2020 Pillars For Success Camp Application

2020 Pillars for Success Application

Please fully complete the application to be considered for the OUCOP Pillars for Success Undergraduate Camp to be held May 11-15 and 18-22, 2020. The application is due no later than April 1, 2020. Please have all official college transcripts mailed directly to:

Jennifer Richardson

University of Oklahoma College of Pharmacy

1110 N Stonewall Ave

Oklahoma City, OK 73117

Official transcripts should be received no later than April 10, 2020. Applicants will be notified of a decision no later than April 17, 2020.

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* 1. Contact Information

First Name

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Preferred Nickname

Email Address

Phone Number

Academic Background

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* 2. Please list all colleges/universities attended and include dates of attendance for each one. Please arrange to have the official transcripts mailed to the address in the application instructions.

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* 3. How many college hours have you completed (include all graded hours, pass/fail hours, and any AP/IB hours that appear on your transcripts)?

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* 4. What is your current overall GPA? This includes all graded coursework even if you have repeated a course.

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* 5. How many science hours have you completed? This includes all sciences, not just pre-requisite sciences.

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* 6. Please mark all pre-requisites that you have currently completed with a grade of C or better.

Calculus

Physics

General Chemistry I

General Chemistry II

Organic Chemistry I

Organic Chemistry II

Organic Chemistry Lab (2 hours, if taken separately from Ochem I & II)

Biology Course (4 hours)

Microbiology w/Lab (4 hours minimum)

English I

English II

I have not completed any pre-requisite courses.

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* 7. Have you ever taken the Pharmacy College Admissions Test (PCAT)?

Yes

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* 8. If yes, how many times have you taken the PCAT?

1 time

2 times

3 times

4 times

5 or more times

I have not taken the PCAT.

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* 9. If you have taken the PCAT, did at least one of your scores reach a 35th percentile composite with no subscores below the 20th percentile?

Yes

I have not taken the PCAT.

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* 10. If you answered no to question 9, which areas did not meet that threshold? Please mark all that apply.

Composite below 40th percentile

Biological Sciences subscore below 20th percentile

Chemistry subscore below 20th percentile

Quantitative Ability subscore below 20th percentile

Reading Comprehension subscore below 20th percentile

I have not taken the PCAT.

I met the threshold of 40th percentile composite with each subscore at least a 20th percentile.

Pharmacy Background

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* 11. Do you have any pharmacy experience, either paid or unpaid?

Yes

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* 12. If you answered yes, please check all that apply.

Observation Only-No tasks or duties were performed.

Volunteer-Tasks or duties were performed with no pay.

Employment-Tasks or duties were performed for pay.

I have no pharmacy experience.

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* 13. If you are currently working or have worked or observed in a pharmacy setting, what type of setting is/was it? Please check all that apply.

Retail Chain Drug Store

Retail Grocery Store

Hospital

Clinic

Independent Pharmacy

Mail Order Phgarmacy

Closed Door Pharmacy (e.g. home health, hospice, long term care, etc.)

Government Facility

Native American Clinic/Pharmacy

Nuclear Pharmacy

Managed Care Pharmacy

Compounding Pharmacy

Other (please specify)

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* 14. What is the estimated total amount of time you have in pharmacy experience?

0-10 hours

11-40 hours

41-75 hours

More than 75 hours

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* 15. Why have you chosen to become a pharmacist as your career?

Self-Assessment

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* 16. What areas do you feel you need to strengthen for your pharmacy school application?

Biology

Chemistry

Basic Math

Calculus

Algebra

Writing Skills

Standardized Test-Taking Skills

Study Skills

Leadership Development

Teamwork

Knowledge of Pharmacy

Financial Literacy

Communication Skills

Interviewing Skills

Self-Management Skills (e.g. time management, stress management, etc.)

Other (please specify)

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* 17. What do you feel are your strengths?

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* 18. What do you feel are your weaknesses?

Voluntary Demographic Background Information

This is an optional section. These questions are designed to help us learn more about you and how we can best support your future goals. You may answer all, some, or none of the questions. Choosing not to answer will not impact the evaluation of your application.

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* 19. If you have had any academic difficulties you would like to explain, please use this box to do so.

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* 20. Have you encountered any obstacles in your life you have had to overcome?

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* 21. Do you consider yourself to be a member of one or more of these groups? Please check all that apply.

First generation college student

Racial/ethnic minority

Military veteran

LGBTQ

Lower socioeconomic class

Non-traditional student

Medically underserved

Educationally disadvantaged

Rural area

Urban area

English is not your first language.

English is/was not primarily spoken in the home.

Single parent family

Challenges due to disability

First generation American citizen or resident

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* 22. What is your date of birth?

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* 23. What race/ethnicity do your self-identify as? Please check all that apply.

Caucasian, Non-Hispanic

Caucasian, Hispanic

Latino/Latina/Chico/Chica

Asian

Native American

Pacific Islander/Native Islander/Alaskan Native

Black/African/African-American

Other

I prefer not to answer.

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* 24. What gender do you self-identify as?

Female

Male

I prefer not to say.

Trans (Please include any preferred pronouns.)

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* 1. Contact Information

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* 2. Please list all colleges/universities attended and include dates of attendance for each one. Please arrange to have the official transcripts mailed to the address in the application instructions.

Question Title

* 3. How many college hours have you completed (include all graded hours, pass/fail hours, and any AP/IB hours that appear on your transcripts)?

Question Title

* 4. What is your current overall GPA? This includes all graded coursework even if you have repeated a course.

Question Title

* 5. How many science hours have you completed? This includes all sciences, not just pre-requisite sciences.

Question Title

* 6. Please mark all pre-requisites that you have currently completed with a grade of C or better.

Question Title

* 7. Have you ever taken the Pharmacy College Admissions Test (PCAT)?

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* 8. If yes, how many times have you taken the PCAT?

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* 9. If you have taken the PCAT, did at least one of your scores reach a 35th percentile composite with no subscores below the 20th percentile?

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* 10. If you answered no to question 9, which areas did not meet that threshold? Please mark all that apply.

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* 11. Do you have any pharmacy experience, either paid or unpaid?

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* 12. If you answered yes, please check all that apply.

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* 13. If you are currently working or have worked or observed in a pharmacy setting, what type of setting is/was it? Please check all that apply.

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* 14. What is the estimated total amount of time you have in pharmacy experience?

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* 15. Why have you chosen to become a pharmacist as your career?

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* 16. What areas do you feel you need to strengthen for your pharmacy school application?

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* 17. What do you feel are your strengths?

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* 18. What do you feel are your weaknesses?

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* 19. If you have had any academic difficulties you would like to explain, please use this box to do so.

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* 20. Have you encountered any obstacles in your life you have had to overcome?

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* 21. Do you consider yourself to be a member of one or more of these groups? Please check all that apply.

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* 22. What is your date of birth?

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* 23. What race/ethnicity do your self-identify as? Please check all that apply.

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* 24. What gender do you self-identify as?

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* 25. What are you most passionate about in life?

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* 26. What are some of your favorite things/activities to do in life?

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* 27. What do you hope to gain from attending this camp?