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Rural Pharmacy Camp at Carl Sandburg College

Saturday, May 10, 2025 at 9:00 AM until 1:00 PMCentral Daylight Time UTC -05:00

Carl Sandburg College
S&T Building
2400 Tom L Wilson Blvd
Galesburg, IL 61401
United States

Rural Pharmacy Camps Registration Form

SECTION 1: Contact Information

First Name

Last Name

Preferred Name

Preferred Pronouns

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Mobile Phone

Do you consent to receiving text messages from UIC College of Pharmacy?

Yes

SECTION 2: Current Education Information

I am a current:

High School Student

College Student

What high school do you currently attend?

What is your current year in high school?

What college/university do you currently attend?

What is your major or emphasis?