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Injection Certified Pharmacy Students 2020

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* 1. Please provide us with your first and last name

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* 2. Please provide your contact information

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* 3. Which school of Pharmacy do you currently attend?

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* 4. Are you injection certified?

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* 5. Are you or will you be injection certified for the Fall 2020 season?

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* 6. Please provide your licence number below.

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* 7. If you answered yes to the above question, when will you become injection certified?

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* 8. What is your earliest availability to start?

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* 9. What is your preferred city to work in?

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* 10. Don't forget to follow our journey on Instagram @lifeatrexall

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