Alumni Initiate Application

  • Date Format: MM slash DD slash YYYY
  • Education

    Please upload a copy of your pharmacy diploma or pharmacist license
  • Date Format: MM slash DD slash YYYY
  • This application will be reviewed by Grand Council at their next monthly meeting. Applicants will then be contacted by HQ staff with instructions on how to make their first dues payment in the member portal ($75), and to set up their initiation date.
katapultAlumni Initiate Application