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CPHS Student Congress Application Form

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CPHS Student Congress
CPHS Student Congress Application Form

CPHS Student Congress

CPHS Student Congress Application Form
CPHS Student Congress COVID-19 Video

Please complete this form to apply for membership in The Student Congress of the College of Pharmacy and Health Sciences.

Name

First

Last

E-mail

Cell Phone Number

Biomedical Sciences

Sophomore

Junior

Senior

Health Sciences

Physician Assistant

Clinical Laboratory Sciences

Radiologic Sciences

Toxicology

Pharmacy

P1 (Professional year 1)

P2 (Professional Year 2)

P3 (Professional year 3)

P4 (Professional year 4)

Graduate Programs

Pharmacy Administration

Pharmaceutical Sciences Masters

Pharmaceutical Sciences Ph.D.

Physician Assistant

Public Health

Toxicology

Year

Junior

Senior

Provide a brief description highlighting your involvement within the College (student organization e-board or membership, attending College conferences, community service, extracurricular activities, etc.).

Leave this field blank

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St. John’s University admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the University. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.