JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
IPA Volunteer Opportunities
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
City, State, Zip
*
Your answer
Email
*
Your answer
Please check with position(s) and opportunities you would like to be considered for.
IPA Councils
Legislative & Regulatory
Education
Membership
New Practitioner
IPA Academy Boards
Indiana Society of Health-System Pharmacists
Indiana Academy of Community Pharmacists
Indiana Academy of Non-Traditional Pharmacists
Indiana Academy of Independent Pharmacists
Indiana Academy of Student Pharmacists
IPA Officers & Directors
President-Elect
Treasurer
Board of Directors
Other Opportunities
Education Foundation Volunteer
IPA Event Volunteer
IPA Social Media Volunteer
Ad-hoc Taskforce or Committee
IN Pharmacists Journal - author or reviewer
National Pharmacy Organization Engagement
Other:
Civic Engagement
Interest in running for elected office
Interest in other local or statewide civic engagement opportunities
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
