Get Ks La-03 2018

The KS LA-03 is a registration application for pharmacy interns in Kansas. This guide provides clear, step-by-step instructions on how to fill out the form online, ensuring that all necessary information is provided accurately and completely.

Follow the steps to successfully complete the KS LA-03 online.

1. Click ‘Get Form’ button to obtain the KS LA-03 form and open it in your online editor.
2. Begin with the applicant information section. Input your first name, middle name, last name, and any other names you have used. Include your date of birth, birthplace, and contact information such as home and cell phone numbers.
3. Provide your permanent mailing address, age, county of residence, and email address. If you have an NABP eProfile ID, include that information.
4. Indicate your citizenship status by answering whether you are a United States citizen. If you are not, refer to the federal Form I-9 list of acceptable documents and provide the required documentation.
5. Specify if you are currently registered as a pharmacy technician in Kansas and enter your registration number if applicable.
6. Complete the post-secondary education section by listing all schools attended in chronological order, starting from the most recent. Attach additional pages if necessary.
7. In the employment plans section, indicate whether you are working as a pharmacy intern or if you have secured a position, providing the pharmacy's name and license number.
8. Answer all the personal history questions truthfully, marking yes or no as appropriate. If you answered yes to any questions, be prepared to attach Form S-150: Personal History.
9. Review the applicant certification section, confirming your understanding of the responsibilities and legal stipulations related to your internship.
10. Sign and date the application certifying that all provided information is accurate. Ensure that you attach a legible copy of your current driver’s license or government-issued photo ID, along with other required documents.
11. Finally, save your changes. You can then download, print, and share the completed form as needed.

Complete your KS LA-03 registration application online today to secure your pharmacy internship.