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Pharmacy Supplemental Application

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Personal Information









History with Manchester University





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Please provide the names and relationship to you of relatives who attend(ed) Manchester University (formerly Manchester College)
First NameLast NameRelationshipGraduation Year

Essay


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Prerequisites

Please complete the following Prerequisite Coursework Checklist by identifying which courses you feel meet our required prerequisites and keep the following guidelines in mind:
  • Only grades of "C" or better count towards prerequisite requirements (C- cannot count).
  • Please list the highest grade you received for a prerequisite course.
  • If a course has been retaken, please indicate that by placing a checkmark in the column labeled "Retaken."
  • A single course cannot be used in more than one area.
  • Please use the "To Be Completed" column if a course is not yet completed but will be before the deadline of June 12, 2015.
  • Please use this quarter hour conversion tool to complete the following.
  • Round all hours to the nearest whole number when using the drop-down list.
  • Under the "Grade" section, use AP/CR if you haven’t earned a grade for a listed course, but have earned credit for it. Possible reasons for using this designation include earning credit through an Advanced Placement Exam, through a Dual Credit opportunity in high school, etc.

General Chemistry I & II with lab. (6-8 credit hours) Please list both lecture and lab portion if taken separately.

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution
 
 
 
 
Credit Hour Subtotal:

Organic Chemistry I & II with lab. (6-8 credit hours) Please list both lecture and lab portion if taken separately.

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution
 
 
 
 
Credit Hour Subtotal:

Biology with lab (6-8 credit hours. Any biology topics are acceptable. Please only provide 2 classes)

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution
 
 
 
 
Credit Hour Subtotal:

Microbiology with lab (3-4 credit hours)

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution
 
 
 
Credit Hour Subtotal:

Physics (3-4 credit hours)

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution

Statistics (3 credit hours)

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution

Calculus (3 credit hours)

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution

Communication/Speech (3 credit hours. Must be speaking oriented)

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution

English Composition (3 credit hours)

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution

Economics (3 credit hours. Can be general, Micro- or Macroeconomics)

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution

Social Sciences (3 credit hours. Examples include psychology, sociology, history, cultural studies and political science)

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution

Humanities (6 credit hours. Examples include Literature, arts, language, philosophy, religion, and communications)

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution
Credit Hour Subtotal:
 

If your total undergraduate coursework listed above does not total at least 60 credit hours, please provide the necessary electives to meet this requirement. Electives may include any coursework, but we encourage you to fill electives with science classes.

  Course Number Course Name Hours To Be Completed Semester Completed / To Be Completed Grade Retaken Institution
 
 
 
 
 
 
 
 
 
 

Essential Functions

There are certain essential functions that are required of students in order for them to successfully complete the Doctor of Pharmacy. These functions are provided to all candidates during the admissions process and include:
  1. Physical Skills – Stand, sit, bend and reach while performing clinical assessments and dispensing functions. Function in a structured environment for several hours. Move freely and maneuver in small spaces. Demonstrate hand/eye coordination. Perform cardiopulmonary resuscitation and assist in emergency situations. Provide immunizations to patients. Effectively manage physical conditions in order to prevent impediments to appropriate services.
  2. Sensory Skills – Read patient profiles, computer screens and monitors, printouts, small print and/or handwritten notes. See with measurable depth perception and in low-light conditions. Distinguish color variations and discern shades of black and white. Hear, understand and accurately communicate the information/directions verbally and in writing. Discern sounds related to patient assessment and treatment. Distinguish smells of various drugs and solutions used in health care settings. Recognize changes in patient status and feel subtle differences in skin temperature.
  3. Cognitive Skills – Comprehend, analyze and synthesize complex science and clinical content. Apply prior learning to new situations. Concentrate on task at hand amidst a variety of environmental distractions. Interpret patient findings, recognized anomalies and make recommendations which improve patient care. Use personal computers to complete assignments. Complete standardized tests within established time limits. Need to be able to manage one's realities in ways that do not restrict balanced services to their patients/clientele.
  4. Communication Skills – Speak and write English clearly. Provide patients with clear drug information and instructions appropriate for their level of understanding. Document clear and legible handwritten notes. Organize thoughts and ideas into appropriately written and referenced essays and research papers.
  5. Interpersonal Skills – Interact with individuals, small groups and large audiences. Establish sufficient rapport and maintain boundaries in order to effectively relate to fellow colleagues, patients, health care professionals, faculty and staff. Demonstrate concern and empathy for a diverse population of patients.
  6. Professional Skills – Present a professional appearance and maintain personal health. Maintain composure during stressful situations. Work both independently and as a team member. Organize tasks, set priorities, problem solve and multitask. Maintain accuracy and confidentiality of patient information. Comply with established policies and procedures. Provide care to all patients regardless of age, race, ethnicity, origin, physical or mental status, or other conditions.
PROGRAM SPECIFIC INFORMATION
  • Following an invitation for admission, each student must satisfactorily complete a background check (coordinated by the program), a drug test (coordinated by the program), complete required immunizations, and must attain licensure by the Indiana Board of Pharmacy during the first month of the academic year.
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