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Application for Career Studies Certificate in Pharmacy Technician

Thank you for your interest in Tidewater Community College's Career Studies Certificate in Pharmacy Technician program, which consists of two semesters of full-time study and prepares you to sit for the pharmacy technician licensure exam. This program is approved by the Virginia State Board of Pharmacy at Perimeter, 9960 Mayland Drive, Henrico, Virginia 23233. Students admitted to the pharmacy technician certificate program must be 18 years of age at the start of the first pharmacy technician course.

"*" indicates required fields

Desired Semester*


Desired Class Schedule*

Name*












Address*















High School Graduate*


If no, GED Certificate?


Have you ever in the past been a student in any Pharmacy Technician Program?*


Have you previously applied or been admitted to the Pharmacy Technician program?*


Have you ever been convicted of a felony and/or misdemeanor?*