Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Provide your full legal name in the appropriate fields, ensuring it matches your state-issued ID. Include any previous names under 'Previous Names' if applicable.
3. Enter your official mailing address and residence address. Make sure to include city, state, and ZIP code.
4. Indicate your contact information, including telephone numbers and email address that you check regularly.
5. Input your date of birth and provide your U.S. social security number or Individual Taxpayer Identification Number (ITIN). Ensure that this number is accurate as it is mandatory.
6. Attach a recent passport-style photo (2”x2” glossy color). Ensure that the photo is clear and complies with specified requirements.
7. If applicable, check the boxes regarding military or refugee expedite options and attach the necessary documentation.
8. Document your educational status by indicating whether you are currently enrolled or have graduated from a recognized School of Pharmacy.
9. Complete the 'Verification of License in Another State' if you hold licenses in other states, ensuring that you request this verification from the respective licensing agencies.
10. Print and sign the completed application. Remember, no one else can sign on your behalf, and the signature must be a wet signature.
11. Submit the application along with payment for the application fee and any required supporting documents, such as fingerprinting information or affidavits.
12. After submission, you can save a copy of your form, download it, or print it for your records.

Start completing your CA Intern Pharmacist Application Packet online today!