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This membership is for International Pharmacists residing outside of the United States and Canada.

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*Last Name:

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*Pharmacy/Business Name:

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*Pharmacy/Business Address:

*City:

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*Postal Code:

*Country: This membership is for International Pharmacists residing outside of the United States and Canada.

*Home Address:

*Home City:

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*Graduate of:

*Year/Degree:

*If you were you referred by an ACA Member to join, please provide their name here. If not, enter NA.

*How did you learn about membership in the ACA?

Pharmacy organizations to which you belong:

PART 2 – REVIEW OF SELECTED STANDARDS

Place click the appropriate box to indicate if you are currently adhering to this standard of practice. The College requires adherence to 80 percent of all standards for admission and no more than 2 variations from Type 1 standards. Standards 9, 11, 13, 17 and 18) are reviewed by the Regional Director, Admissions Committee, or their designated representative. I have read the Standards of Practice for ACA Pharmacist Members. I believe my practice adheres to at least 80 percent of the practice standards.

Note: Click Here to see the full list of Standards of Practice.

*Standard 1: Yes
No, Will Correct
No

*Standard 2: Yes
No, Will Correct
No

*Standard 3: Yes
No, Will Correct
No

*Standard 4: Yes
No, Will Correct
No

*Standard 5: Yes
No, Will Correct
No

*Standard 6: Yes
No, Will Correct
No

*Standard 7: Yes
No, Will Correct
No

*Standard 8: Yes
No, Will Correct
No

*Standard 9: Yes
No, Will Correct
No

*Standard 10: Yes
No, Will Correct
No

*Standard 11: Yes
No, Will Correct
No

*Standard 12: Yes
No, Will Correct
No

*Standard 13: Yes
No, Will Correct
No

*Standard 14: Yes
No, Will Correct
No

*Standard 15: Yes
No, Will Correct
No

*Standard 16: Yes
No, Will Correct
No

*Standard 17: Yes
No, Will Correct
No

*Standard 18: Yes
No, Will Correct
No

*Standard 19: Yes
No, Will Correct
No

PART 3

*I have read the Standards of Practice for ACA Fellows. I believe my practice adheres to at least 80 percent of the practice standards. Yes.
No, but I will correct deficiencies to achieve 80 percent adherence before admission to the College.
No, I cannot meet these standards.

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