Applications Univerity of South Carolina：應用南卡羅來納州大學

1、importanton all documents, list your nameexactly as it appears on the government issued id youplan to present at testing. the usc campus dean will be completing the college affidavit (top of page 6) and certification of clinical experience (page 8) components of the sc board of pharmacy application

2、for examination. the student is responsible for printing and completing the rest of the application.south carolina application can be found:http:/www.llr.state.sc.us/pol/pharmacy/pforms/pharmacist%20licensure%20by%20exam%20complete.pdfif you are applying for your license in any other state, let dian

3、e wise () know as soon as possible so she can fill out the necessary forms for those states. also, make sure you look up the deadlines for application for your state as every states application process if different. some states require you to complete an online application.make sure y

4、ou have met the hours of practical experience requirements, which may vary according to state. students will be notified by email after the college affidavit portion and certification of clinical experience forms have been completed and are available for pick up in cls 109.application cannot be comp

5、leted until the student has completed their final rotation .cannot receive school seal from office of enrollment services until all grades have been posted and verified. if you are out of state and wish for your forms to be mailed to you, email diane wise with the request and current mailing address

6、 . please do not have someone else pick up your application! list practical experience under the supervision of a licensed pharmacist in chronological order. these are your internship hours, not your rotations.there is only room to put 4 of your nine or ten rotations on this section o

7、f the form.you may list the first four and below write (see attached).on a separate sheet of paper list the remaining rotations in chronological order making sure to put your name on the attachment or (write see attached) and print your rotations from e*value. it will have your name printed and your

8、 rotations listed in chronological order. if the applicant has previously taken the board examination for pharmacist licensure in this or any other state, he must disclose places, dates and results in the provided spaces. if none, type n/a. please read the instructions and complete the statement as

9、listed on the form. make sure you sign this portion of the form. have form notarized by emily willingham in cls-110a, or other notary public.have a certified copy of your birth certificate. please note that the birth certificate you submit will not be returned.birth certificates may be obtained by c

10、ontacting:columbia, sc office of vital records sc dhec, 2600 bull street, columbia, sc 29201 (803) 898.3630; 8:30am-4pm /administration/vr/birth.htmprocessing: mail order may take weeks, phone or online will take 5-7 business days, walk-ins will take approx. 1 hourprocessing fee

11、of $12-$17charleston county public health department4050 bridgeview drive, suite 475north charleston, sc 29405(843) 746.3801 http:/ of state students will need to check in their respective home states for a certified birth certificate.do not delay as this process could take some time to complete dep

12、ending on your place of birth.in most cases, a simple online search will direct you to the correct government agency to request a birth certificate.be mindful that there will likely be a fee for requesting the birth certificate.students will have this portion completed after they receive the complet

13、ed college affidavit portion from the college with the school seal.character vouchers a & b must be completed and signed by two licensed pharmacists.the signatures for character vouchers a & b must also be the signatures on the (a)(b) lines on the back of the pictures (page 7).one picture wi

14、ll be submitted with the completed application.one picture will be presented by the applicant at the time of examination.must be completed by the college and signed by the deanif you are applying for licensure in another state you will have to complete this form and send to:south carolina board of p

15、harmacypost office box 11927columbia, sc 29211-1927or you may hand deliver to:110 centerview drive,suite 201columbia, sc 29210 all applicants for a south carolina license after july 1, 2008, are required to complete and sign the affidavit of eligibility. please check the acceptable secure and verifi

16、able document(s). a copy of the verifiable document(s) must be attached to the affidavit of eligibility.submit your entire application for examination to avoid confusion and missing segments.pay the $100.00 fee.enclose a certified copy of your birth certificate.enclose one picture with signed attach

17、ment. *keep 2nd picture with 2 signatures to present when taking the exam!enclose certification of clinical experience signed by dean.enclose attachment stating you have completed the naplex/mpje registration with the national association of boards of pharmacy (nabp) sign your name on the attachment

18、 (see example on following slide).mail application to:south carolina board of pharmacypost office box 11927columbia, sc 29211-1927hand deliver application to: 110 centerview drive, suite 201 columbia, sc 29210once the application is submitted, students may check the status of their application on th

19、e llr website. your application is valid for one year.i, _, have completed the registration for the naplex/mpje with the national association of boards of pharmacy (nabp)._ _ signature datestudents may complete the naplex and mpje registration processes with the national association of boards of pha

20、rmacy (nabp) prior to submitting their sc board of pharmacy application for examination; this is a separate process. sccp degree candidates should select: sc 104 south carolina college of pharmacy from the school code list when submitting their naplex and mpje registrations.applications for ga, alabama, north carolina and texas as well as some other states will not be accepted until the date of graduation or after graduation. enrollment services will not apply the school seal for these states until the day of graduation or after . you may pick up the college affidavit portion of thes