Pharmacy Technology Information Request

* fields are required

Please fill out this from and someone will respond within two business days.

First Name: *

Last Name: *

Email Address: *

Phone: *

Street Address: *

City: *

State: *

Zip: *

Are you interested in attending classes full or part time?: *

Full TimePart Time

Which time of day interest you most?: *

Day classesEvening classes

Are you current a student at Tri-C?: *

YesNo

S-Number: *

Do you have credits you plan to transfer in to Tri-C for this program?: *

YesNo

What is your salary expectation upon graduation?: *

Students in this program are subject to a criminal background check and may be subject to drug screening.

Do you acknowledge this with an expectation of passing these successfully? : *

YesNo

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