Tennessee Pharmacy Internship Certification Form
This form certifies the completion of pharmacy internship hours required for obtaining a pharmacist license in Tennessee. It must be filled out by an authorized representative from the School or College of Pharmacy. Ensure all sections are completed accurately to avoid processing delays.
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How do I fill this out?
To fill out this form, start by entering the student's name and attendance dates at the pharmacy school. Ensure that the total internship hours are calculated correctly. Finally, have the authorized representative sign and date the form before submission.
How to fill out the Tennessee Pharmacy Internship Certification Form?
1
Enter the student's full name and date of birth.
2
Provide the school name and attendance dates.
3
Calculate and enter the total internship hours completed.
4
Obtain the signature of the authorized representative.
5
Submit the completed form to the Tennessee Board of Pharmacy.
Who needs the Tennessee Pharmacy Internship Certification Form?
1
Pharmacy students who need to certify their internship hours for licensure.
2
Authorized representatives at pharmacy schools for verification.
3
Employers verifying credentials of prospective employees.
4
State regulatory bodies requiring documentation of internship.
5
Foreign pharmacy graduates needing to fulfill local internship requirements.
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What are the instructions for submitting this form?
To submit this form, mail it to the Tennessee Board of Pharmacy at 665 Mainstream Drive, Nashville, TN 37213. Ensure it is signed by the authorized representative and include any necessary supporting documents. For faster processing, consider using express mailing services.
What are the important dates for this form in 2024 and 2025?
Important dates for the form include submission deadlines for new pharmacy graduates and ongoing dates for internship verification throughout 2024 and 2025. Specific deadlines can vary each year, so it’s crucial to check with the Tennessee Board of Pharmacy for any updates or changes.
What is the purpose of this form?
The purpose of this form is to provide official certification of internship hours completed by pharmacy students. It is a critical document required for obtaining a pharmacy license in Tennessee, ensuring that all educational requirements are met. This helps maintain the standards of practice and regulation in the pharmacy profession.
Tell me about this form and its components and fields line-by-line.
- 1. Full Name: Enter the complete name of the pharmacy student.
- 2. School Name: Name of the pharmacy school or college.
- 3. Attendance Dates: Specify the start and end dates of attendance.
- 4. Internship Hours: Total hours of completed pharmacy internship.
- 5. Authorized Representative: Signature and printed name of the person's validating the form.
What happens if I fail to submit this form?
Failing to submit this form may result in delays or complications in obtaining your pharmacy license. It is crucial to ensure that all required information is completed accurately.
- Licensure Delays: If the form is not submitted on time, it may delay the issuance of the pharmacy license.
- Inaccurate Information: Submitting incorrect information can lead to further complications in the application process.
- Approval Denial: Failure to adhere to submission guidelines may result in the denial of the application for licensure.
How do I know when to use this form?
- 1. Internship Certification: To certify completed internship hours required by the Tennessee Board of Pharmacy.
- 2. Graduation Requirement: As part of the requirements to graduate with a Doctor of Pharmacy degree.
- 3. Employer Verification: When prospective employers need proof of internship completion.
Frequently Asked Questions
How do I fill out the Tennessee Pharmacy Internship Form?
Start by entering the student's name, attendance dates, and total internship hours. Ensure that the authorized representative signs the form before submission.
Who needs this form?
Pharmacy students, authorized representatives, employers, and regulatory bodies require this form to certify internship hours.
Can I edit this PDF online?
Yes, PrintFriendly allows you to edit the PDF contents easily using our online editor.
Is it possible to sign the PDF electronically?
Absolutely, you can add your signature digitally using PrintFriendly's signing tools.
How do I share the completed form?
You can share the PDF by generating a shareable link or by downloading and emailing it.
What should I do if I make a mistake on the form?
You can simply edit the PDF again using the PrintFriendly editor to correct any mistakes.
Where do I submit this form once completed?
Submit the completed form to the Tennessee Board of Pharmacy at the specified address.
What is the purpose of this form?
This form certifies that a pharmacy intern has completed the required hours for licensure.
When is the deadline for submission?
It's best to submit the form well ahead of any licensure application deadlines.
Can the form be used for students from other states?
Yes, but they must meet the specific internship requirements set by Tennessee's Board of Pharmacy.
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