The Palmetto Experiential Education Partnership is a collaboration between the Medical University of South Carolina and University of South Carolina Colleges of Pharmacy.

At the end of this form you will be prompted to upload your current CV or resume. 

Thank you so much for your interest in serving as a preceptor for our pharmacy students!

* 1. Current Contact Information

* 2. Email address

* 3. Date of Birth (MM/DD/YYYY)
This information is collected to eliminate duplicate accounts within the rotation management system. 

* 5. Please select the most appropriate answer to identify your current status as a SCCP preceptor.

* 6. Preceptor Information

* 10. If you are a pharmacist, do you CURRENTLY have any of the following  additional degrees or certifications?