Exit this survey 2019 Spring Admissions Workshop Registration 12th Annual Prescription for Inspiration Admissions Workshop Question Title * 1. Please fill out all fields below. First Name: Last Name: College/University: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address: Phone Number: Question Title * 2. Please provide your registration information.The workshop will be held on Saturday, April 27, 2019. It will be in the College of Pharmacy building on the OUHSC campus in Room 101.Registration begins at 8:30 am. The program begins at 9:00 am and will end around 1:00 pm.A continental breakfast and lunch will be provided. Yes, I will be attending. No, I cannot attend this year. Question Title * 3. Please list any dietary restrictions that you might have. Done