Transfer Application for Admission

Fields marked with an * are required.

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Permanent Mailing Address

Current Mailing Address

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Demographic, Ethnic & Gender Information

Ethnicity and Race:

(a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)

Please select the racial category or categories with which you most closely identify. Check as many as apply.

Note: This information is requested in order to facilitate reporting to the American Association of Colleges and Pharmacy (AACP) and for data collection. The information provided will be used in a nondiscriminatory manner, consistent with applicable civil rights laws and will not be used in any admissions decisions.

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