3.Every question marked with a * must be completed within the character limits indicated, optional fields are identified.
4. Questions may NOT be answered as "Refer to Resume/CV". Applicants answering thus will receive zero points for that section.
5. All applicants must submit this online form.
6. Three letters of reference are required. Click the link above to access the requirements. Signed and dated Letters of Reference must be mailed in one package to FMCP with a copy of this application (you must still submit this application online). Each letter must be received in individually sealed envelopes. DO NOT SEND TRANSCRIPTS.
7. Applicants may upload their Resume/CV although this is not required. .Resume/CV may only be in PDF or Word format.
8. Only the following documents are acceptable, all others such as transcripts and cover letters will be rejected and applicants will lose points for not following instructions:
Online application (required)
Three letters of reference (required)
Resume/CV (optional)
DO NOT SEND TRANSCRIPTS
Personal Data
*Date
*Full Name
*Current Mailing Address
*Telephone [best way to reach you]
*Date of Birth
*E-mail address
Pharmacy Education
*School/College of Pharmacy
1) (School Name):
Address
Telephone
Dates Attended
School/College of Pharmacy (optional)
2) (School Name):
Address
Telephone
Dates Attended
*Pre-Pharmacy Education [if other than above] or Other College/University Attended
3) (School Name):
Address
Dates attended
Degree(s) awarded (if any)
Other College/University Attended (optional)
4) (School Name):
Address
Dates attended
Degree(s) awarded (if any)
*Spring 2010 Semester Conclusion Date
*Fall 2010 Semester Commencement Date
*Anticipated Graduation Date
Experience Related to Ability to Successfully Fulfill Internship Goals
*Professional/Work or Internship Experience (1000 character text limit)
( You may enter up to 1000 characters. )
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*Managed Care or Veterans Affairs Professional/Work or Internship Experience [if any] (1000 character text limit)
( You may enter up to 1000 characters. )
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*List in bullet fashion any formal recognition/honors received related to your Academic performance. Include your cummulative GPA (1000 character text limit)
( You may enter up to 1000 characters. )
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*List in bullet fashion your experience and level of proficiency with PC software (500 character text limit)*
( You may enter up to 500 characters. )
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*List in bullet fashion your experience and level of proficiency with Professional/work software/systems [medical/pharmacy claims, inventory, pharmacy filling systems] (500 character text limit)
( You may enter up to 500 characters. )
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Leadership Skills
*In bullet fashion list any extracurricular activities related to pharmacy practice (1000 character text limit)
( You may enter up to 1000 characters. )
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*In bullet point fashion please list any honors bestowed upon you by an individual or organization other than your college or university. (1000 character text limit)
( You may enter up to 1000 characters. )
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*List in bullet fashion any positions/appointments held within student organizations. (1000 character text limit)
( You may enter up to 1000 characters. )
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*List in bullet fashion any positions/appointments/mentor roles/relevant skills held within a work environment, military, professional organization (teaching, tutoring, formal mentoring) . (1000 character text limit)
( You may enter up to 1000 characters. )
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Professional Objectives/Career Goals
*What do you hope to gain from this internship? (500 character text limit)
( You may enter up to 500 characters. )
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*How do you hope to apply this managed care experience to your chosen career path? (500 character text limit)
( You may enter up to 500 characters. )
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*How Did You Hear About this Internship Program?
Short Essay
*Write an essay on the following topic: Describe the role of managed care pharmacy in improving the quality of patient care in the patient-centered medical home. (3000 character text limit) NOTE: References used to develop this essay must be cited. Parameters used to judge essays will include, but are not limited to, clarity of thought, logic, knowledge of topic, essay structure and organization, grammar, spelling, word usage, and use of references.
( You may enter up to 3000 characters. )
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Essay References
( You may enter up to 1000 characters. )
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Upload CV/Resume (Optional - PDF Only)
Questions? Please contact Ebony Clay, FMCP Executive Associate, at (703) 683-8416 or eclay@fmcpnet.org
Signature:
Letters of Reference/Recommendation must be placed in individually sealed envelopes and mailed in the same package along with an original signed and dated copy of the completed online application.
After Submitting the Application Send a Signed and Dated Copy and Your Three Letters of Reference/Recommendation in One Package to:
AMCP/FMCP/Pfizer Summer Internship Program
c/o Ebony Clay
100 North Pitt Street, Suite 400
Alexandria, VA 22314
Tel: 800-826-2627 or 703-683-8416
Fax: 703-683-8417
Copyright 2001-2010 Foundation for Managed Care Pharmacy (FMCPnet.org)