RFI

First Name

Last Name

Email

State of Residence

Please select... I am not a US Citizen Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa PalauIf you are a US Citizen, please select the State you legally reside in. If you are not a US Citizen, please select "I am not a US Citizen."

Mobile Phone

Can we text you?

YesNo

What is the name of your Current School

If you're not enrolled, what was the last school you attended?

What is your current Education Program?

High SchoolAssociates Degree(2-year deree)Bachelors Degree(4-year degree)Advanced/Graduate DegreeIf you're not enrolled, what was your highest level of education completed?

How did you hear about us?

College FairFamily/FriendSchool VisitOnline SearchOtherAlumniSchool Counselor / Academic Advisor

What Fall term do you intend to apply to the College of Pharmacy?

Fall 2024Fall 2025Fall 2026I don't know

Is there a specific campus you are interested in attending?

GainesvilleJacksonvilleOrlandoNo preference