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How to fill out the Affidavit Of Practical Experience - South Carolina Department Of ... online
Filling out the Affidavit Of Practical Experience is a crucial step for interns pursuing their pharmacy licensure in South Carolina. This guide provides clear, step-by-step instructions on how to complete the form accurately and efficiently online.
Follow the steps to successfully complete the affidavit.
- Press the ‘Get Form’ button to access the Affidavit Of Practical Experience and open it in your preferred document editor.
- Fill in your name and address at the top of the form. Ensure this information is accurate as it is used for correspondence.
- Complete the section under 'Affidavit of Licensed Pharmacist Under Whose Supervision Intern Worked' by entering the name of your supervising pharmacist. Next, provide their license number and the state in which they are licensed.
- Indicate the name of the internship as well as the location (including address, city, state, and zip code) where you completed your practical experience.
- In the space provided, enter the period during which you were under supervision, including the start and end dates.
- Have your supervising pharmacist sign the form, certifying your experience and their approval of your hours worked.
- Review the section for notary public and schedule a time for notarization; this is necessary for your affidavit to be valid.
- Enter the total number of internship hours earned daily in the appropriate section. Make sure to be precise with the hours, as these will be verified.
- Sign and date the form, affirming that all information is true and accurate.
- Once completed, save your changes. You may then download, print, and share the Affidavit Of Practical Experience with the South Carolina Board of Pharmacy.
Complete your forms online to ensure a smooth submission process.
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Fill Affidavit Of Practical Experience - South Carolina Department Of ...
➢ Verifying Pharmacist's name and license number. To receive experience credit on a valid South Carolina educator certificate, the applicant must provide a Verification of Teaching Experience Form. The Board of Pharmacy must accept Affidavits of Practical Experience form from interns whose practical experience occurred within the State of South Carolina. All accepted students will be required to obtain a Pharmacy Intern Certificate from the South Carolina Board of Pharmacy. - Any documents submitted in lieu of this South Carolina experience verification form must include the specific information requested on this form.
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