American Family Children's Hospital
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Applying to the Pharmacy Technician Training Program

Please select the appropriate application process for you. If both application processes apply, you must fill out both applications.

 

A limited number of individuals will be hired as UW Health pharmacy technician employees prior to the start of the program. To apply to the Pharmacy Technician Training Program as an employee (either current or new), please complete the following steps:

  1. Go to uwhealth.org/careers
  2. Click on "Search jobs"
  3. Type "Pharmacy Technician" in the keyword box
  4. Click on "Pharmacy Technician"

Or click on this link and start at Step 3

 

Individuals who prefer to pay tuition with no commitment to work for UW Health at the end of the program, please fill out the application below:

 

Personal Information

 

Last Name:

Middle Name:

First Name:

Former Name:

Home Phone:

Work Phone:

Mobile Phone:

E-mail Address:

Street Address:

City, State and ZIP:

Date of Birth:

Gender:

 

Education History

 

High School Attended:

 

Did you graduate?

 

Graduation/GED Date:

 

 

College or Technical School/Program:

Program of Study:

Years Attended:

Did you graduate?

 

 

College or Technical School/Program:

Program of Study:

Years Attended:

Did you graduate?

 

 

Employment History

 

Are you currently employed?

 

Employer Name:

Dates Worked

Position:

 

 

Employer Name:

Dates Worked

 

Position:

 
   

Employer Name:

Dates Worked

 

Position:

 

 

 

Volunteer History

 

Organization:

Position:

Dates:

 

 

 

 

Organization:

Position:

Dates:

 

 

 

Background

 

Have you ever been convicted of a felony?

 

If yes, explain:

 

 

Pharmacy Experience

 

Have you ever worked as a pharmacy technician?

 

Have you ever taken any formal pharmacy technician training courses/classes?

 

 

If yes, explain:

 

 

 

Briefly state why you are interested in a career as a pharmacy technician:

 

 

How did you hear about the Pharmacy Technician Training Program? 

 

Online
 or Other (please describe below)