2019 - 2020 Resident Teaching Pharmacy Education Registration Form

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First Name *

Last Name *

Preferred Email *

UW email (if you have it). Be on the look out for emails from the UW/School of Pharmacy about your Clinical Affiliate Faculty status and setting up a UW net ID. You will need a UW email to access the online program site and UW library resources. Residents who were students of UW previously will still need to have CAF status in order to reinstate their access to UW systems.

Please indicate which program you are registering for: *

Precepting Training and Introduction to Teaching, Workshops I and II; Fee = $175.00

Teaching Certificate in Pharmacy Education (TCPE), Workshops I - VI; Fee = $350.00

Pharmacy residency program currently enrolled in: *

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