Dan Semones. June, 2014

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June, 2014 Enclosed is the information you requested related to the Pharmacy Tech Program. Please contact me at the email or phone number below with any questions. Thanks and have a great day! Dan Semones Dan Semones Workforce Development Coordinator Phone: 540.857.6476 Fax: 540.857.7386 dsemones@virginiawestern.edu

Pharmacy Technician Application Checklist Thank you for your interest in the upcoming Virginia Western Pharmacy Tech program that begins September 8, 2014. Please complete this form, including each of the steps listed below, to be considered for acceptance to the program: Your Name Your complete mailing address Your Daytime Phone # Alternate Phone contact # Your Email address **We must have your current contact information. If you move or change your phone number or email address after returning this application checklist, please contact us immediately! Complete each of the steps listed below. 1. Complete a VWCC non- credit college application online at: http://www.virginiawestern.edu/studenthelp/student/applyonline.php. 2. Provide your assigned Student EMPLID #. Please make a note of your Student EMPLID#. This will be used throughout your studies at VWCC. 3. Complete placement testing at the VWCC Main Campus, Library basement (visit http://www.virginiawestern.edu/ltc/ for details). Attach a copy of your test results to this form. If your test scores fall below acceptable limits, you may re- take the test up to two additional times. For practice testing, please visit http://www.virginiawestern.edu/student_life/get_advising/placement_testing.html 4. Send this completed checklist and your Placement Test results to reach us by August 15, 2014 to: Virginia Western Pharmacy Tech Program Workforce Development Attn: Dan Semones Thomas Center Room G110 PO Box 14007 Roanoke, VA 24038

Student Information for Pharmacy Technician Program Spring 2013 Program Dates: Mondays and Wednesdays, September 8, 2014 through November 12, 2014 from 6:00 pm until 10:00 pm in Anderson Hall on the Main Campus of Virginia Western Community College. Costs: $1,599 includes all books, materials and instructions for the class. 2014 Class Dates to Remember: August 15, 2014 August 22, 2014 September 3, 2014 September 8, 2014 Application Deadline Admission Decision Date Full Payment due for course ($1599)* Course begins *see the Virginia Western refund policy included in this package, PHARAMCY TECHNICIAN PAYMENT & REFUND POLICY for more information. Requirements: Students must be 18 years of age and have a high school diploma or GED; however, current high school students may be considered for the program under some circumstances. High school students, please call Dan Semones at (540) 857-6476 to discuss your individual situation. Students must be computer literate and have access to a computer with Internet access, an email address and printing capabilities. Students must complete Virginia Western s Placement Tests and show the ability to read, write and do math equivalent to the 9 th - 10 th grade level. While no specific limits are prescribed by this program, students are advised that the State and National Pharmacy Technician Certification Board and many employers will have restrictions and limits on: Individuals who have had disciplinary action against their pharmacy technician license, certification, or registration in any other jurisdiction, or have been prohibited from performing the duties of a pharmacy technician by any other state, or prohibited by a health regulatory board of any state or by any federal agency from practicing, or assisting in the practice of, any health profession Individuals who have been convicted of, pled no contest to, or have charges pending of any felony, or any crime involving moral turpitude, or a violation of any federal, state, or local drug law. Individuals who have been physically or emotionally dependent upon the use of alcohol or drugs or treated by, consulted with, or been under the care of a professional for any substance abuse within the last two years.

Individuals who have a physical disease, mental disorder, or any condition, which could affect their performance of duties For more information on qualifying for certification, you are urged to contact: Virginia Board of Pharmacy 9960 Mayland Drive, Suite 300 Richmond, VA 23233-1463 Phone: 804/367-4456 Web site: www.dhp.virginia.gov/pharmacy E- mail: pharmbd@dhp.virginia.gov Pharmacy Technician Certification Board 2215 Constitution Avenue NW Washington DC 20037-2985 http://www.nabp.net/

PHARAMCY TECHNICIAN PAYMENT & REFUND POLICY Tuition for the Pharmacy Technician program in the amount of $1,599.00 is due on September 3, 2014. Tuition payments can be made after the following process has been completed by the Administrative Staff of Virginia Western Community College: Payment can be made at any of the Virginia Western locations, i.e. Main Campus, Greenfield Education and Training Center or the Franklin Center. Your payment may be made by check, money order or credit card (NO CASH except at the Main Campus Cashier s office location). No financial assistance for the Pharmacy Technician program is available through Virginia Western Community College s Financial Aid office. Students who are unable to complete the Pharmacy Technician program will be considered for refunds using the schedule shown below when a written request for refund is received by Virginia Western s Workforce Development Division Office; Attention: Dan Semones (PO Box 1400, Roanoke, VA 24038). Attendance and continuation requirements will be discussed on the first day of class. REFUND SCHEDULE Students who withdraw in writing before September 15, 2014: Refund amount $1,400.00 Student who withdraw in writing before September 22, 2014: Refund amount $1,200.00 Students who withdraw in writing before September 29, 2014: Refund amount $720.00 No refunds will be provided to students who withdraw on or after September 29, 2014.