PharmD Program 1-on-1 (Virtual)

We're pleased you're interested in attending our virtual event! Please fill out the form below to register.

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Prospective Student

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Student Information

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I would like to receive text messages:

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Have you submitted an application for admission to The University of Rhode Island?*

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Are you connected with a Community Based Organization? (i.e. Upward Bound, TRIO, KIPP)

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Student Academic Information

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I plan to live on campus*

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I plan to major in*

Current High School*

High School Address

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What are you hoping to get out of this session?

Are you connected with a Community Based Organization? (i.e. Upward Bound, TRIO, KIPP)

Most recent institution*

Most Recent Institution Address

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What are you hoping to get out of this session?

Family Member/Supporter Information

Relationship to Prospective Student: *

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Family Member/Supporter First Name *

Family Member/Supporter Last Name *

Family Member/Supporter Mobile Phone *

I would like to receive text messages from URI *

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Family Member/Supporter Email Address *

Where are you from?

Student First Name*

Student Last Name*

Student Email*

What questions do you have or what are you hoping to gain out of this session?