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First Time Pharmacist

If this is your first time, the documents below are required.

$100 deposit due by 3/5/20 to reserve lodging room.
Remaining balance due 5/4/2

The deadline to turn in all other forms to stefaniemaze@atsu.edu is May 4, 2020.

You will also need to fill out the online “Jamaica Dental Mission Form” below.

If you have any problems submitting the form, please contact Stefanie Maze at stefaniemaze@atsu.edu.






  • Notarized Copy of Birth Certificate


  • Notarized Copy of Degree Certificate


  • Notarized Copy of Current License


  • Three Reference Letters – two from pharmacy professionals and one other


  • 2 Photographs (Passport Size)