Pharmacy Kannected Sign Up
Name
First Name
Last Name
Email
example@example.com
Are you a pharmacist, resident, or student?
Please Select
Pharmacist
Resident
Student
For pharmacists & residents, please share your primary practice area (inpatient, clinic, outpatient, clinical specialty, etc)
For students, please share your primary career interests (inpatient, clinic, outpatient, clinical specialty, etc)
Please indicate how frequently you expect or desire to meet with your mentor/mentee each semester.
Please Select
weekly
every other week
monthly
every other month
once or twice
Did you have a mentor or mentee from last year that you would like to be paired with again? If so, please list them below.
Submit
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