PILs Ambassador Application
Want an opportunity to join the Pharmacy Initiative Leaders (PILs) Network and become a PILs Ambassador? Fill out the application below and we will be in contact with you soon!
Pharmacy School Alma Mater
Please select your practice setting (s)
Current Employment and position (e.g. Clinical Professor at Howard University)
Please upload your CV
Please upload a professional photo to be used for online profile (must be at least 800x600 pixels)
Should be Empty: