Pharmacy Technician Training Program Application

Indicates required field

First Name

Last Name

Date of Birth

Are you 18 years of age or older?

Are you a NYU Langone Health Employee?

Which campus are you interested in completing training. (Disclaimer: NYU Langone Health Employees working at our Manhattan, Brooklyn, or Long Island campuses are required to complete the program that specifically corresponds to their work location)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Home Phone

Cell Phone

Your Email

How did you hear about our program?

Why are you pursuing a career as a pharmacy technician? (Provide a brief essay of a minimum of 250 words.)

Upload Your Resume

One file only.
50 MB limit.
Allowed types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx.

Upload Your Official High School Transcript or GED

One file only.
50 MB limit.
Allowed types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx.

Upload Your Official College Transcript, If You’ve Taken College Courses

One file only.
50 MB limit.
Allowed types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx.

Upload Two Reference Letters from a Past or Current Employer or Teacher, Including Contact Information

Maximum 2 files.
50 MB limit.
Allowed types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx.

If you are a current NYU Langone employee, upload your last annual Employee Evaluation (download from Focus Performance)

One file only.
50 MB limit.
Allowed types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Pharmacy Technician Training Program Application | NYU Langone Health