Name: Date of Birth:
Gender: Email Address:
High School Attended: Graduation Year:
Community college: Semester/Year Started: GED:
If so, what college/university did you attend?
Highest degree and major: If no, how many credits did you complete:
Specific course of study:
Optional: Please provide your ACT/SAT composite score: Please provide brief responses to the following questions: 1. Please explain your interest in the pharmacy technician career:
Have you completed any college/university-level course work? Yes: No:
Did you graduate? Yes: No: Address:
Pharmacy Technician Certification
Program Application
2. What customer service or other previous workforce skills will you bring to this program?
3. What do you feel will be your greatest challenge as you progress through your course work?
Technical Standards for Pharmacy Technician Program
The goal of the Roosevelt University College of Pharmacy is to educate and train pharmacy technicians who are commit-ted, competent and compassionate. The following technical standards for admission and program completion describe the non-academic qualifications required in addition to academic achievements. The College of Pharmacy faculty, the Accreditation Council for Pharmacy Education (ACPE) and the American Society of Health-System Pharmacists (ASHP) consider these standards essential in order to complete a pharmacy technician training program.
Communication: A pharmacy technician student must be able to communicate effectively and efficiently with patients, their families, co-workers and other members of a health care team. This includes the ability to ask questions, listen carefully to answers provided by patients, their families, co-workers, or other health care team members, and record information accu-rately. Mastery of both written and spoken English is required.
Visual, Auditory, Tactile and Motor Competencies: A pharmacy technician student must possess sufficient visual, audi-tory, tactile and motor skills to participate in and gather data from experiments and demonstrations in the basic sciences, reference materials, oral presentations, and group discussions. This includes the ability to prepare prescription products for dispensing to patients, observe clinical procedures performed by others, perform a basic physical examination of a patient, and perform first aid treatments, cardiopulmonary resuscitation, and other emergency treatments.
Intellectual: A pharmacy technician student must possess strong intellectual, conceptual, integrative and quantitative abili-ties to master a complex body of knowledge. The capacity to learn must be effective and efficient. Reasoning abiliabili-ties must be strong enough to analyze and synthesize information from a wide array of source material. It is expected that a pharmacy technician student learn through a variety of instructional modalities, including classroom instruction, online instruction, small group discussion, individual study of materials, written papers, individual and group assessments, simulations, oral presentations, and computer based technology.
Stamina: A pharmacy technician student is expected to possess the physical and emotional stamina necessary to maintain a high level of productivity and accuracy under challenging workloads and stressful situations, while remaining vigilant of patient safety.
Ethics and Integrity: A pharmacy technician student must consistently demonstrate ethical behavior. He/she must be able to work within the regulatory and/or institutional limits of his/her educational program, make decisions based on thoughtful and careful consideration of the facts, and modify behaviors based on constructive feedback from faculty and colleagues. He/she must demonstrate compassion and a concern for others, and accept responsibility for his or her own personal ac-tions (or in some case inacac-tions) and decisions.
My digital signature attests that I have read the above information and understand and meet the Technical Standards established by Roosevelt University’s College of Pharmacy.
Pharmacy Technician Admission Requirements
The Pharmacy Technician Certification Program at Roosevelt University is a rigorous, patient-centered educational experi-ence designed to prepare caring, compassionate and committed pharmacy technicians for work in a variety of health care settings. To help prospective applicants prepare for admission to the program, requirements are listed below:
1. Submit an application by Friday, July 31, 2015. Students who complete the application and submit all required
materials by Friday, June 26, 2015 will receive priority review. Download an application. 2. Submit copies of official high school transcripts in a sealed envelope or completion of a GED by
Monday, August 24, 2015.
Mail to: Roosevelt University College of Pharmacy
Attn: Office of Enrollment 1400 North Roosevelt Blvd Schaumburg IL 60173
3. Provide copies of official high school transcripts or a copy of your GED certificate in a sealed envelope
to 1400 N. Roosevelt Blvd. Schaumburg, IL 60173, Room 210.
4. Achieve a cumulative grade point average of 2.0/4.0 scale for all courses.
5. OPTIONAL: Submit official ACT or SAT scores.
6. Complete a mandatory Drug Screening and Criminal Background Check by Monday, August 24, 2015.
7. Apply for your Illinois Pharmacy Technician License and submit a copy of your license by
Monday, August 24, 2015.
8. Successfully complete and pass the Roosevelt University English and math placement exams by
Monday, August 24, 2015.
9. Provide proof of health insurance coverage by Monday, August 24, 2015.
10. Submit a complete immunization history by Monday, August 24, 2015.
11. Reflect the successful practice of service through community engagement or extracurricular activities. 12. Demonstrate the proper motivation for and commitment to the profession of pharmacy through previous
work, volunteer or life experiences.
13. Possess the oral and written communication skills necessary to interact successfully with patients and colleagues.
14. Complete the Roosevelt University Pharmacy Technician applicant interview process (invitation only).
Applicants who have been selected for admission into the Pharmacy Technician Program will receive a conditional offer of admission. Admission offers are made until all program spaces are filled.
The admission offer is conditional until the following items are completed:
1. Submit a $200 tuition and fees deposit.
Applicants must reply to the Office of Enrollment and Student Services within 15 days of receipt of their offer of admission (Offers made after June 1 may have a shorter period of time in which to accept an offer of admission). A $200 deposit is re-quired upon acceptance and is credited towards the first term tuition. Directions on how to submit this deposit will be included in the admission packet.
Roosevelt University reserves the right to deny admission, continued enrollment, or re-enrollment to any applicant or student who would pose an unreasonable risk of harm to self or others, or any unreasonable risk to the academic or clinical offerings of the College of Pharmacy or Roosevelt University.
The Office of Enrollment and Student Services is committed to the protection of personal information. Use of personal infor-mation is strictly limited to the appropriate handling of applications, official records, and research intended to improve the admissions process and pharmacy education.
Applicants acknowledge that admission decisions are determined by Roosevelt University personnel through the exercise of discretion and professional judgment and are not subject to review or appeal. All application materials become the property of Roosevelt University and will not be provided or returned to an applicant. Application fees are non-refundable.
On-Campus Orientation Process
Selected applicants will be invited to participate in a one day, on-campus orientation. The orientation day may consist of the following:
• Program overview with program director
• Roosevelt Univesity English and math placement exams
• Introduction to Roosevelt University and the College of Pharmacy • Information about financial aid and other student services
