Student Introduction
Pharmacy Location:
Fairview Rd
Long Shoals Rd
First Name
*
Last Name
*
School
*
Year
*
Have you worked in community pharmacy previously?
*
Yes
No
Community pharmacy experience - where and for how long?
What comes to mind when you think of "community pharmacy rotation"?
*
What are three goals that you would like to work on during your rotation at Sona?
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Tell us a little about yourself (hobbies, long-term goals, why you chose our pharmacy, etc.)
*
What topic discussions would you like to have while you are at Sona?
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Rank your interest level (on a scale of 1 to 10, with 10 being highly interested) in the following areas
Specialty Pharmacy
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slightly
1
2
3
4
5
6
7
8
9
highly
10
1 is slightly, 10 is highly
Pharmacy Operations
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slightly
1
2
3
4
5
6
7
8
9
highly
10
1 is slightly, 10 is highly
Transitions of Care
*
slightly
1
2
3
4
5
6
7
8
9
highly
10
1 is slightly, 10 is highly
Enhanced Community Clinical Services (i.e. OutcomesMTM, etc)
*
slightly
1
2
3
4
5
6
7
8
9
highly
10
1 is slightly, 10 is highly
Any other areas of interest, please list and we can try to accommodate as best as possible
Submit
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