Summer Pre-Pharmacy Internship

Fields marked with an asterisk (*) are required.

Personal Information

Primary Email Address

Secondary Email Address

First Name

Last Name

Preferred Name

Current Mailing Address

Country

Street

City

Region

Postal Code

Permanent Mailing Address

Same as Current Mailing Address

Country

Street

City

Region

Postal Code

Cell Phone

Home Phone

What is your country of citizenship

Type of Visa

Is English your primary language?

What is your native language

Date of Birth

Gender

Are you Hispanic or Latino

Racial/Ethnic Identity (Check all that apply; Gender and racial/ethnic identity information is used for reporting purposes only)

T-Shirt Size

White Coat Size

Educational Information

High School from which you graduated

Set Level of Study for High School

Address of High School

Country

City

Region

Postal Code

Year of high school graduation

College you are currently attending

Set Level of Study for College

Address of College

Country

City

Region

Postal Code

Expected Year of college graduation

How did you first hear about Harding University's College of Pharmacy

Have you been involved in cases of criminal offense other than minor traffic violations? (Please see the provided Arkansas pharmacy technician application for the type of information you will need to provide for licensure.)

Please give a full explanation

Personal Statement

For the following internship types listed below, please rank your interest. 1 (being the one in which you are most interested) to 3 (being the one in which you least interested). Please type your answers starting with the bolded internship type, and the number you've chosen to rank it out beside it.

Community Pharmacy (This is a pharmacy setting that is community-based, like a local drugstore) and fills prescriptions to treat common health conditions.

Hospital Pharmacy (A hospital pharmacy is a department within a hospital that prepares, compounds, stocks and dispenses inpatient medications, and where pharmacists perform clinical duties for the care of patients on nursing units).

Academic Pharmacy (Academic pharmacists educate, train, assess and develop pharmacy students, pre-registration trainees, pharmacists and other healthcare professionals. An academic internship would entail a variety of experiences.)

Please describe how participation in Harding’s Pharmacy Internship program will benefit your educational and career goals (500 - 1000 words)

Please upload your CV/Resume

Please upload a headshot photo with a solid background

I certify the information provided in this application is my own work, true, and correct.

Yes

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Additional Information

Participation in the internship requires transportation to and from events within Searcy or potentially within 60 miles of Searcy. Searcy does not have public transportation, so in order for appropriate placement, it is best if an intern has personal transportation. Do you have a means of personal transportation?

Yes

No

Other

Statement of Intent

The Doctor of Pharmacy program at Harding University begins the first week of Summer Term (June of each year).Below, please indicate the year in which you intend to enroll in pharmacy school at Harding.

It is my expressed intent to pursue admission to and attend the Harding University College of Pharmacy through the Designated Seat Program in my school’s articulation agreement with Harding University.

Yes

Signature

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