Exemption from Continuing Education Requirements

Date: 
07/14/2015
Document File: 
Document Text Version

IOWA BOARD OF PHARMACY EXAMINERS

400 SW EIGHTH STREET, SUITE E DES MOINES, IA 50309-4688

Phone: 515/281-5944 FAX : 515/281-4609

INSTRUCTIONS FOR FILING APPLICATION FOR EXEMPTION FROM CONTINUING EDUCATION REQUIREMENTS FOR STUDENTS ENROLLED IN HEALTH-RELATED GRADUATE PROGRAMS ONLY

The Iowa Board of Pharmacy Examiners may, in individual cases, grant exemption from Iowa continuing education requirements to pharmacists who are continuing their formal education in health-related graduate programs. Graduate program enrollment encompassing only a portion of a renewal period will not exempt the pharmacist from the continuing education requirement for the full renewal period but the requirement may be reduced commensurate with the period of enrollment.

INSTRUCTIONS:

1. Complete the application on the reverse side. Please type or print all information and be sure to complete all items.

2. The application must be filed with the office of the Iowa Board of Pharmacy Examiners at the address above prior to expiration of your current license to practice pharmacy. It is recommended that the application be filed as soon as possible following enrollment in the graduate program.

3. Incomplete applications will not be processed and will be returned to the applicant. The completed application must be supported by:

a) grade transcripts or course schedules, AND

b) a letter from the dean of the college you are attending certifying the date of enrollment and the anticipated date of completion of the graduate program.

APPLICATION FOR EXEMPTION FROM CONTINUING EDUCATION REQUIREMENTS FOR STUDENTS ENROLLED IN HEALTH-RELATED GRADUATE PROGRAMS ONLY

Please Type or Print Clearly

NAME

LICENSE #

ADDRESS CITY/STATE/ZIP

NAME OF UNIVERSITY/COLLEGE

ADDRESS OF COLLEGE

TITLE OF GRADUATE PROGRAM

DATE ENROLLED

ANTICIPATED COMPLETION DATE

BRIEF SUMMARY OF COURSE CONTENT:

SIGNATURE DATE

FOR OFFICE USE ONLY

Grade Transcript/Course Schedule _____

Letter from College Dean _____

APPROVED PERIOD______________________________________

DENIED

BOARD REPRESENTATIVE ___________________________________

DATE

Printed from the Iowa Board of Pharmacy website on December 04, 2020 at 8:23pm.