NCPA Foundation Mentorship Program

Mentorship Program Terms & Conditions
The NCPA Foundation Mentorship Program ("Program") is designed to connect students and pharmacy owners seeking guidance and support ("Mentees") with experienced pharmacy owners willing to share their knowledge and expertise ("Mentors"). These terms and conditions ("Terms") outline the expectations and responsibilities of all participants in the Program. The NCPA Foundation will use its best judgment to match Mentees with Mentors based on their stated interests, goals, and areas of expertise.

However, the NCPA Foundation cannot guarantee a perfect match. NCPA Foundation does not guarantee the success of any mentorship relationship. The program serves as a platform to connect Mentees and Mentors, and the ultimate responsibility for the success of the relationship lies with the participants themselves. Mentees and Mentors have the right to terminate the mentorship relationship at any time. If a Mentee or Mentor wishes to terminate the relationship, they should notify the NCPA Foundation as soon as possible. The NCPA Foundation will then work to connect the Mentee with a new Mentor, if applicable.

NCPA Foundation reserves the right to modify the terms & conditions of the program at any time. Any changes will be communicated to participants via email.

Mentees and Mentors agree to indemnify and hold harmless the NCPA Foundation, its officers, directors, employees, and agents from any and all claims, losses, damages, or liabilities arising out of their participation in the Program.

Mentor Responsibilities:

Availability: Mentors agree to dedicate a reasonable amount of time to meet with their Mentee(s) and provide guidance and support.
Knowledge Sharing: Mentors agree to share their expertise and experience with their Mentee(s) on topics relevant to their mentorship goals.
Respectful Communication: Mentors are expected to communicate with their Mentee(s) in a professional and respectful manner, fostering a positive learning environment.
Confidentiality: Mentors agree to maintain the confidentiality of any sensitive information shared by their Mentee(s) during the program.
Termination: Mentors understand that the NCPA Foundation reserves the right to terminate their participation in the program for any reason, including but not limited to unprofessional conduct or lack of availability.

If you agree to these terms & conditions as well as the mentor responsibilities, please proceed with completing the application below:

First Name*

Last Name*

Email Address*

Phone Number - Please provide the best number to reach you.*

Address*

What will be your preferred method of communication with your mentee? Select all that apply.*

In-person meetingsPhone callsEmailVideo Conferencing

Do you identify as a member of a minority group in pharmacy?*

YesNoPrefer not to answer

Are you a pharmacy student?*

YesNo

If you answered yes, to being a pharmacy student, what is your graduation year and which school are you attending?

Are you a pharmacist?*

YesNoRetired

If you answered yes to being a pharmacist, which State(s) do you have pharmacy licensure in?

Are you a pharmacy owner?*

Is there an area of pharmacy practice you're especially knowledgeable about?Please provide as much detail as you can so we can connect you with the best possible mentee. Pharmacy operations, managed care contracting, reimbursement & billing, specialty pharmacy, compounding, etc.*

Is there an area of pharmacy ownership you'd especially like to teach about? Please provide as much detail as you can so we can connect you with the best possible mentee. Finance, Site Selection, Marketing, Legal Issues, Accounting, Floor Plan, Product and Merchandising, Compliance Programs, etc.*

Do you have a background in one or more of the following: Select all that apply.*

Rural independent community pharmacyUrban independent community pharmacyIndependent chain pharmacySpecialty independent community pharmacy

What type of mentorship commitment are you seeking?*

Short-term (3-6 months)Long-term (1 year or more)I'm not sure

Thinking about your ideal mentee, are there any specific areas of expertise you're especially hoping to find, what would they be like?*

Are you willing to mentor someone with a different background than your own?*

YesNoMaybe

Provide a resume and any other information that might be helpful to pair you with a mentor. i.e. draft of a business plan, current situation w/pharmacy ownership, etc.*

Terms & Conditions of NCPA Foundation Mentorship Program
By submitting this application, I agree to the terms and conditions of the NCPA Foundation Mentorship Program outlined at the beginning of the application and on NCPA Foundation's website.

NCPA Foundation Mentorship Program - Mentor Application