PHARMACY AND HEALTH SCIENCES DAY
CO-CHAIR Application

To apply for the Pharmacy and Health Sciences Day Co-chair position, complete the following form and click on submit at the bottom of the page.  Or, print a blank version, complete, and return to the College Office - Cline 106.

Name 

Local address
Local phone number
E-mail address

Current Enrollment:  SO  P1  P2

Current Cumulative GPA 

Please provide information, location and when, on any pharmacy work experience you have had or are currently involved in. 

If you work during the academic year, how many hours do you average a week? 

List any University or College activities which demonstrate or contribute to your leadership development.

As Co-Chair of the Pharmacy and Health Sciences Day committee, please list your goals for making Pharmacy and Health Sciences Day a professional experience for students: 



Comments? Questions?
E-mail to Renae Chesnut (renae.chesnut@drake.edu)
 

Or, print blank version, complete,  and return to the College Office - Cline 106.

Edited 4/4/08 rjc