Thank you for your interest in being a preceptor for University of the Pacific’s Thomas J. Long School of Pharmacy and Health Sciences. The Office of Professional Programs staff will contact you after your application has been reviewed.

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* Contact Information

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* Are you a University of the Pacific alumnus/alumna?

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* Do you have experience precepting students?

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* Years in practice:

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* Education (Check all that apply)

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* Residency (Check all that apply)

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* Board Certification (Check all that apply)

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* General Practice Certificate Training

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* Licensure

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* Please specify which Introductory Pharmacy Practice Experience (IPPE) and/or Advanced (APPE) rotation(s) you are interested in precepting for, check all that apply.

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* Rotation Site

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