application for the pharmacy technician jurisprudence examination
TRANSCRIPT
1559 Brunswick St, Suite 200 • Halifax, NS B3J 2G1 • Ph (902) 422-8528 • Fax (902) 422-0885 [email protected] • www.nspharmacists.ca
Application for the Pharmacy Technician Jurisprudence Examination
Applicant Information (please print)
Date
Full Name
Street Address
City
Province Postal Code
Email address Phone
Please note that in order to apply to write this exam, the applicant must open a file with the Nova Scotia College of Pharmacists (NSCP) and pay the applicable fee (if not previously done).
Applicant must check here to indicate that he or she has opened a file with the Nova Scotia College of Pharmacists
Licensure Pathway Prerequisite
Transition Pathway
OR
International Graduate
Successful completion of the PEBC Evaluating Exam. Date (month/year): ____________________
Accredited Program
Graduate
Previously graduated from an accredited program
Program:___________________________________________ Graduation date (mo/yr): _______________
Currently enrolled in an accredited program*
Program:_____________________________________ Expected graduation date (mo/yr): _____________
*For those currently enrolled in an accredited program, a specific date will be chosen for the Jurisprudence Exam to be administered on site prior to graduation. All students intending to pursue licensure will be expected to write the exam on that specified date.
Currently Registered in
another Province Contact NSCP Manager of Registrations to make arrangement to write the examination.
Exam Sitting
Requested Date: ________________________ Location*: ______________________________________________________
Refer to the NSCP website for upcoming exam sittings. *For exams written off-site (not at the NSCP offices), applicants are asked to include a photocopy of acceptable identification (birth certificate or Canadian citizenship certificate + piece of photo ID OR valid passport) with their application to facilitate the ID verification process at the off-site exam location.
Fees
Examination Fee $190 + $28.50 (HST) = $218.50
Payment Options:
Cash (exact change only) Cheque or Money Order (payable to the Nova Scotia College of Pharmacists)