Texas Society of Health System Pharmacists

- Chapter Listing
- Gulf Coast (GCSHP)

Foundation: Scholarship Application

This information must be completed and submitted/postmarked no later than February 28.

First Name *

Last Name *

Email *

Phone contact *

For a list of available scholarships and criteria for each, click here before proceeding.

Check which scholarship(s) your are applying for (hold Ctrl-key to select multiple): *

Student Permanent Address *

Permanent Home Phone *

What are your pharmacy career goals? *

College of Pharmacy *
Texas A&M Health Science Center Irma Rangel School of Pharmacy
Texas Southern University College of Pharmacy & Health Sciences
Texas Tech University Health Science Center School of Pharmacy
University of Houston College of Pharmacy
University of Texas College of Pharmacy
University of the Incarnate Word Feik School of Pharmacy
Other

If "other," please indicate your school/college of pharmacy

Expected Date of Graduation *

Race/Ethnic Origin (for Cuellar & Galvan Scholarship Applicants)

High School *

College(s) Attended, Degree and dates attended: *

GPA for pharmacy curriculum (Also send copy of last grade report received) *

Organizational Memberships and Leadership Positions Held: *

Please indicate employer, location, dates employed and job title(s):

Awards and Honors Received (School and/or organizations): *

Please indicate employer, location, dates employed and job title(s):

Non-Pharmacy Related Employment Experience *

Pharmacy Related Employment Experience *

List 3 references (NOTE: Letters of reference are required.) *

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Texas Society of Health-System Pharmacists