Pharmacy Tech Application

Applications are not complete untill all requirements have been met.

Have questions or need help? Call 801-957-5364 or email dee.harper@slcc.edu.

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Applicant
This is your SLCC S#. It always begins with S, followed by 2 or more zeros, has 9 characters total, and will look like S00123456
Last Name *
First Name *
Middle Name or Initial
Applicant Contact Information
Address *
City *
State *
Zip *

 

Other Email - select if primary*

 

Primary Phone - select all that apply *

 

Alternate Phone - select all that apply
Alternate Contact
Relation *
Last Name *
First Name *
Middle Name or Initial
Alternate Contact Information
Address *
City *
State *
Zip *
Primary Phone *
Select all that apply *

 

Alternate Phone
Application Requirements
Will you be at least 18 years old at the time training starts?
Preferred Starting Semester *
Medical Terminology
Medical Terminology Requirement
Math
**Math Requirement must be current within the last 1-2 years
If not taken at SLCC where?
Future Cohort

The Pharmacy Technician Program requires that you make a commitment to complete the program requirements in three consecutive semesters (one full calendar year). In approximately 200 words describe why you are a good candidate and what motivates you to want to participate in the program.