UCD Pre-Pharmacy Club Membership Application 2021-2022
Welcome to Fall Quarter 2021! Please complete this form and submit with a nonrefundable membership fee ($20) to our Venmo @ucdprepharmacy (this includes a club t-shirt and other club expenses). In the comments, include your name and "Membership Fee".

Make sure to follow us on Facebook, Discord, and Instagram for future events and updates!
Sign in to Google to save your progress. Learn more
Email *
Name (Last, First) *
Year *
Major *
Phone Number *
T-shirt size *
How did you hear about the Pre-Pharmacy Club? Please check all that apply. *
Required
Which of the following are you most interested in? *
Required
What topics would you like the club to cover this year? *
When do you plan to start Pharmacy School? *
Required
Don't Forget to Follow Us and Stay Connect!
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
Google Forms