PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY BEFORE SUBMITTING THE APPLICATION

Note: Answer all questions completely and legibly.

Registering as an Intern – Graduate of U.S School

Before registering as an intern, you must be in your first professional year in pharmacy school.

Submit:

• Completed, signed and notarized Application for Registration of Internship.
• Non-refundable processing fee by check or money order made payable to the “State of Delaware.”

In addition, you must either:

• name a preceptor on your application (if your preceptor changes, see reporting requirements below), or

• submit one of the following verifications of your experience:
• completed College Practical Experience Form
• completed Affidavit of Intern Experience
• transfer of internship hours from another State where you are seeking licensure, sent directly from that State’s Board of Pharmacy to the Board office.

For more information on the internship program, please read the Practical Experience Program for Pharmacy Preceptors and Interns.

When your application is complete, the Board office will review it and, if approved, will issue your license.

Registering as an Intern – Graduate of Foreign School

Before registering as an intern, you must have a Foreign Pharmacy Graduate Examination Committee (FPGEC) Certificate.

Submit:

• Completed, signed and notarized Application for Registration of Internship (Foreign Graduate).
• Non-refundable processing fee by check or money order made payable to the “State of Delaware.”
• Copy of the FPGEC Certificate. For an application, visit www.nabp.net.

In addition, you must either:

• name a preceptor on your application (if your preceptor changes, see reporting requirements below), or

• submit one of the following verifications of your experience:
• completed Affidavit of Intern Experience
• transfer of internship hours from another State where you are seeking licensure, sent directly from that State’s Board of Pharmacy to the Board office.

For more information on the internship program, please read the Practical Experience Program for Pharmacy Preceptors and Interns.

When your application is complete, the Board office will review it and, if approved, will issue your license.

Note: Before applying as a Pharmacist, you must complete 1500 hours of internship after the date of your FPGEC certification. See Pharmacist licensure requirements for more information.

Reporting Change of Preceptor

If your preceptor changes, complete and submit the Preceptor Affidavit Change Form within 10 days.