RxPlus Scholarship Application - University of Colorado Denver

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Scholarship Foundation
RxPlus Pharmacies Scholarship Foundation is generously supporting $1,000 scholarships
for students who intend to have a career in independent community pharmacy. The
criteria for application are as follows:
1. Good academic standing in pharmacy school
2. Current member of NCPA
To apply, students must submit:
1. A scholarship application through your school
2. Description of role in NCPA (member, officer, duration of membership)
3. A letter outlining plans to pursue a career in independent community pharmacy.
Additional recommendations to strengthen your application:
1. A letter of recommendation from an RxPlus pharmacist
2. Current or former employment at an RxPlus pharmacy
RxPlus Scholarship Application
Applicant’s Name:
Social Security #
Address
City:
State:
Home Phone:
ZIP:
Work:
Date of Birth:
U.S. Citizen? Select
School of Pharmacy: University of Colorado Skaggs School of Pharmacy and
Pharmaceutical Sciences
Address (Street, City, State, Zip) 12850 East Montview Boulevard, Aurora, CO 80045
Telephone: 303-724-2882 Advisor:
Years Attended?
Current GPA?_
How long have you been employed by an RxPlus pharmacy? Select
Years:
months:
Annual household income:
Number in household (include children < 22 yrs old)
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