Forms

Below is a selection of forms available through the Office of Experiential Learning at the University of Maryland School of Pharmacy.

If the form for which you are searching is not listed below, please contact our office.

General Forms:

FERPA Release of Confidential Information
Student information is protected under the Family Educational Rights and Privacy Act (FERPA). Signing this Release of Confidential Information form authorizes release of certain information as indicated by the student.

Student Liability Insurance
Healthcare Providers Service Organization free with APhA-ASP membership in the fourth year beginning on May 1. Additional paperwork is not required for the fourth year. Certificates of coverage are emailed to the APhA-ASP chapter advisor. There is a fee for coverage for first-, second-, and third-year students.

Preceptor of the Year
Complete this form to nominate a preceptor for this award.