharmacy and association management and leadership.
Current resume or CV, including preferred (year-round) contact information. Please include 3 professional references with name, email, phone number on your CV or resume.
You must notify your school’s experiential director prior to submission.

First Name *		Last Name *
Email Address *
Phone *
ASCP Member *	Yes No
If you are an ASCP Member, please describe your current involvement.This includes chapter contribution, service event participation and meeting attendance.
School *
Experiential Coordinator Name *
Experiential Coordinator Email *
Experiential Coordinator Phone Number *
Is your experiential coordinator aware that you are submitting this application? *	Yes No
Select Rotation Schedule (May select more than one)	Block 1 \| 05/20/19 - 06/21/19 Block 2 \| 06/24/19 - 07/26/19 Block 3 \| 07/29/19 - 08/30/19 Block 4 \| 09/02/19 - 10/04/19 Block 5 \| 11/11/19 - 12/13/19 Block 6 \| 01/13/20 - 02/14/20 Block 7 \| 02/17/20 - 03/19/20
If these dates do not align with your school's experiential blocks, please list your availability.
500 word essay: Explain your career goals & interest in senior care pharmacy &/or association effort *
Upload a Resume (including 2-3 professional references) *
Describe a project or time where you worked remotely. What type of technology did you utilize?
Please provide any additional information that you would like ASCP to consider your application. *
We want to know more about YOU! Link to social media, video of previous pharmacy work...be creative!